-i would only seek out my preceptor, if you can' locate them, ask the charge where they are, they should be more available
-you should be able to assess and pass meds (looking up unfamiliar ones) with in the time frame.
-new proceedures (or unpracticed skills like sterile tech) should be directed to your preceptor or charge rn, especially advisory statements that you lack the 3 check offs, or comfort with (will you just stand here and watch me?)
-titrating meds that are new and there are a few choices, first have an answer and rationale, then bounce it off the preceptor (don't staff hop)
-changes in patient status that require a second pair of hands, call now, not after you've worried for a few minutes and anytime you've an emergency, call for help loudly but at least start with the abc's, bls, this is all you need initially (not to run the code).
-when to call the doc, for your first few months should be discussed with a preceptor or charge. have a specific reason why and what you want from him "just wanted you to know", isnot critcally thinking. have all your pertinant data ready (you should be able to gather the important stuff and not give a 15 minute speech to the md- short and sweet.
-you should be able to make the calls when warrented to the most obnoxious doc and try to hold your own, with the preceptor next to you, not calling for you.
-you should know the difference of what you do and don't know, as well as your responsibility to research your meds before giving them, and a quick net search for a disease process (micromedex or what not). to be ready to get off orientation, you'll know that you'll spend the rest of your icu career reading, researching and learning. we ask our peers for opinions, not for all the facts.
-almost last, don't ask every dang nurse on the unit the same question, ask the seasoned nurses their rationale for their answer. based upon their response, decide how you'll proceed.
-finally, know that if you can do all of the above, well much of it anyway, you're ready. know that you can say let's shoot for 8 weeks, i'll do the next four with the same mentor (preceptor) and try a basic assignment. you need the person who knows you, your skill level to keep a close distance those first weeks.
-if you allow them to cut the cord early, you need to be self assured enough to refuse the "sick" assignments and not care what staff thinks of you. (it helps to get in 10 minutes early and check it out so it doesn't look like you're showing your butt or picking an assignm.) ((the previous shift may think initiation by fire or just not know you're off orientation early
only you know what will work, everyone is rightfully fearful of getting off orientation, let alone early.
all those options aside. after 10 plus years of precepting, i've yet to see a new grad transition after 8 weeks well. you'll be overwhelmed and stressed for the next 12-`18 months as you grow to be independent... why make it worse?
personally i'd say "i'm flattered that you find me ready so soon. but it takes 12-18 months to grow a competent icu nurse, i'm hoping you'll commit to that last 4 weeks to best prepare me for my career here". (gag gag)
don't ever start caving in to that "take one for the team" mentality, it is a huge component of what is wrong with our profession, because it puts our patients last in the equasion.
tough one, might as well start learning how to hold your line now... how to leave 'em smiling thinking they won... takes a bit of practice