I graduated in December 2006 and took a job in a large innercity ER which is also a level II trauma center (60 beds just in the ED). Do not let anyone tell you that you need to do a year of med surg. If you like med surg, by all means, do it. You will larn incredible time management skills! However, if you have an area that you really like (like me) go for it. I was terrified when I started, we have the sickest of the sickest in the ER. I mean, they have to be stabilized before they go to the ICU! :uhoh21:
I think the key to to find a unit or hospital that is confortable with new grads and is willing to be patient and leave you on orientation as long as you need. Do not allow them to rush you off orientation becuase they need the staff.
If you choose to work in an ER or ICU, you will need a longer oreintation because there is SOOO much to learn. I have been off orientation for several months and still learn something new every day. I caught a lot of slack from some of my other classmates who took jobs on med surg, peds or L & D units who were on orientation for 6 weeks or so. I was on oreintation for about 6 months(as were the other two new grads I started with) and I kept getting, "you're STILL on oreintation! What is WRONG with you?"
I absolutly LOVE my job and cannot imagine working anywhere else. Please do not be intimidated by the ICU or the ED. They are both wonderful places to learn skills that you can take anywhere in your nursing career.
Good luck with your last semester and don't stress about the NCLEX, it's really not that bad!