Critcal care as new grad

Specialties CCU

Published

Is it possible for a new grad from an ADN program to get hired in a Critical Care Unit, now or in the next couple of years? I'm just asking this because I keep on reading these posts about how new grads are not wanted in these type of units, or actually in any unit whatsoever unfortunately

I was hired into the NICU as a new grad but my opinion on the matter of allowing GNs into ICUs is much different than maybe you'd imagine. First of all, we shouldn't clump all GNs together. Most are not equal in their knowledge base or skill level. There are some GNs, some in my class even, who had the skill, intellect and maturity to continue their education passed their orientation. Those students could have handled the rigors of an ICU. To the majority of nurses I graduated with, I would say getting their feet wet in med-surg would probably be an amazing idea. Time to gain critical thinking and hands on skills as well as time management.

I have been hearing a lot on these forums about GNs only wanting to work in ICUs. Yes, that may be the goal but their is experience and knowledge to be gained by going the med-surg route as well. It seems like many people feel if they don't get into an ICU right away that somehow makes them less of a nurse. I whole-heartedly disagree with this notion. Ok, I'll jump off my soap box now!

A good residency program is key to a GNs success in an ICU. Those of us hired into an ICU in my area had an amazing GN training program . They have been responsible for training GNs in critical care areas for many years with much success.

There is an overwhelming deficit in a GNs skill level that needs to be gained during a thorough orientation process. One of my friends in an ICU worked at another hospital in the area and received 8 weeks of training before being on her own in a CVICU. No thanks, I worked too hard to get this license to lose it on account of a poor orientation. Conversely, in our hospital, GNs in ICUs receive 14-20 weeks of training. Working in an ICU can be done. However, in my opinion it needs to be a good fit between the right nurse, the orientation and the floor. Best of luck.

I started in the SICU as new ADN grad. I agree that whether or not a new grad starts in ICU is totally dependent on the person. You must study outside of work in order to succeed.

Specializes in Internal medicine/critical care/FP.

I think its fine for new grads to work in the ICU. If thats what you want to do your whole life then start there. This goes into the kitchen sink of being an rn before an np. One job may help a little with your next type of job, but if you want to do something, do it right away. Best way to learn is to do what your want to learn, not taking stepping stones. Go balls deep.

Yes, it is possible to get a job in the ICU as a new grad. When I graduated, I had job offers from 4 ICUs. I do not agree that you need med surg experience first. They are way different from eachother. That's like saying before you buy a dog you should start with a lizard. Yes there are basic similarities like charting and time management but I believe there is nothing to gain by starting in med surg if your ultimate goal is to be ICU. ICU requires special skills and working in med surg will not teach you those skills. Network and apply! That's the key.

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