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Barnes ER vs Surgical/Trauma ICU

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Hi everyone, my wife and I are relocating to the area and I was wanting some opinions on Barnes ER vs the Surgical/Trauma ICU. I have heard the ER has high unsafe nurs/pt ratios and people are afraid of losing their licenses and the ICU has awesome variet/equipment/cool pts but the atmosphere is catty, backstabbing with questionable mgt. Would love to hear all good and bad. PM if it is easier/you feel safer. We will be coming in the next few months to interview (she is looking at Childrens - see our other thread). HELP GUYS!!!

baby_gurl0604

Specializes in ER/Trauma/Critical Care.

Hi everyone, my wife and I are relocating to the area and I was wanting some opinions on Barnes ER vs the Surgical/Trauma ICU. I have heard the ER has high unsafe nurs/pt ratios and people are afraid of losing their licenses and the ICU has awesome variet/equipment/cool pts but the atmosphere is catty, backstabbing with questionable mgt. Would love to hear all good and bad. PM if it is easier/you feel safer. We will be coming in the next few months to interview (she is looking at Childrens - see our other thread). HELP GUYS!!!

I currently work in the er at Barnes. What you said about the unsafe nurse/pt ratios and fear of losing our licenses is absolutely true, and is the main reason I am looking for a new job. It is common there to have just 3 nurses in a pod of 16 beds in the emergent care areas, so you end up with 6 or more patients, no matter how critical they may be. A lot of thetime, they just keep giving you more patients unless you ask for a pass. Also, the rooms are not geographically assigned, so you may have a psych patient trying to elope on one side and a unit patient on the other, in addition to your other patients. You're constantly running- it's a horrible system but it increases the flow of the department that way, so the management doesn't care. The morale there is very low right now, and there is a very high turnover.

I've heard good thiings about the MICU and the SICU. I think the managers up there are a little more flexible with scheduling for people going back to school, etc.

Feel free to pm with any other ?'s, good luck with your job search!

Have you made it to st. louis yet? Where did you decide to work?

I worked in the surgical/trauma ICU there in 2005 for my first trauma experience and it was the best nursing job I ever had. I LOVED it. I liked my coworkers and didn't find it catty at all. There were a lot of guys on staff then and it balanced out all the ****** princess cliquish behavior that you get in nursing. I moved to New Orleans from there and got a horrible dose of mean and nasty behavior and now I am trying to go back to STL. I love Barnes.

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