I graduated in May and am currently working in an ICU. I hate it. period. It is a difficult unit culture and unsafe staffing levels exist, nurses and support staff leave as soon as they can, and it is basically a hospital wide problem as well.
I really enjoyed my time in clinical and the whole aspect and philosophy of community nursing so I originally tried to get a position in home health at graduation and was told to gain experience and then come back. Out of desperation I finally started applying again for home health after only 6 months (I can't take it anymore) and I have an interview MONDAY! I am very excited because they really ask for 1 year experience but are giving me an interview considering I have critical care experience and my work history otherwise.
Why don't I like ICU? I don't get that one on one for my patients in ICU like I think they need and as far as staffing, we will usually have three patients that are usually very acute....and this is a new grad dealing with this. Physically I am already having muculoskeletal issues due to the amount of turning and positioning of patients. I have a difficult time with the acuity level as well, i feel like I'm in a car going 100mph with a wobbly tire ready to blow and I feel like I'm going to make a huge mistake and hurt a pt due to being rushed and missing something or making a med error. This is why I felt hospital nursing was wrong for me from the start but I took the job and felt I could handle it for a year. I can't. I feel bad about myself because I am an adult and am very capable normally, but this icu position is the first time I really have felt like walking away from a commitment.
I feel very guilty about looking for another job, and I dread having to give notice if I get this position, but on the other hand I will be pursuing my original goal of HH nursing.
Can you tell me the honest truth about the good and bad of home health? I have my own opinions, but no experience other than school clinicals, care to share? I am a very good interviewer but I would like some tips on strengths to highlight in an interview. Thanks in advance and pray for me if you read this.
Nov 14, '12
Some people are under the impression that patients in their home are safe & stable, which is not always the case. These days hospitals are pressured to discharge patients too soon. Which means home health nurses walk into a home with a patient that is VERY sick & in need of LOTS of monitoring. Impossible to do in a 30-60min visit. Make sure you are confident in making decisions about care alone, because there's not another seasoned nurse sitting down the hall...you're it. I have great nurses in my agency & they are great at helping when they are available. But they are busy with their own patients and aren't always able to answer the phone when I call.
I've gotten patients sent home with physician orders for procedures I've never even done before @ the hospital or clinic, much less in a private home & nobody available by phone to answer my questions. Once I googled the procedure & ended up watching a video on YouTube!
Nov 15, '12
I too, have had to Google.