BedsideNurse 2,121 Views
Joined Sep 12, '09.
Posts: 108 (65% Liked)
I can't even imagine how bad it would have been if I would have started out in ICU as a new grad. I probably would have been booted out before the first day was done (seriously). Luckily I worked a couple of years on general type floors & then a year and a half on a (super sick) step down unit. Thank God I did all that because 1) I would have crashed and burned in ICU as a new nurse, and 2) with that little bit of experience it was a (nearly) painless/seamless transition into ICU. I say trust your gut. If it doesn't feel like the right time then I wouldn't do it. There is certainly no shame in spending some time on a PCU to get your bearings. Best wishes whatever you decide.
There is so much noncompliance, that's a tough-y....PACU?
I wish I had the eye and the confidence to do get into aesthetic nursing. I love the idea of such things myself, but would be terrified I'd jack somebody's face up. I thought that would be the most popular answer to this question, the stress of dropping a brow, overfilling the lip, or worrying to death about screwing up someone's face with fillers, etc...Probably good I don't work in aesthetics. Lol.
Environmental safety check!! That's hilarious!
And when you do receive report from her, make a sacrifice for a day and do the exact same thing back to her x 10. Test every button, valve, or adjustable piece of equipment in that room and tell her its an "environmental safety check". As shes giving you report, ask her to wait as you test if the pt's bed can slowly raise all the way up...... then all the way down. Then one up her by opening up the computer, telling her about all the things you disagree with on her assessment, but also mention how you can see why she can have those opinions, making sure to explain all of the reasoning for both points of view.
LOL. I'm not really recommending you do this, although I would.
A couple of things...I agree with others that jealousy isn't an issue. Likely, the ICU staff isn't thrilled with having to train a new graduate nurse; it can be burdensome even if you are a really fast burner, and it can be a real safety and staffing issue if management starts hiring all sorts of inexperienced nurses into the unit. I know the last 3 ICU's I worked at would not hire new grads. Places that do generally have a really good new grad training program in place and/or really great preceptors that love teaching and are supported in doing that. Not too sure that's what you had going where you were.
Anyhow, onto the demotion aspect. I know that no matter what anyone says here--for a while anyway--you are going to feel like it's a demotion, even though it's not. Not working out somewhere after you've put your best efforts in feels very hurtful and it sucks, and there is the looming feeling that the ICU "cloud" will follow you around to your new unit. Don't worry about the "cloud;" the few people that know you came from the unit aren't consumed by it. They'll just be glad to have the new staff on board, regardless of how you got there. As far as the personal disappointment goes, you are just going to have to grieve it for a little bit, think it over and come to terms with what happened, cry a river if you need to, but then push those self defeating thoughts out of your mind and be done with it. Don't be overly hard on yourself. Really! It sounds like the unit might of decided you weren't going to work out before you even started. Regardless, no one is born knowing this stuff and everyone started out at around the same place. You are actually ahead of the game a little. Being in ICU for a few months will give you a little head start when training on the step down. Also, step down is a challenging place to work but a great place to learn. Learn how to work on a busy step down and I think you can work just about anywhere.
It's cliche but true: doors open and doors close for a reason. One way or another it will work out, and in a relatively short time from now you will look back and this whole upsetting ordeal won't mean a thing. It'll be a blip on the screen. Give it a little time and you & your skills and your confidence will grow and then you can figure out where to go from there.....I wouldn't have lasted 2 weeks in ICU right out of school, so I'm glad I didn't try, quite honestly. I needed to spend some time on various floors to get myself together. Other people head straight out of school into ICU and never look back. The deal is everyone and every unit is different. I've seen awesome, experienced nurses "not work out" in ICU, a number of times. Politics and generally stupid stuff and they were out. Sh*t happens and so you can be reassured that you certainly aren't the first person that has had to deal with such a situation, and you definitely will not the be the last. Let it go and just work to be as good as you can be where you are at. The rest will come. Best wishes!
How dangerous to have people with such poor character and judgment looking after the most vulnerable of patients....I would be BEYOND PISSED if someone treated my newborn in such a way. Can you imagine being a new mother and seeing that? The wrath of God might be preferable.
I wish I could say I'm thrilled with what I do and looked forward to going in each day. I like aspects of it; I like critical care & taking care of patients at bedside, I like interacting with co workers, learning something new all the time, the stories are never boring... But it also sucks an awful lot too; ever increasing demands with less help, endless charting that takes so much time away from the patients, frequent floating, and on occasion just negative feelings/ruminating over situations that didn't run as smooth as you'd like, or giving report to somebody who is kind of a jerk to give report to, or unsavory unit politics, etc....To be honest there is as much depressing and stressful stuff as there is good, maybe even more on the depressing side, really. I like ICU better than anything else, but not because I found a utopian niche, it's just the only kind of nursing I stumbled into that I can tolerate. I wish I truly loved what I do, but when I get home I often feel pretty bummed out when I think about the course of my evening at work....Oh well, I guess. It's too late now, been in ICU too long and don't feel like going through the ropes of learning a different unit or another type of nursing. But I am jealous of people who are thrilled with what they do. They are lucky; I'm glad for them. Congrats to thelittleRNwhocould.
"Don't take what people say in your pre-req courses too seriously. People talk big, but few follow through. At least in my pre-req courses, most couldn't even make it into nursing school."[/QUOTE]
Talk is cheap, isn't it? I remember years ago a tech who was in nursing school was on our ICU unit, talking about how he wasn't going to work "in a place like this" but he was going to work in "a real ICU, with traumas and all that, not in this nursing home ICU." I was like, what the heck is he talking about? It wasn't the sickest of the sick type place, but it definitely wasn't a low acuity ICU; it was a 16 bed general ICU that took medical, surgical, and a fair amount of CCU type patients, and the overwhelming majority were pretty complicated &/or very sick patients. Anyway, my coworker rolled her eyes and said "He'll be a clip board holder in 6 months." As it turned out, Mr. Trauma Nurse didn't even make it through nursing school. And we've all known at least one person in school who would tell anyone who'd listen that they were going to be a flight nurse, only to be found later working as an admissions coordinator at the rehab center, or something along those lines.
(This is totally hilarious. LOL!!!)
"I was recently reminded by a Newbie of something I said when I came in on a Friday for my three twelves: "Every Monday I clock out thinking I'm going to get fired for something I did or didn't do during the weekend, and every Friday I come in and see my name on the schedule".
Perhaps if you looked into the specific policies that they are supporting then you might understand it. I believe you have been listening to the right wing propaganda nonsense that is always going to be against Unions. Why? Because they are generally FOR the Employee! Right wingers are FOR the Corporations. They want to give more money to the rich CEO's. Give them more tax breaks. Learn how to do some actual research versus reciting rhetoric. Seriously, try it.
I get it that you don't feel like recanting your life plan to everyone who walks through the door. This can be tough to navigate, though, as I think most people are just being genuinely friendly (*especially* down south), or trying to make some kind of human connection in a stressful situation, and you don't want to make people feel like you are shutting them down. The message can easily be interpreted "Your small talk is inappropriate and I'll have none of it" and that's hurtful. It can turn a relatively positive experience into one that someone feels bad about every time they remember it. So, my personal opinion is use a little humor and maybe even a little tongue in cheek self deprecation that they wouldn't want to hear about the boring goings on in your life anyhow (or whatever). My favorite suggestion is the cloak. LOL!! I think using that kind of line and then spring boarding into a topic about the patient or their test coming up, etc., is a perfect way to handle it. To be honest, if I asked someone if they where from the area or had kids or whatever and their answer resembled a lecture about them being a health professional and they were there to talk about me and not themselves, I would be taken back a little, and I am pretty loosey-goosey...You probably should try to figure out a few responses you like, that don't sound too canned, and use those. You'll have to have a few in your pocket so you aren't overheard recanting the same response over and over. People don't like disingenuous sounding nurses either. No one comes to work for a popularity contest, but it's usually a better life when your patients and families like you.
@Castiela Hello. I agree that even with all the perils in ICU (and it's getting worse), it's light years better than working on the floor. I've never worked anywhere that paid more for a BSN or gave any extra money to any particular unit. As other people have said, a lot of hospitals are pushing staff to go back to school these days, and I have seen a lot of job ads that say BSN preferred. I don't think it has anything to do with practice; they just feel it looks better on paper. But anyway, I was just wondering what a critical care advanced diploma is and where such things are offered?
I know; you wonder who has the time for that? It is hard to scrape up 15-20 minutes, and often you can't even do that, much less take hours to sleep. That being said, I've absolutely seen nurses shopping online, on Facebook, or on dating websites for *hours* Also sleeping on and off for 1-2 hours of their shift (not while on break). The reality is that no one has time for that so something has to give, and it has to be patient care. Granted these often these ppl are rockstar paperwork people and would have charting and admissions done in no time flat, but even still, the patients aren't being turned or checked on like they should be (or it's falling onto other nurses around them and that sucks when everyone is busy). It's weird. I can't imagine going to work and doing that but it does happen.
We often bolus ppl 2-3 thousand units of heparin before starting at drip. 5,000 units is not an outlandish dose and fairly short acting thankfully. I know it
is traumatizing to make med errors especially when there is potential harm and you are new and you beat yourself up and all that. Try not to. Learn from it and be done with it. There are worse errors. A friend of mine infused an entire bag of heparin in one hour by accident. The patient was fine, but she was horrified, then had to tell the physician, inform the patient, and deal with all that.
Find some nursing podcasts and listen to them while you are doing whatever around the house, driving in the car, etc...Order a BLS book and read it cover to cover and go over scenarios and practice at home, talk through the steps out loud. Go to youtube to review basic nursing skills like Foley insertion, trachs, dressing changes, NGT placement, suctioning, setting up O2 even... Don't pull out a 2000 page nursing text book from 2008. Find succinct, clinically relevant materials that won't get you lost in the weeds, sort to speak. I like medcram.com for short reviews of various conditions (longer if you purchase). icufaqs.org is an *excellent* resource for any nurse and the topics are broken down nicely (you can skip over swan management and things you won't be dealing with of course). If you need ACLS review then acls-algorithms.com is the best (and very affordable < 20 bucks) way to prepare I've seen online. Fairly intense preparation these next few weeks will make life a lot better during orientation (and beyond). Also, don't be too hard on yourself or let other people get you down. No one is born knowing this stuff, some things you just have to do to wrap you head around it, and everyone starts at the beginning. Good luck.
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