As a new grad nurse who is starting out in an ICU (NICU) I have to say that I don't agree with you ENABLED, for three reasons. First, with the nursing shortage, the average new grad program in 6 weeks in length ( I should also add that most hosptials that accept new grads on a specialty unit give them extended training.). After that, a new grad nurse is expected to function independently. Working on a med surg unit, that means being responsible for 8-10 patients, whereas on a specialty unit, that means 1-2 patients. Since you said that new grads need to work on their organization, etc., it seems to me a bit safer to have a new grad manage 1-2 patients, rather than 8-10. And truthfully, in nursing school
, I felt like a much safer and more effective nurse, in my critical care rotations, when I was able to give my full attention to my two patients.
Second, I don't think that having a blanket rule that every new grad start in med-surg suits the needs of every new nurse. While in school, I worked approx a year on a perinatal floor (we had med surg/post-op patients also) and another 6 months on a cardio-thoracic telemetry floor as a nurse extern. When I graduated from school, because I had been functioning pretty much independently for the last 6 months, I really didn't feel like I needed to work med-surg to learn how to delegate and become organized.
Third, I have to disagree that working med-surg first makes all nurses better. I've met nurses who started out there, and were stuck there, and all that did was make them bitter nurses who hated their jobs.
Hope none of this was taken personally, but I think I've just heard one to many people make the "new grads should start in med-surg" statement.