PICU preceptorship...what to expect
- 0Jan 7 by NurseBella7Hello! I am a BSN student and I'm about to start my last semester before graduation I am to complete my preceptorship in the PICU at Inova Fairfax Hospital and I was wondering if any of you could offer any words of advice?
What is expected of me and what can I expect from my preceptor? Are there any specific skills or knowledge that could be beneficial? I have never completed a rotation in a critical care unit before (just the general units) and I don't really know what to expect. Any help/advice is much appreciated!
- 0Jan 12 by AnnaiyaThe PICU is not a unit where you can just step in and start doing things, so communicate a lot with your preceptor. Show an interest and willingness to learn and that will help. Hopefully you will have some sick assignments so you can get a feel for the environment. This time of year there tends to be a lot of respiratory stuff, so maybe review blood gas interpretation, and vent modes and settings.
Also be sure you know what you can and cannot do as a student. That will help you be able to ask to do stuff. I usually tried to let my students draw off an art line, suction an ETT, and then I wanted them to start trying to remember and write down vital signs every hour. The pace and time management in the ICU is very different from the floor, so I think it's good to try to get used to it.
Try to focus on priorities and time management. Make sure you know everything that needs to be done and start thinking about how you would organize it all efficiently. Also figuring med administration and access issues is a big part of the job. It's rare that you have a sick ICU patient with plenty of places to give all of your meds and your continuous sedation.
Medications that are used frequently in the ICU that would be good to look up are rocuronium/vecuronium, fentanyl, versed, Ativan, precedex, ketamine, propofol, glycopyrolate, atropine.
The PICU is a fabulous place to work. I hope you enjoy your experience!
- 0Jan 12 by meanmaryjeanThe other BIG factor in the PICU is the presence (or absence) of parents. They are just as big a part of the workload as the patient themselves. They are the 'clinical experts' in what the patient's baseline neuro status is- and if they tell you something is wrong BELIEVE THEM!
One thing you must understand and respect is that not everyone 'parents' their children as you would. That- to me -is the most difficult part of my job on a day to day basis.
- 0Jan 12 by NurseBella7Thank you so much for all your responses! I will review everything suggested, especially the ABGs, meds, dosage calculations, and respiratory/ventilator material (I feel that's an area I definitely need to go over as well and I haven't had much exposure to ventilators in my previous rotations as the patients on a general floor did not have too many complications). I wasn't expecting to get put in a critical care unit for preceptorship and I was initially a little scared. But now that it's sinking in, I am starting to feel more curious and excited as many have been telling me it will be terrific learning experience I will not let this exciting opportunity go to waste and will try my hardest to learn everything I can
janfrn, I started researching the other threads right after I posted this question and there are so many I definitely found them helpful and they all reassured me that I will be ok