Where are the new grads in ICU? - page 2

Hello Everyone! I have just graduated from nursing school with a BSN and I'm currently studying for NCLEX. Since nursing is my second career and I'm already 40 years old, I was wondering where are the hospitals, cities or... Read More

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    we hire two every year here in my unit, but I haven't seen a lot of it in my time - new grads in the icu I mean. I have worked across the country but am currently in WA state.

    If you want to go straight in and know what you are getting yourself into, awesome. It is going to be hard, but as you are older you may be able to tough it out and keep studying everyday. We just fired one of our new grads sadly, first I have seen in 4 years here. And she came cross country to work.

    I would apply everywhere and anywhere, rural can be awesome to start, and then reapply at a large or higher acuity ICU in 6 months or a year.

    "Patient safety is always my priority and I would never do anything stupid to jeopardize that. But then again, as a new
    grad do we really know what is stupid?"

    pretty much every nurse out there has done something, probably more than one something, that has jeopardized pt safety. You have to live with the knowledge and always be aware that you can and WILL do something like that, esp in the ICU. People accidentally pull out lines, bleed out, extubate themselves, give too much narcotic and stop a person from breathing etc etc. When you can be a little more relaxed at work is when you feel competent on how to quickly fix these problems so they do not become life threatening...when you know how to handle any possible thing that could happen, and you feel comfortable jumping in on the new person in the next room too, then you may start to look at how far you have come and see if you are ready to apply to school.

    very good luck to you!

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    Right now in the current job market...new grads are finding it difficult finding a job in acute care/the hospital peroid.....and the specialty areas even harder.

    I wish you the best.
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    Myself and my other nursing school classmates got ICU jobs right out of nursing school. I live in MD. They are out there.
    which_path likes this.
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    I have heard from several new grads that they landed jobs in ICU/PICU/CCU right out of school. Some places like to train you "their way" and don't want to deal with any "bad habits" someone has from working elsewhere. Best of luck!
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    New grads in the ICU, when properly trained and supported, doesn't sound crazy. In fact it's standard in the better hospitals in my area and in the country. A number of hospitals have nurse residency programs to train new grads directly into ICU. However if you have already graduated and haven't applied you are too late. One of the hospitals I work for has a 7 month nurse residency for ICU but all slots were filled months ago. A side question: Why did you wait so long?
    There is some evidence that new grads in the ICU are preferable to experienced med-surg nurses. It was presented to us at a confrence but I can't remember who did it.
    Apply to the highest level ICU you can find and keep applying. Also apply for jobs in tele. Many older thinking hospitals prefer to hire their ICU nurses from tele floors.
    Next, keep your desire to apply to CRNA school to yourself. Many ICU nurse managers hate to lose trained nurses right at the point they are becoming useful to the unit (1-3 years). I have known them to go as far as contacting your nursing school instructors and asking if a canidate ever expressed an intention to go to CRNA school.
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    Quote from missnurse01
    pretty much every nurse out there has done something, probably more than one something, that has jeopardized pt safety. You have to live with the knowledge and always be aware that you can and WILL do something like that, esp in the ICU. People accidentally pull out lines, bleed out, extubate themselves, give too much narcotic and stop a person from breathing etc etc. When you can be a little more relaxed at work is when you feel competent on how to quickly fix these problems so they do not become life threatening...when you know how to handle any possible thing that could happen, and you feel comfortable jumping in on the new person in the next room too, then you may start to look at how far you have come and see if you are ready to apply to school.
    *** Oh ya, a number of times. I think the first time was when I was titrating nipride and intended to go from 0.5mg/kg/min to 0.6mg/kg/min and forgot the decimal point at the pump and set it for 6mg/kg/min. I had been working my butt off all shift and had to pee really bad. I ran out to the restroom immediatly after setting the pump. I came back to find half the nurses in that room and alarms going off like crazy. We almost didn't get that patient back. Nowdays I regularly run drips without a pump at all, sometimes without BP monitoring for short periods of time (transport and rapid response) but now the drips are good friends of mine, not scary monsters just waiting for me to make a mistake and kill some poor patient
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    We are building an ICU bed tower at my hospital and have to staff CTICU, Neuro ICU, SICU, MICU, plus expanded stepdowns. We still aren't fully staffed and the managers are hiring new grads and experienced nurses
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    The great hospitals in my area all seem to be full of new grads in ICU. It seemed counterintuitive to me, but I guess I can see the "grooming" benefits to it.

    Ideally that's where I'd like to start out. We shall see where life takes me.
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    Look at nurse residency programs. They are also competitive but seem a good way to get into specialties.
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    I work on an SICU at a University hospital and we hire new grads. However, my manager only hires a few at a time so the skill level is balanced and they do get an extended orientation. You may also have better luck at a teaching hospital, might get you experience with higher acuity patients.
    which_path likes this.


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