Quote from Jolie
Do not go to med-surg!
Frankly, that is probably the worst thing you could do if NICU is truly your calling. "
Why? I understand that med/surg is not relevant to NICU but why is it the worst?
It is just that med surg nurses have to "un-learn" so much in order to adapt to the NICU. Babies are not little adults. Their pathophysiology, medical management, pharmacology, nursing interventions, etc. are so different from adults that it is difficult for experienced med-surg nurses to re-program their thinking and actions. It is much easier to transition from mother-baby, general pediatrics, PICU, or even the ER, where nurses have regular exposure to infants.
That's not to say that I would discourage an experienced med-surg nurse from pursuing a NICU job, just caution him/her to be aware of the challenges of doing so.
In my experience, new grads hired into the NICU adapt the most readily and find the greatest satisfaction in their jobs. Nurses with experience in adult health have a more difficult time orienting to the NICU, and tend to leave sooner due to job dis-satisfaction.