New grad hired onto MICU, I need advice!! - page 2
Hey everyone! I just passed my boards 3 short weeks ago and was offered my ideal position on the medical intensive care unit. I had precepted there for my critical care rotation. I had met the manager while there. After I... Read More
- 0Apr 21, '13 by SICU XYRNCongrats on getting into your desired unit! Just having the "stick-to-it-iveness" or assertiveness to do that probably means that you'll be assertive when you need to on the job too! I came out of an accelerated BSN program into a SICU at a Level I Trauma hospital and felt COMPLETELY overwhelmed. I did not have the greatest schooling and was certainly lacking in ICU knowledge. I felt "in over my head" all the time initially. I definitely had knots in my stomach and a few breakdowns. I wondered frequently, "did I bite off more than I can chew?" Those feelings, in all honesty, lasted a while. For at least my first 6, maybe 9 months I worried that my patients would die during my lunch break. (they didn't) HOWEVER --- don't despair!! Eventually I started to feel more and more comfortable. You'll begin to have the same general scenarios occur, and this time you know what to do. You'll already be watching for certain complications of this or that type of patient. Long story short, it ends up being great!
I've been in my unit for 3 years now, and have just been accepted to CRNA school. The exposure you'll get in a MICU will pave the way for your nursing career for the rest of your life! After just one year, you'll have the ability to go pretty much wherever you want to go. So stick with it, and be prepared for it to be rough, and sometimes scary. It's the best decision you can make to hang in there!
Best of luck!
- 0Apr 21, '13 by katicurn84I too got my dream job in the medical icu a little over a year ago as a new grad. I was scared out of my mind but my unit is amazing. There are always politics but just stay away from it. One thing about the icu is that you are never alone. There is always someone to help you as teamwork is a must. Just make the best of it. Enjoy it! Its a roller coaster but I wouldn't change my choice for anything in the world.
- 0Apr 23, '13 by ObtundedRNICU nursing is very physical as well. So be prepared to go home feeling like you've been physically beaten. Buy critical care nursing books and read them. There is so much to learn in the realm of critical care. Rapid Interpretation of EKGs by Dale Dubin is great for learning EKGs. Hopefully you're in an area with a strong AACN local chapter. If so, join! At the least join the national membership and read the monthly magazines, but the monthly local meetings can be really great too. AACN also has their Essentials of Critical Care nursing, its a decent resource. Kathy White's Fast Facts for Critical Care (or something like that) is a decent reference to keep with you on the unit.
There will always be things you don't know. Always ask! Its when you don't ask that you'll **** people off. And always keep your charge nurse aware of things. If your patient is turning bad, having procedures, is super busy, etc.
- 0Apr 24, '13 by rietan01I started out in MICU. I too was so excited but scared. I struggled for a bit. I would go home and think "today was a good day" or "what was I thinking". I have been there almost 2 years. I was on maternity leave for 4 months of that. It worked out. I love it!!!! Just ask 1,000,000 questions everyday! Don't be afraid of sounding stupid. Get involved in everything that is going on in the unit even with other people's patients. Communicate what you are struggling with. There are a lot of great days. You will have struggles. Get to know some nurses well that you feel comfortable even asking the stuff you think you should know. Congrats! It's a great ride! It is such a great job!