Quote from francoml
Thank you for the advice!!! I will definitely be getting that TNCC book. I have a 13 week internship that will be a mix of 1:1 patient care with a preceptor and critical care classes 1-2 x's a week. I know 13 weeks is not enough to learn everything but I hope it is enough to give me a base to work from. Also I LOVE the team atmosphere of trauma and I plan to ask about 10,000 questions. One more question, How long did it take you to feel comfortable on your own??
Will they be offering you a position after the internship? Some do not....and they can decide at any time during this process you "aren't a good fit".
GrnTea is right......even after 34 , soon to be 35, years in critical care, Emergency medicine, trauma flight....I can start an IV upside down in a car at 2am in a blizzard while maintaining C-spine and intubating......I still get that "Oh, Crap I hope I'm good enough" feeling in the pit of my stomach. I think fear of making a mistake, maybe not being good enough....gives you that edge to make you better.
I have never stopped reading, learning researching....trying to make myself better because for me..... anything less in unacceptable. I think TNCC is a BIG plus for trauma nursing and understanding how to care for a trauma patient. This is a multi-system injured patient that will encase all body systems at one time....heart, lungs, kidney, bone, head.....this is a specialized population that are critically injured and critically ill.
13 weeks is a good start....but there is much more to learn. Your first year after graduation is overwhelming in the best circumstances and as a new grad will be overwhelming at times. You will be a new grad and a new ICU nurse at the same time....while it is possible it is a daunting task you have ahead of you.
HouTx is right.....be humble and be willing to be corrected.
Most important - drop your defenses & receive all critical feedback as it is intended - to help you develop your own skills and expertise. Be open to criticism & modify your behavior accordingly. Take up the slack by moving in to assist others when you're caught up. Be respectful. NEVER say anything negative about any of your co-workers. Sure, Suzy may be putting Joe down, but if you join in she's may be the first one to relay your comments to Joe.
I have given you some references to study in the meantime about critical care in general. It will be a ton of hard work. You will need to be highly organized and focused. ICU nurses are very OCD and anal retentive to detail.....that is where they find safety. Here are some brain sheets that you might use at first to organize your thoughts.....or to take report on to get your thinking focused.
Critical Care Medicine Tutorials
But still...have fun! Don't forget to breathe! Good Luck.....we are here for you!!!