After all "that", I advised my wife to turn down MICU/ACC position today.

Specialties MICU

Published

Here's why:

1. First and foremost she was told that she would get up to three clients straight off orientation. This is an ACC/MICU dealing mostly in trauma patients at a busy level one trauma center in a major metropolitan area.

2. Training/orientation would consist of the following:

a. First six weeks would be two days a week in the classroom with an additional two twelve hour shifts working on the floor with a preceptor.

b. The next six weeks would have no classroom and would involve three twelves along with a preceptor.

c. The final six weeks would have no preceptor, but she would have a so called "mentor" with whom she could consult. At this point she could be assigned up to three clients. Although, they say she would never have more than one "critical" client with the other two being so called "progressive" (not sure what the criteria is for progressive since they are still to sick for the PCU or the floor). ACLS and PALS would not be offered during this stage of her training unless she did these classes above and beyond the above mentioned shifts.

d. Out of approximately 110 nurses about 15 are travel/agency, 10 are new nurses, and two SNES.

e. It would be night shift, and she wouldn't be with the same nurses most of the time.

f. There is a new manager.

On the up side the exiting manager did say that they've had many successful CRNA applicants out of this ICU. My analysis is that this may simply be "too acute" an environment for her at this point in her career.

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
Whenever someone brings up the fact that your wife needs to speak for herself so that we can properly assess the situation and offer educated and appropriate advice, you start into the "What if I were Arabic/Muslim..." schtick.

This is America, not Saudi Arabia, and for some reason, I have my doubts as to you being a follower of conservative Islam. But then I could be wrong.

However, I have worked with believers of Islam (yes, me) and the issue would be moot. Those you speak of generally do not let their female relatives leave the house unescorted, seek an American education, and would definitely not permit them work as a nurse/CRNA in a gender integrated facility. They would not be discuss their lives on the Internet with or without their consent as it would be unseemingly. And Believers in Islam that would not permit their wives to use the Internet, would not deign to enter a female dominated BB, such as this one to discuss anything as our opinions would be unimportant to such a decision.

And quite bluntly, if conservative male believer in Islam were to come here and ask an opinion of me, regarding his wife's employment, I would ask to speak to her...as it is HER life, HER situation, HER career, that is in question. And while it does affect both of them, she is the one primarily affected by the decision and her input matters most.

Lacking her input would be like doing a physical assessment on a patient without any access to the actual patient or receiving any input whatsoever from the patient. And, no, secondhand input is not adequate.

Well said.

Roland,

Are you talking about ACC at Methodist? If so, yes it is a trauma/medical/surgical ICU to whoever it was that doubted it. I worked there as a student nurse extern for two years and as an RN for 18 months before moving to Cincinnati to start CRNA school. Now, I will give you advice on the disclaimer that I left in April and I do know that several people left around the same time for person reasons (traveling, moving to be with fiancee, etc..). When I was there, we didn't really need travelers so it is a bit different now. In April, the 20 bed ICU and the 11 bed PCU did combine to make one large unit so patient assignments and staffing have changed a little since I left. When I was there, you were NEVER assigned more than two ICU patients and there were always 4 1:1 patient in the unit. Since I haven't been there in a few months, I'm not sure how it is working out with the PCU thing but I can call and ask if you would like. Having said that, I will tell you that I believe that unit is without a doubt the best place to work in Indianapolis (I'm biased, of course). I was pretty much taught everything I know about bedside nursing by some really great, experienced nurses who were happy to teach such an eager student. There are many nurses there who have been on the unit for 15-20 years, one of which has been there happily for 34 years! Furthermore, the teamwork on the unit is awesome (doesn't even compare with my current job where some of the nurses will actually just ignore me if I ask for help). Truthfully, no one sits down or takes a break until everyone's work is done. Plus, your wife will definitely get experience with the sickest of the sick!

Anyway, sorry to go on and on but I think you should think twice about the decision the two of you have made...unless things have really deteriorated since April! Hope I didn't go on and on for nothing and it is a different unit but I can't imagine another trauma unit in Indy that is called ACC.

I really appreciate the imput AmiK25. By the way congradulations on CRNA school especially in Cincinnati. I know that Cincinnat would probably be our first choice since its the only CRNA school where we might not have to sell our house and move (although she or I would still need an overnight sleeping room on occassion, but it would still beat moving). Thanks again.

As to some of the others who don't think that I should have even asked the question. Well, I respect your opinion, however its non responsive to the original post of whether or not my wife should take a specific job, for which I posted a good deal of detail. With all due respect even if I was a wife beating, dog hating, serial killer who helped Serbia execute a plan of ethnic cleansing and who dumped toxic waste into the city's drinking water on a nightly basis and who also conspired with Osama to overthrow the government what does that have to do with my question about this specific situation? One way or the other my wife will have to make a decision about this job (actually she hasn't even been offered the position yet, she has only interviewed). All of your points about me being an overly assertive bully who drags her by the hair may or may not be true (I would of course argue that they are not), but they are not responsive to the primary posting thesis/question. If it will make you happy I will stipulate to your positions, but it doesn't bring great light on this specific employment scenario.

Roland,

Are you talking about ACC at Methodist? If so, yes it is a trauma/medical/surgical ICU to whoever it was that doubted it. I worked there as a student nurse extern for two years and as an RN for 18 months before moving to Cincinnati to start CRNA school. Now, I will give you advice on the disclaimer that I left in April and I do know that several people left around the same time for person reasons (traveling, moving to be with fiancee, etc..). When I was there, we didn't really need travelers so it is a bit different now. In April, the 20 bed ICU and the 11 bed PCU did combine to make one large unit so patient assignments and staffing have changed a little since I left. When I was there, you were NEVER assigned more than two ICU patients and there were always 4 1:1 patient in the unit. Since I haven't been there in a few months, I'm not sure how it is working out with the PCU thing but I can call and ask if you would like. Having said that, I will tell you that I believe that unit is without a doubt the best place to work in Indianapolis (I'm biased, of course). I was pretty much taught everything I know about bedside nursing by some really great, experienced nurses who were happy to teach such an eager student. There are many nurses there who have been on the unit for 15-20 years, one of which has been there happily for 34 years! Furthermore, the teamwork on the unit is awesome (doesn't even compare with my current job where some of the nurses will actually just ignore me if I ask for help). Truthfully, no one sits down or takes a break until everyone's work is done. Plus, your wife will definitely get experience with the sickest of the sick!

Anyway, sorry to go on and on but I think you should think twice about the decision the two of you have made...unless things have really deteriorated since April! Hope I didn't go on and on for nothing and it is a different unit but I can't imagine another trauma unit in Indy that is called ACC.

Sounds exactly like a job I just accepted. I'm almost through with orientation, and am happy with my choice in working in the ICU. Everything you posted sounds pretty standard to me.

Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac.
I just hope that you are not this opinionated when you begin work, or you will have difficulties right from the beginning.

Roland, of course! :)

This has been ongoing for moe than a year or so, as you can probably read from the above posts on this thread.

This is a very informative bulletin board. I'm not understanding why Roland is being flamed for trying to help his wife even if it's been going on for a year. Do we know he's domineering and his wife is just sitting back not thinking for herself or making decisions for herself? Who are we to judge if she's asking him to do that.

I've asked many a question of my spouse and he's gone to the internet and googled, or to websites he knows are good and answered my questions. Surely I could have googled myself, but sometimes spouses help each other out.

Roland, I think you should continue to use this board to ask questions. Because frankly, you've been a little off the mark on some of them, and I hope the answers you've recieved on this bb have given you some clarification and insight.

One more bit of advice: if you're wife doesn't want to post on this BB, whenever anyone asks her to post for clarification, just say "she doesn't want to post" and don't bring up any other issues about religion or herritage, no need for that.

I don't like my spouse coming to this bb. This is "my" bb. Whenever he's looking over my shoulder I shoo him away. :chuckle

Tweety,

Just for the record, you do not spend most of your post time discussing where your spouse works, including naming the facility and giving specific information. Almost every one of his posts lately have been focused on her and around her, and then stating what he has "told" her to do. That is what we are having an issue with. He has discuused her size in the past, everything about her, so much so that I could probably walk into her unit and identify her. This is what most of us are upset about. He should be discussing what he wants to do, etc., not what she should be doing.

Specializes in Vents, Telemetry, Home Care, Home infusion.

Closing pending Admin/Mod review.

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