1. I wanted to post this question on the general forum, where I thought it might get a little more "publicity" than on the ICU forum.

    I have job opportunities in a CVICU (open heart recovery and medical cardiac/interventional cardiac) at a smaller branch of a teaching hospital, and one in a large, level one regional trauma center/teaching hospital in their SICU/TICU (trauma ICU). Positions are rarely open on this latter floor. I am debating which job to take.

    I am currently working as a traveler at the smaller hospital on their cardiac stepdown unit, and therefore am well acquainted with their procedures, policies, doctors, and so forth. I have two years of predominately cardiac stepdown experience, and have never worked with trauma patients, but the experience at a level one trauma center would probably be invaluable, and the manager feels I am capable of the transition.

    I know I like working with open heart/cardiac patients, and thought CVICU would be the next logical step, as I have interest in recovering fresh open hearts and more acute management of interventional patients. It's hard to say whether or not I would "like" or "enjoy" working TICU since I don't have experience with the patient subset, and can only imagine some of the generalities associated with taking care of these kinds of patients.

    I was wondering if folks with both CICU and TICU experience could chime in and offer some insight into what working these floors is/was like for them, and what they liked best and least, etc, as a way of helping me decide which job I might like best. I do plan to shadow on TICU, but, I'm going to have to make up my mind very soon, and it's always good to gather more information. Thanks!
  2. Visit piperknitsRN profile page

    About piperknitsRN

    Joined: Apr '06; Posts: 59; Likes: 39
    Specialty: CVICU, telemetry


  3. by   RNperdiem
    I work in SICU/trauma, so am biased towards that unit. I have floated a lot to cardiothoracic ICU, and enjoyed my floats there.
    In general I have found cardiac/thoracic patients come from the OR more critically ill, yet are recovered faster. Within a short space of time drips are weaned off, chest tubes out, patient is extubated and in a chair ready to transfer out so the next sick postop patient can have their bed.
    As a surgical unit, there may be overflow patients from SICU.
  4. by   piperknitsRN
    Hi! Thanks for you input. What do you like the best about working in trauma/SICU? I am assuming along with multi-system injuries there are a lot of trauma specific neuro/ortho issues which I am not as familiar with as cardiac. From the stepdown side, I'm not crazy about neuro/ortho ; it may, of course, be very different in an ICU setting; so it's impossible to judge.
  5. by   sameericu
    hi every one i am working in saudia arabia as staff nurse in CICU and i am doing preoperative counsellings i need help in this project