Surviving ICU/nursing... advice for novice?

Specialties Critical

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-How do you become better at multi-tasking and prioritization while starting in ICU? I would really like to tap in to the wisdom of seasoned nurses...how is this measured most effectively in the novice nurse (is this an innate ability or how is this best measured?)

-Another question (if you are willing to read on) is how would you suggest someone who is naturally more introverted/ slow to warm type personality blend in to a staff that is clicky and may favor extroverts? Can one make it in icu if more introverted? This is something I have always struggled with...even growing up.... befriending the "in crowd". I was and still am the nerdy/quirky type, even growing up I often dealt with gossiping/verbal slurs ...small rural communities can be that way). But I can sit down and read a medical text book cover to cover and I often find sanctuary with those that tend to be "misfits"...I am fine with talking with patients though....I enjoy caring for them but when I feel an atmosphere is judgmental/ gossipy especially when I need to depend on others to learn... I become very anxious and struggle to reach my full potential (something that is slowing my progress down as a new nurse). I am also not shy to ask questions...but I've been told that by asking questions it makes me look like I don't know what I'm doing/unconfident (to be honest as a new grad in ICU I do not know what I am doing at times...another relatively new nurse does not ask as many questions, meshes well with the staff, and is super confident however, I would be absolutely terrified to have her as my nurse since she is not conscientious with care...but she is very fast). After this experience though I agree med surg may have been better to start however, this is not an option for me unless I pick up my family and relocate and ignore the fact that my husband is doing awesome right now (in terms of gaining valuable experience and meshing with his coworkers).

-Basically how can one that has a hard time with the "in crowd" survive when progress for this particular facility (same rural town) is based off of what others say about you? Is that typically how ppl are evaluated in terms of judging prioritization/multi-tasking in nursing? And also how can someone become better with these skills? Eg. Pt 1 paging you for pain medication, pt 2 on nitro drip and notified that Bp 200/100, pt 3 you're currently in this persons room whose a high fall risk, helping them to the bathroom while the nurses aide is tied up.... And you're to manage this as a new grad independently...any suggestions from seasoned RN's/LPN's?

Specializes in Hospice/Infusion.
If you are so desperate to work in one, what makes YOU think you'd be a good fit?

I pay very close attention to detail, have excellent bee side manor, always working harder to perfect clinical skills and I like fast paced environments.

OK, then, you think you would be. Go for it.

What are you doing with 3 patients in ICU? And if an ICU patient can get up and go to the bathroom, that patient doesn't belong in an ICU. To my knowledge, most ICUs don't have CNAs. Did I miss something? You are talking about ICU, right?

ICU is a small, closely-knit group and necessarily so. This doesn't mean all ICU nurses are BFFs, but it does mean they have learned to work together and can rely on each other. Remember, you're not there to make friends. You are there (or should be there) for the patients. Something I'm wondering about -- did you choose ICU because you wanted to and you had a choice, or because it was available? I get the sense it's the second one. Some of what you feel and believe may be something you're projecting onto the others. No matter what you've been told, do you really believe that asking questions makes you look like you don't know what you're doing? That's ridiculous! Besides, no new grad knows what he or she is doing and I'd be worried about the one who doesn't ask questions. That's scary! That said, I don't know what questions you're asking If they're about things you ought to know, that's a different story. Prioritizing is something we all have to learn to do. Take a look at this, see if it helps or inspires you: http://www.circ.ahajournals.org/content/122/18_suppl_3/S640.full

And you might want to keep not the ABCs, but the CABs in mind.

A new ICU nurse is expected to have questions and need help from time to time. I would hope your preceptor is around to ask question of and he/she should have identified the stronger nurses in the unit to go to for assistance.

I always would have my orientees ask me their questions and tell me what they think the answer is. Matters not if they were wrong , but it made them try to think through the question. Even if it was something they had no business knowing. Or I would tell them where to find the answer as the goal was for them to be self sufficient and trust the references they had at hand.

We have all been the newbie at one time or another and all been stupid, but we learn and grow and hopefully used our experience to help out the next newbie who comes along.

Specializes in Psych.

There's a smaller hospital in a nearby town that has an ICU with a typically 2:1 ratio but sometimes 3:1. At the magnet hospital I used to work at, some of our patients in the SICU were ambulatory. & we had CNAs. So there's that.....

'The purpose of life is to discover your gift. The meaning of life is to give your gift away.'

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