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Hi, I am interested in working in the ER, PACU, or Dialysis but I have a solid background in Med/surg. Are there any hospitals willing to hire such an individual?
I was counseled to work a year at a hospital in Med/surg and then request a transfer. Is there anyway, that I can avoid wasting a career year of my life?
I never stated that I saw med surg as a place that I would not learn anything.It's really sad when you think that working on a med/surg floor is a big waste of your time and you are apparently not learning a thing. Gosh, I have been a nurse for well over 20 years. I'm always learning and will continue to do so.
I 'wasted' a year in med-surg (at a tiny hospital, no less) and then 'wasted' a couple more years in the limited ER at the tiny hospital before I finally got where I wanted to be.LOL! wasting a year would describe exactly how I'd feel... I'm unwilling to post my entire resume on this forum but I am more than familiar with the medical surgical specialty.
None of it was really wasted, of course, because each step enabled the next.
Would I be more competent had the years been spent in a L1 trauma center? Of course. That wasn't an option, however; what would have been a waste was sitting as an unemployed new grad when I had the opportunity to take a nursing job (albeit one that never would've led me to nursing school in the first place).
When making a comparison to how much more new things I could learn in order to function in a Role that I am pursuing, it is a waste of time. I Would expect to learn in a msn/NP program but when I graduate I wouldn't be able to perform as a CRNA. If my goal is to ultimately perform as a CRNA, y waste time obtaining NP certs...But if are learning, then it's not a waste of your life and time is it?
If you have the med surg experience that you say you have, then it really shouldn't be an issue finding PACU/ICU, etc. jobs as you are considered to have experience. If not in your area of the country, then move. Places that are not city (i.e. rural) will take you, especially if you have as much med surg experience as you say.
So Med/Surg nurses don't respond to an emergent situation? Your med/surg floors must be pretty low acuity, because everyone I worked on had pt's that were thisclose to crashing many times over including my current floor. Any person admitted to any dept in the hospital has the potential to crump.
The difference is that they crump a heck of a lot less on floors than they do in ER and when they do, they all crump from a similar spot. In the ER, it isn't like that. Further, I have med surg nurses complain that they felt like they had too much responsibility to inform md. They expected md to act with specificity, not allow nurse to have some autonomy to observe patient.
Our floors are high acuity. Many of our floor patients would be icu in another facility. It's really about cultural norms and expectations. You can't expect an ER patient to be a floor patient and I see that happen when nurses come from floors.
I would go to HR, and ask specifically for job descriptions of whatever specialty it is that you would like to pursue. That way there is some sense of direction. If you don't have a map of where you need to go, I can see how one would think that one is "wasting time" but it is a multi level process, could require further education and/or certification, and most people still need to work while pursuing their goals. Med Surg float to ED. When ED position becomes available, take it. Float to ICU, again when available, take it. All the while studying to be _______ specialty certification. Look over job desctriptions. It is an ideal resource as to what you would like to do. Speak to the manager of whatever floor/specialty you would like to be on. Then you have a plan, perhaps a timeline, and you can be sure the direction in which you are going are the correct ones.
joanna73, BSN, RN
4,767 Posts
Actually, I've found that nurses working med surg or acute care units usually have great assessment skills. They need to be able to recognize and respond to subtle changes in patient condition BEFORE it becomes a matter of emergency. That's crucial. If they're already in emerg, usually they're going downhill fast.