Quote from marieparn
I took some flack from people when I turned down the position in ICU but I wanted to work with patients not just monitors (no offense to icu nurses) but from what I have seen there are one or two patients and alot of monitors. I would much rather take the five or six patients and the telemetry monitors. I feel that I make more of a difference in my patients lives and am able to do alot of education to my patients. It is wonderful to be able to teach a patient what Atrial Fib or What a Pacemaker or ICD does have them appreciate someone taking the time to educate them in people terms. I hope you make the right decision for you without pressure from anyone else. Good Luck, Marie
Confused here ????? ...What do you mean,
but from what I have seen there are one or two patients and alot of monitors.
I work SICU and we have a monitor (some w/several hemodynamic waveforms) to each patient. Are you talking about the different waveforms?
I feel the need to clarify something...a monitor, or any piece of equipment, is just a tool. Not the entire picture of what is happening to the patient. You will learn that on the tele floor... the monitoring will be only one more tool for you and not tell the entire picture of what is happening to your patient; PEA for example! The patient is the most imortant factor! Not the machine
Even if the monitor was showing my patient is asystole, I would not first call a code until I checked my patient first (and check in another lead!).
The ironic thing about your comment is that I decided to jump into ICU after feeling like there was no way I was really accomplishing my personal goals as a nurse. "I" felt like a paper/pill pusher because I didn't feel I was spending the quality time with my patients (No, I don't feel that is what floor nursing is, that is just how "I" felt about myself. Having done many years of floor nursing, I have great respect for those who choose to practice as such
) It happened more than I care to think about, that one of my tele patients went down hilll and the other five or six had to fend for themselves because this one required all of my attention. I am much more comfortable knowing exactly what is going on w/my two critically ill patients, than feeling like I am letting my other five or six patients down.
And time for teaching, well there was a department for that. Sure, I did teaching as I went, new meds, etc. (we all do it at different levels w/o realizing it), but there was absolutely no time for any in depth information
There was videos for that....and the reason the videos were developed was due to the time crunch and patient load we already carried.
To the OP, yes, go w/your gut instinct. Personally the many number of years I spent in tele, med/surg, step-down units was an invaluable resource of experience. Do new grads do well in ICU's, sure they do, but I can't comment on what their learning curve. Best wishes!