Hello PICU nursing community! I have been reading this site like crazy lately trying to gain some insight into the PICU nursing world. I was fortunate to have the opportunity to shadow in a few different PICU's and I feel a calling to work with this very special patient population.
I just graduated in May and have been applying for jobs in my area. I am extremely blessed to have two very strong leads in two different PICU's. I am torn about which one I should choose. An offer letter is coming my way from hospital A, while the interview process is just beginning for hospital B. I shadowed both and I like both.
Hospital A seems more comfortable based on the staff I met and the types of patients I saw (less acute). However, hospital B seems to offer solid, high level, PICU experience. My goal is to find the best unit to learn and grow, without getting too overwhelmed. Below is a brief overview of each unit/hospital.
hospital A: Community hospital
pros: excellent benefits (especially retirement and tuition reimbursement), nurses seem very happy there, ability to transfer within the system, life flight program, trauma level I adults, trauma level II peds, 10 bed unit, nurses have been in the PICU for a long time, consistent night shift (so i don't have to rotate), 16 week orientation.
cons: smaller unit with lower acuity patients = potentially less ICU-type experiences, census on the unit varies & PICU nurses occasionally float to NICU or outpatient clinic
hospital B: Children's hospital
pros: well-renowned children's hospital, peds trauma level I, 20 bed unit, higher acuity/more complex patient care (my impression from shadowing), 16 week orientation + a year of classes and projects
cons: benefits not that great, salaried position, PICU nurses are mostly young, rotating shifts
If you have an advice to help guide my decision that would be wonderful. This is a very exciting and crucial time. I want to make a good decision about my first nursing job. I've watched too many nursing friends get burned out and I believe it has a lot to do with the environments they worked in.
My long term goals: I am open minded and will see where life takes me. Potential paths could be PICU for my whole career, nurse educator (far down the road), or maybe even life flight (in some wild dreams).