Quote from NurseVN
I heard it's hard to get into PACU too, that's why it's hard to decide. They can't offer me 12hr shift because everybody is 8 and the hospital wants to remain so. They're both good hospital. PACU one is a Seventh Day Adventist with the new grad versant program. The med surge one is a Trauma I center and magnet Hospital since 2000 with an intensive training program. I'm a quick leaner so I think I can work with both specialites ( I believe med Surge is a speciaty though I'm not a great fan yet). You're right about school. I have about 30 more units of school that requires clinical hours in my FNP program. So your friends did not like med Surge? Is it because of the floor or the people they work with or the hospital itself? Thanks!
Some of the people I know in our hospital end up with patient loads upwards of 10+ patients on floors that are severely understaffed. IMO this doesn't constitute safe nursing and at that load, you are no longer a nurse and just there to check ID tags as you play catch up with medications. I do have another friend in particular who was working the floor at a different hospital and really didn't like it. Swapped hospitals and shes now working in PACU and couldn't imagine working anywhere else.
As for which you should choose regarding becoming an FNP...You will probably be best off on a regular floor given your circumstances. You have the flexibility for school, you will develop some good round-the clock assessment abilities, and participate in wound care and other patient care needs regarding a multitude of problems they may have. In PACU your general focus is a through (yet fast) head to toe assessment with a huge focus on the surgical site, but not on the long-term goals or care that the person needs. You won't have a lot of time to educate these patients on things they could do in their life to make corrections to stay healthy. You basically treat to the best of your ability to put the patient in a stable spot, but alot of the time its viewed if "the patient was like this preop...thats their baseline".
As an FNP, you'll want exposure to a multitude of meds that treat lots of different conditions, not just the pain meds, breathing treatments, and what you need to sedate a patient. Hate to dissuade someone from this area...but ya know what you want for the long term and should stay focused on it.