advice needed......thanks

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management decision on new grad

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i just need some help with a management decision to place a new grad in our unit on the night shift.... we have a small unit only 6 beds...we usually work two nurses alone on the the night shift...we have been short handed and the manager hired a new grad right out of nursing school..... she has had a few months of orientation but failed her boards and had to work as a tech for 6 weeks until she could retest....she passed her boards a few weeks ago and will have three more weeks of orientation on days ...then she will work as the second nurse on the night shift with me......i have nothing personal against this new nurse....i am just uncomfortable working alone with a new grad in the icu....we have some very crazy nights there, as we are alone without the benifit of all the resources they have on days....( managers, extra resp people, techs).....to work with only two nurses we have to be very resourseful and be true team players to cope with some of the critical care patients that come in on the night shift....am i crazy to be so afraid? i think back on my first year of nursing and can see how difficult the transition was....i really learned how to be a nurse after i left school and worked on the floor....if this was a three person unit i would have no problem with this decision...that would be a good learning environment for her and there would be two experienced nurses to provide resource for her and care for the patients ...please help with advise....or your experiences, or just some new ideas for management.....thanks again

That is something to think about....i know the ER would have a cow if we held patients...but....you are correct....6 patients is to dangerous even with 2 experienced nurses.....i am already looking for a new icu job....this may just be a reason to go elsewhere....work is abundant here...you don't have to except the unexceptable anymore....thanks for all the good advice....i am so grateful for this forum ......laura

i spoke to ER yesterday....they would not agree to hold 2 patients if we filled up...so we would have to handle all 6 beds with the new grad if we were busy......i have to say last night was a night from $$#@... just what we are all afraid of....we had two patients to start.....both on vents...one coded earlier on m/s unit she was on levophed and having constant seizures.... bp 70-80's.... and looked terrible....the other patient was chillin on the vent...... then a new admit, 44 y/o male ....chest pain on tridil.......15 min after that admit, call from er........gi bleed.....drinker......vomiting blood and rectal bleed....gi md on the way to scope..... we were told we have to have patient transfered to icu and be ready to scope in 30 min.....and get and hang ffp before md arrives...... the other original patient who was chillin... bp 200/101...all at the same time.... we were running until 430 am and then had to bathe everyone....with two experienced nurses we had a hecktic night with only the 4 patients......please tell me how a new grad and i would have handled that?

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