NEW GRAD ICU RN

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    FOR EXPERIENCED ICU NURSES; HOW DO YOU FEEL ABOUT A NEW GRAD COMING IN TO AN ICU NEW GRAD PROGRAM? PLEASE SHARE YOUR OPINIONS AND EXPERIENCES. THANK YOU.
  2. 38 Comments so far...

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    Hi jumpmanrn,
    If you'd asked me that question 5 years ago I might have had a different answer, BUT...
    We have hired many new grads into the ICU where I work, espescially in the past few years as the shortage has become more acute. Most of them fly. The qualiteies that a new grad needs in the icu are:1 good critical thinking skills and common sense.2 a willingness to learn. 3 good basic understanding of A&P.
    I am coming around to thinking that is actually harder for experienced nurses to come into critical care. It is really hard to go from being an experienced "supernurse" to being a beginner.
    Hope this helps.
    Janet
    2011GradRN, jmunrs2010, NCtoCOgirl, and 5 others like this.
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    I am a student who is also interested in SICU. I wondered
    if there was a standard length of time for a preceptorship
    for a new grad who wants to work in the ICU. Could anyone
    let me know what the training time is in their facility?
    Thanks!
  5. 1
    hi 502,
    Our orientation for new ICU nurses is 6 weeks in class room with several clinical days thrown in and then two weeks buddies with an experienced ICU nurse. We try to have the new nurse work with the same nurse for all the preceptored shifts and work in the group that they will be assigned to (we work as four distinct teams). This is usually enough time, but we are flexible (within reason) in providing extra time if needed.
    Janet
    billythekid likes this.
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    I recently thought New Grads in the Units were not a good idea, for the new Nurse, as well as for the Patients ,as well as for the new Residents,,,,,,,,but I now have re-thought that due to our unit hiring "experienced nurses" who this latest one is from Nursing Home Administration (they had worked a floor years ago)

    Now let me tell you.....after following that so called "experienced Nurse" .......
    Bring on the New Grads, at least you new people WANT to learn and can do procedures!!!
    We tried and are still trying to get this person in the correct work area (NOT ICU) but it seems OUR ADMINISTRATION operates under the "Warm Body Theory"....So good luck and WELCOME !!!

    We have yet to see any new grads in our unit but they are coming, I will post how long their orientation will be when I find out...which probably means when I am told the day before I am to orient one.........imaRN
    billythekid likes this.
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    Thanks for the info. I'm glad to hear that new grads are
    welcome in the hectic ICU environment! Let us know how
    it goes for the training of new grads into your unit.

    I'm also curious about your own experience of working in
    the ICU. DId you have med/surg experience prior, or were
    you trained in another area (ER, etc.).

    Thanks...
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    We are (just in the past year) hiring new grads into our CV-ICU at my hospital. I'm not sure how many days of classroom study they have before they are on the floor, but they have a 6 to 8 week preceptorship with an experienced RN that they are partnered with. Then they start having their own assignments and are assigned a "buddy" as a resource person for their first few weeks off orientation. New orientees to our unit (new grads or otherwise) have their own big thick workbooks that help the preceptor and the orientee keep track of what experiences they have and what is still needed. Once orientation is over, the orientee is expected to work as Level I for about a year or so, then is orientated to Level II nursing, which includes recovery of open hearts, IABP's, etc. Level III includes charge nurse, CRRT, heart transplants, etc. and doesn't happen for another year or so after that. We have found that attitude and eagerness to learn makes all the difference in the world among the orientees, especially the new grads. I am amazed at how fast some of the new grads can pick up both information and techniques-- and we have also found that there are new grads who couldn't make it because of attitude. But that happens with experienced RNs also. Good luck! And remember; the only "dumb" question is one that wasn't asked.
    lizzlebizzle, labcat01, and billythekid like this.
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    I am thrilled to hear these wonderful welcomes to new grads in the ICU. I recently graduated from a BSN program and am now working in an ICU. I absolutely LOVE it! I have heard so many say you need a year of med-surg for organizational skills <sigh>.
    I received straight A's in school, managed self-employment, raised 2 kids, nursed my dying Father, took several advanced classes such as ACLS, hemo monitoring, etc. DON'T say I need organizational skills!
    Now I am not saying every new grad should be in an ICU, but I think if given a good orientation and support, many can thrive! With the nursing shortage, it is imperative we embrace alternative ways to attract new nurses into this wonderful profession!

    Smiles,
    Lisa RN
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    I"m so glad to hear all the positive feed back. I went into the OR straight out of nursing school a few years ago and I feel that I am missing out on so much nursing knowlege and skills. I am thinking about changing paths and going into the ICU (as I worked in there for a time as an aid). I feel that would advance my nursing career so much and not be limited only to the OR. Although I love surgery there is so much that we don't do there (use it or lose it.) Hopefully I will see some of you there sometime.
    billythekid likes this.
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    I'm partly responsible for the orientation of newcomers my ICU and I'm usually very glad when they are newly graduated because they come with no "bad habits" and they are eager to learn (usually!). There is also an element of fascination and mystery for ICU that might help. ICU is a specialized field so anyone is an apprentice when they start to work there. Experienced nurses might have to let go some of their beliefs and not-so-experienced nurses might find they don't have enough background. So, it can be very disturbing for both. I've supervised the orientation of both "very green" and experienced nurses and I think the key is willingness to learn and capacity to deal with stressful situations.
    If you feel up to it, give it a try. What you'll learn will always stay yours. Besides, ICU is THE greatest place to work as a nurse!!

    P.S. Dear imaRN, I sympatize with you ...


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