Settling in . . .

[classicaldreams]

Hello,

Just wanted some opinions on how long it took you to adjust to working in the ICU. I'm 2.5 years out of school. Been in a medical/surgical/trauma level II inner-city ICU since graduation. Love it . . . and hate it. Love the challenge, especially a good trauma. But I bring it all home with me. I toss and turn when it is time to sleep, playing and replaying scenarios. What could I have done differently, did I forget something. You know the story. . . . Wondering if any of you felt this way and whether it got better. I would love to step into even a higher level of trauma someday, but second guessing myself now. Thanks for your responses.

Classicaldreams

[XB9S, BSN, MSN, EdD, RN, APN]

I went to ICU shortly after qualifying, initially I hated it and was really overwhelmed much as you have described I kept thinking what if when I got home, had I missed anything could I keep up with the pace, but it was better than where I had come from which was a CVA rehab unit. IT took me about 6 months to feel as if I knew a little bit and began to enjoy the challenge and enjoyed going to work. 12 Months I had a huge confidence crisis when I realised actually how little I knew and how much damage I could potentially do but I had great support and did an ICU diploma which really helped. I spent a further 9 years in ICU, working in different specialities cardiac, surgical, paediatrics, burns and medical and enjoyed most of it although every once in a while did feel that I had so much to learn.

It's not for everyone but it is a fantastic expereince

I am now a senior nurse and I feel that critical care has prepared me for almost anything that gets thrown at me.

[classicaldreams]

Thanks for your post and the support. I have been in this particular ICU for 2.5 years. It is a fast-paced ICU, as I have interned/worked in others and sometimes this ICU is just overwhelming. Perhaps I've gone from newbie to comfortable to challenged, I don't know. I seem to be well respected and valued, but as you said, sometimes the more you know, the more you realize you don't know! Sleep and a few days away are valuable. Patience with the learning curve is probably key also.

Again, thanks for the support.