I'm a nursing student going into my senior year this fall. This summer I've had the wonderful opportunity to do an externship at an orthopedic hospital in NYC in which we get to rotate every week to a different unit. This is the first time that I've gotten so much exposure in a hospital as I've been going 5 days a week for almost a month now. So far I've been at the outpatient clinic, pediatrics, ortho/neuro med-surg, and PACU. Soon I'll do more med-surg, OR, and ICU. Lately I've been thinking so much about what specialty I want to choose after graduation and I'm feeling very overwhelmed.
My dream since high school has been to be a CRNA and I know I'll need ICU experience for that. However, I wanted to go a slightly different path and work at the PACU first to get to learn about anesthesia this way and then move on to the ICU eventually. This was reinforced by my time at the PACU. This hospital even has a PACU training program that is co-directed by the same nursing educator who directs the externship I'm currently in, and I'm almost sure she'd have no problem helping me get in when I graduate (we're basically guaranteed RN jobs here as new grads).
My dilemma is-- throughout every unit I've floated to there is always a handful of RNs who tell me to do med-surg before specializing. But I really don't feel that med-surg is for me. Med-surg rotations in nursing school
were OK but they were not my favorite. However, experiencing med-surg now has shown me that I truly do not like this type of nursing. I know that it is important to get your feet wet and learn to prioritize, give meds, manage time, and learn lots of clinical skills that I wouldn't get to learn in the PACU or ICU, but just the thought of being a med-surg nurse drains me. I am afraid that if I do a PACU training program and then go to the ICU I'll be lacking the skills everyone praises med-surg for and I am also afraid that I won't be a good nurse if I skip the med-surg experience. I really do want to be a great nurse and learn as much as I can before CRNA school
[I also really enjoyed pediatrics and I actually would not mind pediatric med-surg but I feel that the medical problems in pediatrics are probably kind of different from adults/geriatrics (e.g. kids don't normally have a ton of co-morbidities in conjunction with acute medical problems) but I could be wrong.]
I'm really feeling confused, torn and discouraged.
Sorry for the super long essay. Any input would be greatly appreciated.
-Confused nursing student