Quote from ThinkingAboutIt
Wow, that quite a statement of support. In an earlier post you said, "have more autonomy, and you probably will be expected to be a smarter, beter nurse. All things good for your future as well as your stay in the ICU. "
So, is just the autonomy and expectations that you will perform that makes a teaching hospital better? Money is a difficult thing to pass up.
1) expectations will be higher, forcing you to dig a little deeper into pathophysiology, pharm etc.
2) Patients will undoubtably be sicker and the interventions will be more cutting edge, ask any small hospital ICU nurse how many high fequency jet ventilators have they handled, how many patients have been on nitric oxide, how many bedside abdominal washouts have they participated in, any continuouse cardiac output monitors? You haven't titrated inotropes until you can watch the curve change right before your eyes as the drip is adjusted.
3) You will be called upon to make more decisions on your own and will be expected to know when the resident wants something stupid and to refuse to carry the order out. You will be an integral part of protecting that patient and initiating interventions instead of making sure that the private doc is happy and you don't step on any toes.
4) Are you sure the money is that different? The private institution I worked at paid far less than the large teaching hospital I loved. Consider that doing something for the money is a lousy motivator and being a better nurse when trying to do anesthesia school is invaluable. I could see the difference between me and some of the others that came from smaller, less advanced hospitals (not to pat myself on the back too much).
5) Most schools have or will know about the kind of hospital you work in, my school was over 1,000 miles away and they knew all about it. If not, your resume would include the skills you developed and utilized, so a teaching hospital will give you more skills to list.