Insight & advice on Critical care(ICU) VS. general Med-Surg floor? - page 2

New here and just seeking some advice... I'm a third-year nursing student who's in the process of getting an externship at a hospital. Currently I have a choice between either University of... Read More

  1. by   WolfpackRed
    Quote from RUcon08
    --The biggest reason I'm taking an externship is for the experience, since honestly we don't get nearly as much of it as I expected in clinicals. And I know that working full-time for 8 weeks will be just perfect for getting experience. Not to mention I can't think of a better-paying/more rewarding summer job! Heh.

    I guess the main thing I'm curious about at this point is on the choices for an externship in general(since I can do or transfer to whatever I want after graduating.) Do you guys think it's a big deal to choose one path over the other just for the sake of an 8-week externship? Again, thanks to all that have already replied.
    To the first part, make sure you know what it is you are allowed to "do" during your externship. In my experience, most students are limited to CNA II level tasks and responsibilities, and even that can vary depending on the facility. During my externship, we did not give meds, altough we were encouraged to be knowledgable about them, and we do not do some of the more anxiety producing skills such as foley cath insertion, IV's, etc. However, you can focus on other skills like communication, time-managment, and resource managment

    As for the second point, we need to consider the possibility that your externship can be extended, often to employment. With that, I would think very hard about your choices.
  2. by   marilynmom
    I'm doing my externship in either the ER or the ICU. Around here they hire new grads on both areas so that isn't a problem.

    I work as a tech on a med/surg floor (I get floated all over though) and I absolutly hate it most days. It truly is a specialty, and a speciality I wouldn't be good at. I think your heart has to be in it. Floor nursing is not for me.

    I think you should go with what interests you!!
  3. by   jamonit
    go straight to the icu.

    as a new grad, i would do nothing but that.

    seriously. i mean it.

    for all the reasons stated above, and for all the reasons i could add but won't.

    :behindpc:
  4. by   Rabid Badger
    I simply don't understand this at all. Why american hospitals would even consider taking new grads straight into the ICU is beyond me. Huge huge safety issues. I would refuse to work or stay in a hospital that has this policy of hiring new grads into ICU.
  5. by   jamonit
    whatevs.
  6. by   jamonit
    Quote from Rabid Badger
    I simply don't understand this at all. Why american hospitals would even consider taking new grads straight into the ICU is beyond me. Huge huge safety issues. I would refuse to work or stay in a hospital that has this policy of hiring new grads into ICU.

    that's ridiculous. seriously. ridiculous. for all the reasons stated above and all the reason that i could add but won't.

    new grad programs in the icu are extensive and the preceptorship is invaluable. it's different south of the border, my friend.

    sorry you aren't open to progress.

  7. by   Rabid Badger
    Quote from jamonit
    whatevs.
    Ok then. Its even more frightening to me that you as a new grad do not understand why this would be a safety risk. Perhaps you will "get it" once you start actually working.

    And for the record, I'm a relatively new nurse. I know what i'm talking about.
  8. by   jamonit
    i am working. in the PICU actually, i am a new grad in a 14 week preceptorship and i'm enjoying every moment of it. that's how we're doing it here.

    and yes, i "actually get it."

  9. by   Rabid Badger
    Quote from jamonit
    that's ridiculous. seriously. ridiculous. for all the reasons stated above and all the reason that i could add but won't.

    new grad programs in the icu are extensive and the preceptorship is invaluable. it's different south of the border, my friend.

    sorry you aren't open to progress.

    Open to progress, LOL, I'm not open to putting my patients at risk by assigning a seriously ill patient to someone who is inexperienced and incapable of assessing appropriately. Thats the facts. I'm sorry your country is so short on nurses that they are forced to accept new grads into the ICU.

    If you were my student, I'd slap you upside the head for attitude. You're going to have one hell of a rude awaking one you start working.
  10. by   jamonit
    i know "what i'm talking about" as a new grad picu nurse as well.
  11. by   jamonit
    Quote from Rabid Badger
    Open to progress, LOL, I'm not open to putting my patients at risk by assigning a seriously ill patient to someone who is inexperienced and incapable of assessing appropriately. Thats the facts. I'm sorry your country is so short on nurses that they are forced to accept new grads into the ICU.

    If you were my student, I'd slap you upside the head for attitude. You're going to have one hell of a rude awaking one you start working.
    these colors don't run.

    ummm...i'm not a student. and ummm...i don't deserve a slap. i feel that you are taking yourself way too seriously. lighten up, canadian friend! it's valentine's day! :smilecoffeecup:
  12. by   jamonit
    me being slapped by the "rabid badger" :trout:


    awesome.
  13. by   mced
    Quote from Rabid Badger
    I simply don't understand this at all. Why american hospitals would even consider taking new grads straight into the ICU is beyond me. Huge huge safety issues. I would refuse to work or stay in a hospital that has this policy of hiring new grads into ICU.
    I guess it is a good thing you live in Canada then.

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