Need advice on which job to choose as a new grad.......... - page 2

Situation: I am a new grad with a BSN (2nd degree) that has been interviewing and have multiple job offers. I am looking for a position that allows me to grow and eventually work in an ICU. I am looking to be in this position... Read More

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    sorry wrong post

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    Hi again! I have been thinking about your situation since I posted yesterday. I also wanted to add that I think I would take the neuro opportunity before I would take the ICU position. Getting your foot in the door at the trauma center would be ideal. Your critical care opportunities there will be fantastic!
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    I have called all my mentors, instructors, and fellow nurses as well as posted on this forum for advice.

    Given that I have to make a decision by Monday I am heavily leaning towards the solid organ transplant nursing position. While an ICU position would be great, there is simply to much risk going into an all night, community, non-trauma hospital with an average census of 3-4 ICU patients on the floor at any given time. I may be stuck in the PCU for a while. The Transplant position affords me a larger network of friends in a bigger city, a day time position, and more opportunity to grow and learn.

    I am favoring the transplant nursing position over the neuro because the nurse oversees 2 acute patients rather than 3-4 (acuity is higher). The neuro floor is also a young floor and I would feel my growth on the Transplant floor where the nurses have a greater age range would be beneficial.

    The overarching theme to get to an ICU in the future by the ICU managers I talked to was not about which position I picked, but continuing my education and gaining ICU certifications (with the help of the hospital or without the help of the hospital) to show I have a passion for entering the critical care world.
    Last edit by Sherbi5 on Nov 18, '11
    maelstrom143 likes this.
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    Yay! In my opinion, this is absolutely the right decision. Let us know how it goes. Congrats!!
    Sherbi5 likes this.
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    Quote from Sherbi5
    This is really great advice guys, although it seems like the forum is split down the middle. I wish it was a clearer choice.

    Maelstrom - Are you sure a non trauma level ICU does not have ventilators. I thought the basic definition of ICU no matter the trauma level always included ventilator.
    I had not yet seen an ICU w/o vents; however, when you said "community ICU" I thought you had said it did not have vents. Sorry if I misunderstood. If they do have vents, then fabulous. However, how much actual ICU time vs PCU will you be working and will it transfer over to bigger facilities w/higher acuity? (Our facilities are snobby about taking RNs w/exp in smaller hospitals/ICUs due to they usually transfer anyone w/higher acuity needs and may not get the necessary experience the bigger hospitals require. Also, travellers coming to our facilities must have x years of solid ICU, not back and forth to PCU, esp if most time is in PCU, per mgmt).
    The bigger facility would give you more opportunities and once your foot is in the door it might be easier to get where you want to go. JMO.


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