Who went straight to ICU after getting your BSN - page 3
Hi, I'm currently in a BSN program, and I am aspiring to be a CRNA. I'm just wondering who in this forum went straight to the ICU after graduating, because a lot of nurses I'm working with are... Read More
Jul 11, '04Occupation: CRNA Joined: May '04; Posts: 509; Likes: 135Skip the med-surg!!! Whoever said that ICU nurses have a different mentality hit it right on the nose! It's easier to train you to be an ICU nurse straight out of school rather than try to break all those bad habits of floor nursing later.
P.S. Those who say go to med-surg first are stuck in the "old ways" of thinking!
So far no one has said to go to the floor. An opinion was expressed on how I believed it helped my progression as a nurse and how I believe it helped me in the ICU and subsequently, as a CRNA. You do a disservice to a lot of nurses who work incredibly hard taking care of more patients then you'll ever see at one time and doing the best they can. I'm not sure what "bad habits" they bring when they finally decide to go the the "hallowed" ground that is ICU nursing. There certainly is a difference in thinking when you have to take care of 10 patients, correctly, without mistakes than when you only have 1 or 2. So, ease off on those nurses. If it wasn't for their excellent care, where whould it leave the majority of people who are not in critical condition? Floor nursing is not "old thinking," it's just a different way of getting to the same goal, patient wellness and discharge. IMHO
skipawayLast edit by skipaway on Jul 11, '04
Jul 11, '04Occupation: rn Joined: Nov '02; Posts: 40Go for the ICU...my suggestion/advise, if your preceptor is not working WITH you and FOR you then demand to work with another. There is nothing worse than being precepted by someone who is making your life miserable (been there, done that, VERY unpleasant :imbar )....nothing that drives me up the proverbial wall than nurses eating thier own, esp. new grads and students.
Jul 11, '04Occupation: Cardiothoracic ICU Joined: Apr '04; Posts: 109; Likes: 4I agree...don't slam the floor nurses, or any nurse for that matter. It's ALL hard, whether it's a nursing home or the best ICU in the world. I worked at my hospital as an aide on the med-surg floor for 3 years before I was a paramedic, and it was really intense. I learned so much there. In fact, I think your assessment skills are much sharper on the floor, because you don't have any machines or lines or numbers telling you that your patient is starting to go down the tubes.
It's just a matter of math. 1-2 patients who can't even breathe on their own, or 10 patients who are up and moving around and are more likely to be actively recovering and discharged soon.
ICU is about learning about the more technical side of nursing; ALOT of monitoring and machines and numbers to juggle. And I do mean ALOT. If you feel good about the basic things that all patients need (like skin care and assessments and medication administration, etc.), then the ICU will not be "too much" for you.
Jul 11, '04Occupation: RN Manager (Retired) Specialty: 10 year(s) of experience in ICU, CM, Geriatrics, Management ; From: US ; Joined: Sep '03; Posts: 3,325; Likes: 722Quote from NeuroICURNHahahahahahahahahahahahahahahahaha!... all those bad habits of floor nursing ...
Jul 11, '04Joined: May '04; Posts: 13; Likes: 1post removed by ModeratorLast edit by nightingale on Jul 11, '04 : Reason: offensive post
Jul 11, '04Joined: Nov '03; Posts: 317; Likes: 35edited by a ModeratorLast edit by nightingale on Jul 11, '04 : Reason: off topic
Jul 11, '04Occupation: CRNA Joined: May '04; Posts: 509; Likes: 135edited by Moderater.Last edit by nightingale on Jul 11, '04 : Reason: off topic
Jul 11, '04Joined: Jun '04; Posts: 203; Likes: 22I just graduated with an ADN and just passed the NCLEX. I am starting to look for a job. I know it is easy to get a job as a RN. How competitive is it to get into ICU New Graduate orientations?
Jul 11, '04Occupation: RN Manager (Retired) Specialty: 10 year(s) of experience in ICU, CM, Geriatrics, Management ; From: US ; Joined: Sep '03; Posts: 3,325; Likes: 722Oh, oh! What the heck happened above?
Remember boys and girls: let's play nice. Don't take these posts personally. Everybody's got her / his own point-of-view.
Jul 11, '04Occupation: Neuro/Trauma ICU Nurse Specialty: Neurology, Neurosurgerical & Trauma ICU ; Joined: Nov '03; Posts: 655; Likes: 44Ok, geez...I apologize...I really didn't mean for it to come across like it did!! I agree that I should have posted more carefully...chalk it up to exhaustion!
What I was referring to (if you reread what I wrote) was the OP who mentioned that floor nurses and ICU nurses have different "mentality".
I was not in any way trying to "slam" floor nurses. Comparing the two jobs are like comparing apples and oranges. They are both busy, but in different ways.
However, the one thing I will not apologize for is my statement regarding people thinking that you have to do med surge for a year. What I said was this: People who think that you HAVE to do one year of floor nursing before going to an ICU are stuck in an "old way" of thinking.
So, put away your :angryfire . You're not gonna get a rise out of me.Last edit by NeuroICURN on Jul 11, '04
Jul 13, '04Joined: Feb '04; Posts: 3Hey guys, thanks for all the input and advice. It really helped my solidify my decision to go straight into the ICU after I graduate.
Jul 13, '04Joined: Jul '04; Posts: 13I believe that having med surg experience (not necessarily 2 years) will be a better advantage to a nurse before proceeding for the ICU. My experience as a long term care nurse, wound nurse, and medical-surgical nurse has helped me become a well rounded nurse in the ICU setting. I have become a significant resource for my colleague in ICU because of my experiences and my abilities that were gained only from working in a medical surgical floor. I am able to make quick , safe ,accurate and appropriate decisions even if the data at hand is extremely ambiguous, especially with the critically ill Pt. Most importantly, I have gained great confidence in my nursing skills, enabling me to be a very effective part of the health care team. These are only possible if you have dealt with Pts at their sickest condition without having to rely to a monitor or other technical equipment in ICU setting to be able to tell that your Pt is in trouble.
But again, each person is different. It is only you who can tell whether you need the MS experience prior to going to ICU.
Jul 14, '04Occupation: Neuro/Trauma ICU Nurse Specialty: Neurology, Neurosurgerical & Trauma ICU ; Joined: Nov '03; Posts: 655; Likes: 44Quote from dynamiteRNBut again, each person is different. It is only you who can tell whether you need the MS experience prior to going to ICU.