I would like to hear some thoughts on new grads working in ICUs or ERs right out of school. Our small hospital is resorting to hiring new grads and it scares me. I have worked in Med/Surg for over 25 years and I have precepted many new RNs to work on the Med/Surg units. It takes most of them more than two or three years to feel really confident at the bedside making sound decisions.I had a experience getting a report from a new grad ER nurse who I coached through the assessment.She said to me that I asked a lot of questions.What kind of preparations are these new grads getting to work in specialty areas?I shiver at the thought of being a patient there or anyone from my family.