I've been working as a PCT (basically CNA) for the past seven months at a local hospital and the chances seem promising that I may be offered a position on nights on the Intermediate Care Unit after graduation in December, since I am precepting there and the unit director sounded interested. Now I'm not going to count my chicks before they hatch, but I would be thrilled to work on this unit due to a great team of co-workers whom I already know, familiarity with the unit and patient acuity, and the extensive orientation process--I want to feel prepared when I hit the floor on my own and I think this unit can give me that.
Our intermediate care unit is basically a step-down from ICU and a step up from the basic med surg unit. We get pts transitioning to the floor because their status is improving, and we get pts coming in from the rest of the hospital because their status is declining. Nurse to patient ratio is 1 nurse to 4 pts. We do take vents on occasion, trachs frequently, and drips fairly often.
Does this sound like a good place to get my feet wet in nursing care? Truthfully critical care nursing is my second choice after maternity/L&D nursing which I can't get into without at least a year of med-surg experience. But I am not the kind of person to do something half-@$$ed, if I took on this Intermediate position I would do everything I could to be the best intermediate care nurse I could be. What can I do to improve my critical care nursing knowledge prior to taking this position if it is offered? Are there any books you could suggest? I saw one of the intermediate care nurses studying from a textbook for her CCRN test, but the book had mostly Q&As, not a review of critical care nursing content...
I appreciate any and all input! I am not so overly confident as to think I can do anything and know everything right from the start, however, I don't want to bite off more than I can chew and end up endangering my patients with a lack of knowledge. I want to set myself up to succeed, and to give the best care that I can to my patients.