I work in a MICU where I started as a new grad in July. I had worked in this MICU as an HUC for 2 years before I started as a RN, and before I graduated I spent 8 weeks in the Burn Center doing a 1-1 preceptorship with ICU patients. When I started, I was sure with this experience behind me I would hit the ground running and, altough I was still learning, I felt that I could make a pretty smooth transition.
Well, it's been almost 6 months, and as of 2 nights ago, I still
get the feeling that some things aren't "clicking." Now, even while looking @ this, I can say, "Geez, 6 months, come on, you still need time to learn, to organize your shift, etc," but that's certainly not the way it feels when I'm working, and I feel 10 steps behind while my mind is working 10 steps forward, and my notes aren't done, and pt #1 is dropping his pressures and pt #2 is dropping her tidal volumes, and we have a stat scan now, etc. And I feel lucky I have the luxury of only 2 pts max, when you can have so much more in the ER!
Then, there are other nights, (and these are happening more often), when everything does click, and when I leave I know I've done a good job, and I've helped my pts and myself, and I've learned something new to help me with my job next time.
So, at least for me, the "all things coming together" really comes and goes.
But that's what makes it interesting.
Peace, love, and happiness