Hi! I am finishing up my last semester of nursing school and have been lucky enough to be offered a job on a busy M/S Intermediate Care/Step Down floor at a large teaching hospital. The ratio is 1:3 for step down patients and 1:4(5 if they are having to double up in some of the rooms or if they are short a RN). I will share a CNA with two other RNs if they are not short that will get VS/blood sugars for me. I am not sure what I want to do with my nursing career except I'm kind of interested in ICU someday and the CNS or Infection Control positions look appealing for way down the road if I wanted to get away from bedside. The patient population can be from total care long term trachs/vents to monitored/non-monitored ambulatory patients (pulmonary problems seem to be common) or psych patients. Right now, my biggest fear is time management and catching someone going downhill/having available resources around when they do. The vast majority of my clinical time in nursing school was spent on cardiac/CV intermediate care floors. What do you suggest I do (after finishing school and passing NCLEX) to prepare myself for this patient population? And do you have any tips/advice for a new grad working with this population? Thanks!