Currently I work in a step down MICU, we are 3:1 and its a crazy floor! High turnover of patients, we get most of the Rapid Responses, we are the CVA and also DKA unit. Its a busy floor, but I have learned so much. We use 80% of all of the ICU protocols when it comes to vasoactive/ionotrope drips, plus heparin, insulin. We have vents as well.
I have an opportunity to go to the MICU, which is a 2:1. My floor is very busy as mentioned, high turnover, just pretty crazy with transfers in and out.
You guys that work in ICU and are familiar with stepdowns, do you usually notice that step down ICUs are usually this crazy/busy? How do such floors compare to ICUs?
Some people have told me that although icu can be busy as well, you have more time to become more familiar with the patient, more attentive and of course, less chaotic than step downs. I might be attending a Critical Care internship, which is a great opportunity since my goal has always been to do MICU.
Pros vs Cons of ICU vs Step Down ICUs?
Thanks in advance!!