advice requested= track to PICU - page 3

Hi all, I am a nursing student about to enter my last semester :) !!! I feel a calling to work in peds, and I think specifically PICU. I'm looking for advice in which direction I should go... Read More

  1. Visit  2bnursenikki82 profile page
    This is a great thread!!! I'm also going into my last semester in June and want to work in PICU. I'm crossing my fingers for my last semester internship to be in PICU here at a local hospital and then moving off to Fort Worth, TX and hopefully go to a PICU there!!!
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  3. Visit  gal220RN profile page
    Congrats on your graduation from school!

    Let me say first and foremost that as a new grad, the most important thing to know is where you are- not just clinically, but emotionally. I did my senior practicum in a large PICU and literally ran out the doors when I finished my last day. I have always known I wanted to do peds, but knew I was not emotionally ready to deal with the tragedy we deal with daily in the PICU. I am so glad I took a step back and did general peds for a few years after graduation and then stepped it up to peds ED/ urgent care after that. Finally, at 30, I felt I was ready. And I have been in the PICU since.
    I have said that teachability and enthusiasm are two of the most important characteristics of any new grad. If you carry those things with you, you can be successful in any area you pursue. The very fact that you feel 'called' to peds tells me you sense a purpose behind your career. That sense of calling will carry you far, as long as you accept the fact adversity will accompany your calling. Sometimes your job will be helping a child die with grace and dignity. Sometimes it will be helping a family let go. These things are a part of being a PICU nurse.

    Good luck and Godspeed!
  4. Visit  2bnursenikki82 profile page
    I have an interview Friday with the PICU at Cook Childrens in Fort Worth and I am freaking out...but I was glad to find this post...lots of good information. This is the DREAM job, so I'm thrilled to be interviewing for it before I even graduate!!!
  5. Visit  belot97 profile page
    i have been a peds nurse for say 18yrs now.Have worked in different children's hospital where i had some rotation shifts in general peds and ICUs..but the last 8 years of mine expeience,kinda lost my critical care
    opportunities.Am a traveller,..and because ive had previous PICU/NICU experiences,been asked to try the areas too.But the thing is,i dont think m confident to start back on it as this is just my 2nd month in the country....not really sure what diffrences/changes should i take into consideration in view of knowledge and management skills...practices and policies
    any advice if would there be like any refreshers course that may be i could help me gain back my confidence/.......????
    nohika likes this.
  6. Visit  kessadawn profile page
    [font="franklin gothic medium"]i went right into pediatrics after graduation, knew that was what i wanted when i applied for school, and had been inspired by some amazing nurses. i spent the first year in the float pool working on general peds care type floors. i think it was a bonus went i went to picu, i had already had time to hone assessment and time management skills, and could focus on critical care specifics. i have never worked ed, but would think that would also be a great way to work on assessment skills, as well as ivs and lab draws, both of which i was no good at until after some time in picu. i couldn't say which path is the right one for you. follow your heart, and if it feels right, go for it, and never look back!
  7. Visit  gigglebuns1186 profile page
    HI, i'm a new grad and I need to pick between the peds CICU and peds general floor. I'm thinking I might pick the peds general floor. Even though I want to do critical care, I feel that as a new grad the CICU will be way to stressful for me, but I don't know. What do you think? I need to choose today. Thanks!
  8. Visit  NotReady4PrimeTime profile page
    Listen to your gut. If it's telling you you're not ready for peds CICU, then take the general peds job. You can always move to the CICU later. As has been said on other threads, the learning curve is very steep in the ICU and for many nurses it's better to develop your basic skills and get really good at organizing, prioritizing, assessing and the rest first then tackle the complexities of the ICU. Best of luck with your choice.
  9. Visit  runningtraveler profile page
    I am a new grad in peds stepdown ICU and it is the perfect spot for me. I had a hard time deciding between acute care and PICU, so it was great when I discovered stepdown. Just enough to keep me on my toes (or running, haha) and I feel like I am putting my nursing skills to good use- trachs, vents, kids that need constant monitoring. I may not have the drips and art lines of PICU, but honestly I dont know if I could even handle that yet as a new grad; Stepdown as a new grad was enough of a transistion for me. I am not yet confident enough in my skills to handle the sick kiddos in PICU yet didnt want to go to acute care, so stepdown is my home for now!
  10. Visit  dez2480 profile page
    I have started in the PICU (12 weeks ago) as a spankin brand new nurse, I feel a little overwhelmed but I think I would anywhere really. I think it is good to "jump in" with fresh eyes and eager spirit. You will have days when you think you can conquer anything, then others where you feel you want to quit, but isn't that nursing in general? I was told by three very good nurse friends (many years exp.) to just go on and do what I love. Experiences will come. I was a CNA in Med/Surg for 3 years and all I ever saw was COPD and CP. I saw 1 NG placement in 3 years, what would I have learned? I am learning so much in PICU and getting to see and DO so much also. Go for it!
  11. Visit  slf974 profile page
    Hi Belot97,
    you asked a question I can't answer, as I will only graduate in August of this year, but I hope you don't mind me asking you a question. You mentioned you're a traveler and just got back to the country. I am a traveler and went into nursing bc of the career's universal need, which would allow me to travel almost anywhere (so I thought). But I am having trouble getting straight answers about where it is easy to get a job in the world and how much/what kind of experience I should gain in the US first. Any suggestions/advice you could give would be really appreciated. Thanks!
  12. Visit  malenurse82 profile page
    I had 2 weird questions in an interview for a PICU job.

    the first question was:

    Give an example of an event or instance where you found that policy was inconvinient and you decided to not follow policy.

    Ok, I get the essence of the question: I think its related to critical thinking and making autonomous/ patient specific decisions.
    However, I couldnt really come up with anything specific to say, it really blocked me and I had to ask to skip it to come back to it. Perhaps this is because im fairly new to nursing (graduated last fall, started working 6 months ago). Us new grads we are always so adament to following policy and, in nursing like anything else in life, rules can be broken only after following them for some time.... no?

    the second was:

    Give an example of a time where you had to make a decision without consulting your nursing manager / charge nurse / facilitator...?

    Ummm... I make most of my decisions in a day to day basis without consulting... I dont really know what the objective of this question was.

    I dont think these were fair questions to ask a new grad (like me)...

    any thoughts?

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