Med-surg First - page 2

remember in the old days when everyone had to do med-surg first before moving into specialty areas. i was just wondering how everyone else felt about this. i work med-surg and also post partum. ... Read More

  1. by   llg
    As someone who has spent about 14 years coordinating NICU orientations ... I would much rather have a new grad than someone with a couple of years of adult med/surg. The fields are so totally different that it often becomes a problem for the nurse trying to switch from adults to NICU. My units have had much more success orienting new grads than adult med/surg units -- both in terms of having them actually complete their orientations and in terms of becoming long-term employees.

    Now ... it's a little different if you are talking about Level II Nursery experience or some other type of unit where the population would include babies. That kind of experience can be helpful to a new grad planing on a NICU career.

  2. by   RN-PA
    I've worked Med/Surg for almost 10 years now, but when I started my career, there were few hospital positions available in my area. So I worked as a charge nurse 3-11 at a LTC facility and am very thankful that it was my first job, although at the time, I REALLY wanted a hospital position. However, working in LTC taught me so much: how to deal with people-- both the residents and co-workers-- to delegate, prioritize, and to just get comfortable touching people. I know it sounds crazy, but in nursing school, there just wasn't enough hands-on experience with patients to prepare me to feel comfortable, and I never had worked as an aide, so I was terribly green. It was a very difficult job at first (3 days of orientation, then caring for 30 residents), but I think Med/Surg would've killed me just starting out, with the pace, stress, amount of knowledge needed, and my personality. LTC was stressful enough, but I know that Med/Surg would've chewed me up and spit me out as a new nurse.

    That being said, we get a lot of nurses using Med/Surg as a training ground for other positions, and that's fine-- I hate to see them go when they're great nurses and co-workers, but you can almost see Med/Surg as another year of school, to REALLY learn and apply what they can't possibly teach when you're in school.
  3. by   tuni813
    Where I work our COO is adament about having each new nurse do her 6 month med-surg rotation. Even if they are employed as a nurse tech or LPN in a specialty area, they must all go through the 6 month med surg rotation. Most of them have learned a great deal and appreciate the foundation to go on to where they wish to work.