Quote from KatieBell
Thank you Windward, that was what I was trying to point out.
However, I am not against New Grads in the units. I'm against lots of new grads, and I'm against poor precepting of new grads. And I'm against new grads who think because it is just 2 pt's that it will somehow be less stressful. Those two pts can be just minutes from a bad outcome and the outcome often depends on the nurse, not the physician.
I'm not against new grads in the unit either. But we are getting too many, too fast, and it seems that, on my particular unit, they are "pushed through" whether they are ready or not and others are expected to pick up the slack.
Some (not all) of our new grads are operating under the belief that they were chosen for the program because they were special but, in truth, I don't know of a new grad who has been turned away from the program. Applying seems to guarantee admission. Our NM believes that if we get them at the beginning of their careers, we can train them "our way" and they will stay. In truth, many leave for exciting travel assignments after they get the requisite one year of ICU experience.
Soooo........new grads in the ICU are commonplace now, and this is the way it is going to be. As with any other group of human beings, some are great, some mediocre, and some downright awful. Attitude plays an enormous part. They are our future, and we do owe them good training. It's not their fault that we are often too busy to give them what they deserve.
Like you said, I think a huge part of the problem lies in the sheer number of new grads many places are hiring. I am thinking that they should hire more ICU nurses who will be assigned just one patient and whose job it is to precept the new grad, one on one, with that one patient. When you get two or three unstable critical patients, you very often have more than your hands full without having to precept.