New Grad. Want to work in the ICU

Specialties Critical

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Hi everyone. Thanks in advance for taking the time to help me out. I'd appreciate any feedback on getting a critical care job after graduation.

I'm graduating in 2 weeks with my BSN. I had a 15 week externship in a Trauma ICU this summer. I have also been working in the critical care areas at that hospital as a tech since the externship ended. I am scheduled to become ACLS certified this week. I have all of my paperwork for NCLEX (that I can control) sent in to the state so that I can take the test as soon as possible after graduation. What other advice would you give to a new grad trying to get a critical care job? What worked well for you or what would have helped you out?

Thanks again!

Can you expand on the critical care skills?

For sure it's possible, am Already an ICU nurse for 8 years and never worked in any other unit. No need for ACLS cause usually hospital will pay it for you, but the problem will be finding an employer to hire u as fresh graduate, Which is not mission impossible. You will have to show in the work interview that u have the skills to work there, so try to focus on critical care skills before you apply to any position, good luck :)
Can you expand on critical care skills?
Specializes in med surge.

I agree. It is kicking my butt also. I also think that it matters what preceptor you have. The preceptor who will allow you to learn, not be extremely critical and not be so territorial and 'type A' is important for me.

It is possible to get into the icu as a GN. I am living proof of that and am almost off orientation in a level 3 NICU (my dream unit). I had some tech experience and completed my preceptorship in a Peds hospital prior to being hired.

I would definitely recommend applying to hospitals that hire GNs regularly. These hospitals typically hire new grads into speciality units and have the experience to effectively train GNs since they do so quite regularly (quarterly at my hospital). Many of these hospitals have trained staff to precept, classroom/online components, certification courses as well as lab time to learn skills specific to your area of nursing.

I tend to think that because my area of practice is so specialized, going into med-surg first would not have helped me in the slightest. I sometimes think nursing school was mostly a waste (since it isn't really applicable to what I am doing now) and most of my knowledge is being obtained via on the job training. Having said that my unit seems to prefer hiring GNs over experienced nurses from other departments because they can essentially mold you into the nurse they want you to be. However, I can see the validity of the med-surg/pcu argument on adult units.

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