Quote from vastudent09
HELLOO! well I know this topic has been discussed before but..
I have been a tech in the ICu for 2 years, did a 5 week preceptorship over the summer in that ICU, and a 120 hour preceptorship for school in that same ICU... and now i am about to start working there as an RN !
well NEWAYS- I am really nervous now becasue I knwo the staff and I feel like I am expected to "know everything" becasue I have been there for a while.
I was jsut kinda looking for opinions/ feelings about working with new grads in the ICU, and kinda what your expectations of them are?:spin:
I think that a lot of older ICU nurses get upset to see that new grads are able to now work in ICU right out of school. These type of nurses had to "work their way up" (some taking 1-3 or more yrs) to work ICU from meg/surg or SDU's so maybe it's hard for them to envision a new grad doing well in ICU right out of school.
At the same time many hospitals have created great orientation programs to help new grads make easier transitions into the ICU. That was not available in the past. I am a Dec 2008 grad and I started in the ICU. Our orientation program is designed to help non-ICU nurses as well as new grads. They give classes on hemodynamics, ECG interpretation, ICU equipment, they conduct mock codes, review policies and nursing forms, etc.
I have a preceptor that is very positive and willing to teach. She knows that I am a new grad and doesn't expect me to know the world. She does expect me to have basic nursing knowledge (i.e full pt assessments, simple drug interactions, giving meds, hanging IV's, etc.) or know how to access information (i.e. normal lab values, drug dosages) needed for pt care. It is my job to absorb what she teaches me. That is why I carry my Palm and a small notepad. I try to make it so that she doesn't have to repeat the same simple stuff over and over again. I go home and study. I take flowsheets and forms home with me. I print policies and take them home. I continue to research things throught all available resources. I have numerous friends that are nurses that are available to me if I need them.
I think new grads do as well as their preceptor is great. Meaning if you have a preceptor that is an overall great person, openminded, helpful, positive, and compassionate about nursing you may tend to have that same type of attitude. If you have a preceptor that compares every new grad to the previous ones or complain about having an orient or not happy with their job that attitude most likely will transfer over to a new nurse and you can understand how tha would make it such a dreaded experience.
My preceptor doesn't believe in "eating the young". Now I understand that some people are not motivated, inspired, timely or compassionate enough to work in the ICU and they may not do well. But I also know that there were people who would have done well in the ICU had they had more support from the staff and their preceptor.
That's my experience. I don't think I could work for the exact same floor I worked on before becoming a nurse. I know many of my friends that have done that and are doing great. Like I said it depends on the staff and how well they receive you.