Floor nursing vs ICU nursing - page 7

Do you think ICU nursing is as STRESSFUL (crazy, hectic, etc) as med/surg floor nursing? I realize ICU nursing takes a great deal of knowledge and the patients are more critical, . . . .I need an... Read More

  1. by   Shanlee79
    Thanks Bella for your input. I think I would be up for the challenge and I hope shadowing will re-inforce what I am looking for. My CEF says my concerns could be b/c I am a student but I don't think it is an issue with me being new and lacking confidence. I am a mature student in my 30's, who has no problems approaching other health team members. It's the lack of their availability and my hands being tied that already gets to me. My best classes were health assessment, pharmacology and maintenance(medicine/patho), so hopefully I am heading the right way!
  2. by   JustinTRN
    Floor nursing is much harder and nurses know it. You just use your brain more in critical care. No pun intended. We have to have acute time management skills, clinical reasoning, and critical thinking skills. Many floor nursing jobs felt like slave labor to me. Go fetch this and that. I need this and that....for 10 patients. I felt like a glorified waiter.
  3. by   Shanlee79
    Quote from JustinTRN
    Floor nursing is much harder and nurses know it. You just use your brain more in critical care. No pun intended. We have to have acute time management skills, clinical reasoning, and critical thinking skills. Many floor nursing jobs felt like slave labor to me. Go fetch this and that. I need this and that....for 10 patients. I felt like a glorified waiter.
    LOL. Too funny, You're right on the money. I was a waitress for nearly a decade and some shifts I feel no different then my days at the restaurant. I think even by habit, sometimes when they're eating their meal trays, I do a food quality check after their first few bites. haha.
  4. by   BellaInBlueScrubsRN
    ICU nursing you have to make split, quick decisions sometimes. When your pt goes downhill, they can go downhill quick; Whereas pts on the floor are more stable. There is a lot more autonomy I think back in the ICU. Something emergent needs done, often you do it then call a doc later. Last month I had back-to-back pt's one weekend that I was running my bottom off trying to save em and they both ended up coding and dying. (fighting with the doc on the phone when I said the pt was coding again, he thought I was talking about where we had coded him earlier in the AM. Had to repeat myself a few times before he got that we were doing round 3 of coding!) Then the third day I was in a code for someone else. When someone is going into constant VTach- with or without a pulse, that was last week. Starting CVVHD AND rotoprone bed on same pt(I didn't even know you could do both at once)!. That was last month. That's busy! I never see my 2 paid breaks, and usually eat in 10 minutes. 20 if its a great day. Floor nursing I took a 15 min breakfast and skipping a 40 min lunch? No way!
  5. by   General E. Speaking, RN
    Quote from BellaInBlueScrubsRN
    ICU nursing you have to make split, quick decisions sometimes. When your pt goes downhill, they can go downhill quick; Whereas pts on the floor are more stable. There is a lot more autonomy I think back in the ICU. Something emergent needs done, often you do it then call a doc later. Last month I had back-to-back pt's one weekend that I was running my bottom off trying to save em and they both ended up coding and dying. (fighting with the doc on the phone when I said the pt was coding again, he thought I was talking about where we had coded him earlier in the AM. Had to repeat myself a few times before he got that we were doing round 3 of coding!) Then the third day I was in a code for someone else. When someone is going into constant VTach- with or without a pulse, that was last week. Starting CVVHD AND rotoprone bed on same pt(I didn't even know you could do both at once)!. That was last month. That's busy! I never see my 2 paid breaks, and usually eat in 10 minutes. 20 if its a great day. Floor nursing I took a 15 min breakfast and skipping a 40 min lunch? No way!
    I'm drained just reading your post!
  6. by   BellaInBlueScrubsRN
    LOL, my bad! My point was that they are hard in different ways! Honestly, I did a bit of floor nursing, but mainly ICU. 5/6/7 patients does scare me! Ugh. I don't think I would wanna go back to floor nursing, bless their hearts that do.

    I just hate hearing that we just have 2 patients.
  7. by   10ACGIRL
    How about the diff between hospital lpn to a medical office lpn? which is easier , more laid back ect! please tell me which one you like best and why. i might just work or focus on medical office lpn verses working toward looking for a med. office lpn position. your inout desrves a big hug in appreciation!

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