[jamiejo05]

Hey everyone... I graduate in 12 days and I just got a job offer in the CCU/ICU, do you think I need the year med-surg everyone is talking about?

[heysmalls]

Hey jamiejo,

congrats on the upcoming graduation!!! I have to say, I worked in med-surg for 5 1/2 years before I started working in ICU/CCU. I believe that it really helps, esp. with time management. I have seem some new grads come here without working in med surg first, and most have stuggled getting it all together. I feel like it would benefit you more if you worked med surg first. Hope this helps you and good luck to you in whatever you do.

heysmalls

[srna2008]

It depends,

I started in SICU, but I worked in the unit as a tech all through nursing school, so I was already fairly comfortable with the equipment. It is also very important to have a good preceptor and education program. I have been here for a year now and have not ever felt too overwhelmed.

Congrats on graduation

[Medwynn]

I am one of those graduates who went into CIC/CCU without med-surg experience. But i was an apprentice for 8 months prior to becoming an RN in that unit.

You really need to dial in the time management. Before i get report from the nurse, I write down what needs to get done at the scheduled times. Formulate my game plan for the night. You never know when you'll have to get an art line started and have to titrate two pressors an hour after you start shift. ..

Good luck.

[SoundofMusic]

Yeah, or if you will get a new admission, or a patient that crashes while you're in the other room doing something else with your other pt.

I am a new grad and have been in the ICU for about 2.5 months now. And I'm now at the point where I'm thinking of asking to be put back into med surg until I get my time management skills and sea legs. But this is just me. I have no prior nursing experience whatsoever, no prior tech experience or anything. I did have a month on a really busy med surg floor in school, but that's not enough, believe me. And yes, I did very well in nursing school, got good grades, was one of the "smart ones," LOL.

I am gearing up to tell my manager, and I feel entirely at peace with my decision. My goal is to get back to this unit in about 6 months or a year, maybe even more, who knows. I just know now that I need it before I even attempt ICU again.

I do have a very stressful home situation as well. Hubby is gone overseas, kids at home, lots of responsibilities and I can't find the time to take care of myself well enough to be ready to go in there with guns blazing.

Again, this is MY situation. If you're young, strong, smart, have freedom on your off days to really study, or to come in and practice skills on your off days (that's what I wish I could do, but can't as I do have a family to take care of as well) have had some prior experience, even as a tech, I thnk you could do it w/ the right preceptor and courses.

I know I will be ICU material someday, but just not now. I can easily grasp the pathyphysiological concepts, but I need time management skills and basic nursing skills solid in my brain first. Also need solid support at home as well.

Just getting to this decision takes an enormous burden off of my soul at this point. I don't feel the slightest bit ashamed ...ICU is a LOT of additional information and skills to learn, a lot of critical thinking, on top of your basic nursing skills. You gotta be fast, and you have to handle very tough situations. Just the illness level of the patients is so sad ... sometimes that is also what would put me over the edge. And yes, we all love a challenge, but this is a really HUGE challenge that for me was not doable.

But it IS doable, with the right conditions. I also feel that the unit needs to BUY IN to your presence there. Our unit took on 5-6 new nurses at once -- so, we were juggled among preceptors w/ odd schedules, and there was little consistency. Not good, not good. You need a consistent, solid preceptor who will not abuse you and who can bring you along quickly without killing you in the process.

Just words of experience from one new grad out here now.

[All_Smiles_RN]

I wouldn't say necessarily med-surg. Telemetry, PCU, cardiac step-down, etc would be better options in my opinion. Good luck in whatever you decide.

[SoundofMusic]

What do you suggest, then?

I figured just doing med surg for a while would help me get my nursing skills down pat at least. Am I wrong?

[DANWIEW]

I just graduated last week. I precepted in school in CCU. I fell in love with it. I interviewed with the Nurse manager and was hired for the unit. I start Dec 30th. I feel I can do this but still hear that small voice saying are you really sure. I had thought about going back to geriatric where I was already at but was incourage to do something else. I have 12 years experience as an LPN in different areas including Med surg but for the last 4 to 5 years it has been geriatric.

I found a nurse on the unit that I want to be like when I grow up. The assessment skills she has by just walking in the room is out of this world to me and that what I want to be like. I will let you all know how it goes. I heard stories that its good and bad going in as a new grad but I want the challenge.

Thanks for reading and please give me feedback

[SoundofMusic]

Well, Ha Ha. ..they ain't letting me out. Supposedly I'm not doing THAT badly . . . my manager is ok with me.. .so, I'm staying. It's one thing one day, another thing another day. . . . all I can do is try my best . .if it's really bad, they'll remove me, LOL.

Yes .. the ICU nurses are just really something to behold. Their assessment and critical thinking skills are something to emulate, that is for sure. When you're precepting w/ a nurse w/ 30 years experience,most in ICU, it's just mind boggling.

So, don't necessarily listen to me.. I'm just in that painful uphill climb stage, where I feel like running. It's a healthy fear ...

[dadslilgyrl22]

Yeah!! I say hang in there. I just got hired on cic/ccu and i am scared as well... But they wouldnt have hired you if they didnt feel you could make it.