I hope what I have to say is helpful to you! I am a new 2000 grad who went straight to one of my hospitals 10 critical care units. I didn't want to do med surg. I knew and I still believe that a year of med surg would be helpful for me, but I just didn't do it, despite that knowledge.
I think new grads can make it in the units, but let me say bluntly, I have had more trials and tears than my friends who went to Med Surg. Not only the skills that were immediately required of me (ever draw an abg? or work with ventric's?)but also the emotional level (Week two of orientation, I must tell a pt's family (with support of the MD) that this pt is not going to ever do any better than he is now (brain death)... I find that I do this on almost a daily basis now. I love my job, but my support system at that hospital was well established before I became an RN, and the ED where I was a tech checks on me regularly, as well as the house supervisors, the Xray people, etc. Even in this safe, fairly sheltered environment, I sometimes am overwhelmed. I also find that I spend far more time than my med surg buddies looking up stuff, reading articles and textbooks to keep pace with my unit.
Like I said, I do like my job a lot...I owuldn't go to a med surg unit now if i had a choice, but the road will be a little rocky- with that said, I will also say Go fOr it, it can be done.. Start applying In january. Good Luck. Holly