which would you choose?

Nursing Students SRNA

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Hi all, I am mostly a lurker here on this site and now am in need of some advice. I will be graduating from nursing school in 2 weeks and have been offered two different ICU positions. My goal is to get 3 years of experience and then go on to CRNA school so I would like to make myself the most attractive candidate possible.

Choice 1. A 28 bed ICU which does medical,surgical,cardio and neuro. They are a level 2 trauma center and from my shadow days there, every other patient was on a vent and there was what looked to be very high levels of acuity. The orientation is 12 weeks long, but I have been told that extending that if needed is not a problem. I have been offered a day time position as well if that makes any difference. The unit is a brand new unit, meaning around two weeks old by my start date, and uses computer charting. The hospital does not have a great reputation as a whole, let me preface that I did do 1 year of clinicals on the telemetry floor and learned a ton but the nurses were pretty frazzled. My time in the ICU showed it to be so much different, the nurses worked as a team and were pretty upbeat and positive.

Choice 2. An 18 bed Neuro/Surgical ICU at a level 1 trauma center, the manager says that they also recieve the majority of the traumas on their unit. So you just don't get the Medicals and the cardiovascular per say unless neuro is the main problem. The orientation is 16 weeks long and have also been told that extending that is not a problem. I have been offered a night position. The hospital uses paper charting, they are going to convert to computer charting in the next year to 18 months. The hospital has a great reputation and the nurses also worked as a team and were upbeat.

There are other personal factors I am considering such as drive time, cna's,etc. but am mainly wondering which one looks the most appealing specifically for CRNA prep. Thanks in advance for any replies!

Specializes in MICU & SICU.

I have had the opportunity to work at both non-teaching and teaching hospitals. There are advantanges to both. First the teaching hospital. The advantage is that you don't have to work with residents that may not always know the right thing to do and you will have to go through the attending to get what you need (that is why nurses often have to mold the residents to the ICU). Once you get the residents accustom to your unit then it is usually time to rotate another bunch through and start the whole process over again. A clear advantage of teaching hospitals especially at night is that you have someone there to come look at a patient that you think is not doing good opposed to pleading your case to an asleep intensivist at home.

The non-teaching facilities usually don't residents (or as many) and you will deal with the critical care doctors.

I would not weigh too much on teaching vs. non teaching as long as both places perform similar services and care for patients on the same level of accuity.

Specializes in ICU.

well, I have given it a lot of thought and I have made my decision. ;) I am going to go with option 2. I thought long and hard and I really appreciate everyones advice, but in the first post I had mentioned that option 1 had a not so good reputation, and that option 2 had a great reputation, and to be honest I just feel safer being a newbie and working for this hospital. Also I feel good about option 2 because I told them in the interview that my intention was to get into CRNA school in about 3 years and the manager was very encouraging about it. For some reason I didn't get the feeling that I should tell the first manager about my goals. Anyway, I plan on getting my bearings and soakin up all I can in a year and if I need to I will look into moving over to the CVICU, the HR lady said it was pretty easy to move over to another ICU or to even do PRN shifts. Neuro surgical trauma ICU here I come!!!!

I was interviewed for kumc and newman last year both tuff programs..tuff interviews..But I think both of them really have great experiences that they can offer.. If you want KUMC this is a tuff tuff program with lots of responsibilities, but when coming out of this program it is well known that the crna's really know what they are doing.

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