ICU or ER?...Dec 2012 Grad - page 2

Hello everyone! I will be graduating in December of 2012 and am itching to get into Trauma nursing. I know this is a very competitive field and most Trauma centers require some sort of experience prior to working in this... Read More

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    I have been in the emergency field for 10 years and it is the best decision that I ever made! Seeing different things everyday, witnessing people defy the odds of death despite what you've learned and bringing people back from the brink of death is exhilarating!

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    It is possible to work level one trauma right out of school... I got into an internship with guaranteed hire in a level one trauma SICU... It is just competitive 250+ people applied for 20 positions broken up between BICU CICU AND SICU
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    Quote from ERnur5e
    I have been in the emergency field for 10 years and it is the best decision that I ever made! Seeing different things everyday, witnessing people defy the odds of death despite what you've learned and bringing people back from the brink of death is exhilarating!
    This is exactly why I love the ER so much
    I could almost quote you in my diary...
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    Quote from Medic09
    I recently had an interesting conversation with my Chief Flight Nurse regarding who we ought to hire, and why.

    The CFN is an NP who works in Neuro ICU. She has worked rotor wing and fixed wing flight jobs, and in house critical care nursing. She contended, and pretty well convinced me, that nowadays an ICU nurse is going to develop a lot more medical understanding and critical thinking than the average ER nurse. Especially if the ICU nurse works nights.

    Today's ERs are full of patients who aren't all that sick, and don't have emergencies. We spend a lot of time just rushing to keep up with the amount of patients. As a result, the new ER nurse will have to look more for opportunities to learn and understand complicated patho-phys and how to make decisions and implement treatments. My shift today was a good example of that. Within a four hour block I had two drunks with rule-outs, a bug bite, two simple fractures, a cardiac rule-out who was stable before I got him, and new onset CHF. That last one could be an interesting and mildly challenging patient - but I didn't have that much time for him after the initial assessment. The busy ER environment doesn't allow much for taking advantage of the chance to get really involved in the patho-phys, differential Dx, and Tx decisions and modalities.

    An ICU nurse is going to be seeing genuinely sick patients. There will be much more opportunity to hone knowledge and thinking skills. The nurse spends a lot more time with each patient. The ICU will confront you with educational and cognitive challenge; the ER might not give you the time to pursue similar learning.
    Great thoughts- thank you!


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