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how long after orientation until you felt comfortable in the ICU?



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Sep 07, 2009 03:03 PM

how long after orientation until you felt comfortable in the ICU?


I've been in the ICU for almost a year, and I completed a successful ICU orientation last November.

Task-wise, I feel okay, especially with time management, charting, getting priorities taken care of before anything else, etc.

However, there are times where I still feel uncomfortable putting all the concepts and critical thinking together so I feel like I'm still one of the people who needs to ask for help from one of the seasoned nurses. I love going to rapid responses and code blues with seasoned nurses, but still somewhere in the back of my mind, I'm also scared to death.

How can I learn to be more comfortable without asking so much help from the other nurses? I wish I can stop feeling like such a novice nurse, as I'll have been a nurse for 3 years this coming January. The reason why I transitioned to ICU was because I didn't want to be uncomfortable anymore when a patient was deteriorating rapidly; I wanted to feel more confident about what to do in case a code blue happened. I wanted to take on more challenging patients so I could apply my critical thinking skills. I do feel more comfortable now, but there are just times when I don't.

When/how did you start feeling comfortable in the ICU? Do you ever study critical care books/journals on your days off from work?


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2 Comments
No. 1
from ukstudent
Old Sep 07, 2009, 03:21 PM

Default Re: how long after orientation until you felt comfortable in the ICU?
I bet if you asked those experienced nurses that you talk to, if they feel totally comfortable, they would say no. As time goes on you get more comfortable, but there is always some pt that will throw you for a loop. I work with some nurses that have been ICU nurses for 15 to 25 years. They still tell me that they are learning. Not being totally comfortable is a good thing, it will keep you on your toes.
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No. 2
Old Nov 21, 2009, 05:44 PM

Default Re: how long after orientation until you felt comfortable in the ICU?
I was a tele nurse for 6 months before going to ICU. I've been in the ICU for a little more than a year. I feel I'm getting more comfortable with all the routine stuff, but feel overwhelmed with the critical thinking process sometimes. I'm the kind of nurse who wants to know "why we're doing this", instead of just "for this condition or symptom, we do this..."

Don't EVER be afraid to ask questions, and always educate yourself. Many nights, I'll come home from work exhausted, but I research those things that happened during my day that I was so afraid of, so that the next time I deal with it, I feel much more comfortable. You can't possibly know EVERYTHING, no one does. I recently asked a fantastic RN how long it took her to feel comfortable with her job as an ICU nurse.....she said 7 years.

The ICU is not for everyone, and some days I ask myself "what the hell was I thinking" (I became an RN @ 41...something I always wanted to do, but just put it off due to various obsticles). I have gained so much weight from the stress and think I have an ulcer, but I wouldn't want to do anything else.
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