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Florida new grad takes on the northeast

by Hallygirl Hallygirl (New) New

Hello everyone,

I recently graduated from a traditional BSN program in Florida and moved to the northeast area. My move was a spur of the moment decision while figuring out what my next move was after graduation. While the past few months of applying, interviewing, and disappointing results have been very trying on my patience and confidence. I have been very blessed with two amazing opportunities. I had received a job offer from The Children's Hospital of Philadelphia's PICU and New York Presbyterian's NICU. I have always known that I wanted peds and loved working with the babies at the labor and delivery unit for my senior practicum. For the most part I have no preference, so I was hoping someone might be able to give me some insight to each unit of thoughts on trying to decide. If anyone has any insight I would greatly appreciate it!!

NotReady4PrimeTime, RN

Specializes in NICU, PICU, PCVICU and peds oncology. Has 25 years experience.

There's a huge difference between PICU nursing and NICU nursing. In PICU your patient could be any age, from a few hours (in the case of cardiac surgical patients) to 17 years or older. In NICU your patient will be less than 6 months old. In PICU there is potential for interaction with your patient that really doesn't exist with neonates. In PICU the reason for admission could be almost anything. In NICU there are only a limited number of reasons for admission, and most of them relate to prematurity. Generally speaking, length of stay in PICU is a few days to a couple of weeks, where in NICU it could be months. In NICU you would be teaching new moms how to breastfeed their infants, as well as all those other new-mom things. In PICU you'd be teaching parents about their child's illness, the treatment and their aftercare. So it really all comes down to what you see yourself doing and liking.

Ruby Vee, BSN

Specializes in CCU, SICU, CVSICU, Precepting & Teaching. Has 40 years experience.

It seems to me that the choice is whether you want to live in Philadelphia or New York. Do you have a strong preference for one or the other? Do you have friends in either place? Does one city "call to you"? Did you get a sense of the culture in either place? What about the pay and benefits? Does it seem that the cost of living/pay ratio is better in one city or the other? What kind of a place will you be able to afford to live in? Will you end up in a 275 square foot fifth floor walk up in New York with a roommate vs. a 250 square foot studio apartment on the third floor in Philadelphia? How easy is it to get back to visit family and friends from either place? How difficult is it to find green spaces or outdoor activities, or are those things not important to you?

When I first graduated, I had a burning desire to live in Boston. I was fairly fresh off the farm and have no idea what gave me this burning desire to experience Boston, but off I went. I found that while the climate was similar to what I experienced growing up in the midwest, the culture was vastly different. Some of it was the difference between farm and city, and I know that now, but I didn't then. The small 1-bedroom apartment I could afford at that time was very distressing to me, as was the older (1920s) building -- but I grew to love both. What was far more difficult for me was how far I had to drive to find "country." (Fields, trees, open spaces.).

Cities each have their own culture, and after having lived in several cities now, I have a greater appreciation for that. The food is different -- Aisian food on the west coast is very different from what's available in Baltimore, and crab is eaten very differently in Baltimore vs. Boston or San Francisco. Architecture is different -- the sprawling ranch houses of the midwest are different from the New England salt boxes or the pastel colored homes of parts of Florida. Some cities are friendlier than others -- I used to think there was Valium in the water in Seattle because the people were so darned laid back and NICE. In the Seattle airport, you could always tell which flights were going to NYC by the more rude and pushy passengers waiting by the gate. There was a "New York deli" in Seattle for awhile, and part of the attraction was that the staff would berate the customers "just like in New York." Yet I enjoyed New York for the cultural activities. Philadelphia as well.

I'd choose Philadelphia, but I'm not choosing; you are. I haven't spent much time there, and there's a lot of American history there to explore. It's smaller, easier to get into the countryside, and Pennsylvania is beautiful.

Good luck with choosing; I hope you enjoy your adopted city every bit as much as I enjoyed exploring Boston.

Thank you both for the insight! I really want to go to Philly. The PICU is my dream unit, but with he time constraint I went with the NICU