Originally Posted by cb0027 . I don't understand why they put new grads into ccu, icu, neuro but not outpatient. .
2 main reasons
1. Outpatient jobs tend to have more attractive hours ... and therefore there are plenty of experienced nurses who want those jobs. The employer has enough experienced nurses who want the job who will require less orientation and support to be "picky" and to require experience.
2. Most outpatient jobs require that the nurse be fairly independent -- and in many cases, be the leader of the team. Often, the RN may be the only RN in the immediate area and be expected to supervise colleagues with lesser education (e.g. MA's, LPN's, CNA's, etc.) and to be the leader of the team in an emergency situation. The RN is the one the other people come to for expertise, help, and support. Those positions require an RN with enough experience to have true nursing expertise in order to be able to exercise expert judgment in difficult, complex situations. A new grad doesn't yet have that expertise.
In an ICU, the new grad is surrounded by experienced RN's, phyisicians, Respiratory Therapists, etc. who can help that new nurse take care of the patient and handle any unusual or difficult situations. A good ICU also has an extensive orientation program designed to help the new grad transition from student to staff nurse. Out on her own in the community or as one of only a few RN's in a big clinic, a new grad doesn't have that much-needed support.
That's why most outpatient jobs require experience.
llg
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