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 for about years before I become a traveling nurse/move to a better city/CRNA option.
Job offer 1:
ICU nurse: Community ICU in a 200 bed hospital. State of the art equipment. 10 bed ICU. The unit averages 3-5 patients in it at any time. This is a non trauma level hospital and any patients needing more care are flown in the helicopter. This is a night position. 2 patients under my care when I'm in the ICU. Hospital is 2 hours away from a large city. When there is not enough patients the nurse takes patients on the PCU.
Job offer 2:
Solid Organ Transplant Nurse: Trauma 1 level hospital with 700 beds in a large city. Transplant unit is 48 beds. High acuity patients like ICU, however no ventilators. Nurse takes care of 2 patients at a time. Average length of stay of patient is 5-7 days. This is a day position Hospital has huge growing opportunity as it is the largest hospital in the city.
Job Offer 3:
Neuro Nurse: Same trauma 1 level hospital on a 48 bed unit. Nurse cares 3-4 patients at a time. Average length of stay of patient is 3-4 days. Same high opportunity for growth within this hospital. This is a day position Manager stressed how difficult and challenging this position was during the neuro interview. I am looking forward to a high level of challenge.
Questions - I want to end up in an ICU. I'm not sure the community ICU position (even though I will have ICU patients and my title will be ICU) will get me to where I'm going rather than the other options.
ANY advice would be great. Which job would you choose and why? Just give your background when you give it. Thanks a ton!
Congratulations on such lovely job offers!
I think the Trauma I level hospital would offer you better opportunities for growth, esp since the ICU you are looking at will not have vent patients anyway, so the organ transplant placement would offer you the higher acuity and chance to see/do more than the smaller hospital.
One of our PCU/Stepdowns actually has to have ICU experience, as they do take vented patients, so not having experience w/vents would actually be a detriment, as the longer you are a nurse, the less likely you will be to be offered learning opportunities. I have noticed a lot of facilities are requesting prior experience w/vents, etc from the more experienced nurses (2+ years).
Last edit by maelstrom143 on Nov 17, '11
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