Re: Need help from experience PACU nurses! Originally Posted by CaliRN29
Not every patient is critical like they are in ICU so you need to learn which ones are and which ones aren't.
Personally, I think my ER experience better prepared me for PACU. Not to say that ICU did not contribute, which it did quite a lot, BUT when there are a lot of cases coming out you've got to keep up with the pace. Knowing who's really critical, who's not, and who's got about 15 minutes before going critical is the key. I learned that quickly in the ER. Some ICU nurses are so book smart and can get bogged down in the details of every little thing about a patient. I've seen some ICU nurses stumble with that aspect in PACU, because they are not used to that pace. Not that ICU isn't busy, but when there are cases coming from the OR, you have to know who's ready for Phase 2 and who isn't.
I think ICU is great for learning your skills, like IV insertion, foley insertion, intubations, vent, drips, a-line/swans. It's nice to hit the ground running already having learned how to zero an a-line, run a CBI, or manage a chest tube. I saw most of those things in the ER but ICU is where I learned them backwards and forwards.
Good Luck!!
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