Quote from Clark_Kent
Did you feel any pressure to get some med/surg experience as a first nursing job? I kind of feel that with the tough job market, we may not get to be too choosy. Psych is one of my interests, I think I'm just going to go for it.
Some pressure but not as much as you'd think.
I agree with you: in this job market, a new grad can't be very choosy or they'll be an unemployed old grad before long. Also, if your interest is in psych--or you feel no affinity for med/surg--then why waste time when you can go straight where you want to be?
You do have to stay on top of your medical knowledge in psych. But you can do that without having to serve time in med/surg first. Granted, in psych you're not inserting tubes and suctioning trachs, but you still have to stay on top of patients' medical conditions, not all of which are stable. People--including some psych nurses--tend to forget that psych patients don't leave their medical issues at the door when they check in
Neverminding that there's a few psychiatric illnesses whose effects are heavily medical: eating disorders is a great example. Or medications that can play serious havoc medically: clozapine, anyone?