Thanks, Going 80....but we should probably add that these sentiments are coming from ICU nurse standpoint...we know what we are doing in ICU so thus it is NOT so difficult for US there....but it does take a lot of learning and skill to get comfortable in the units.
I agree it's a perspective thing....Medsurg nurses may look at ICU and PCU from the patient ratio standpoint (some want to go there to have 'only' 2-5 patients) and don't really understand what can happen ICU/PCU, when patients go bad and there is NOWHERE else for the patient to go. That patient is critical, yours to manage, often without a doc around....and the docs DO expect critical care nurses to know how to handle critical patients without them, don't they?? How many times have we had to intervene to save a life...waiting for the doc to call back for 'orders' already initiated in lifesaving situations? To do less could be construed as negligence IF we know what to do......sad but true.
Critical care is easier when we're critical care nurses...but when I go to medsurg, it's harder because I have to mentally downsize my patient data...can't know every detail with 10 patients.
Critical care and medsurg nurses are BOTH good at what they do....and a strong medsurg nurse can make a great ICU nurse in time with a good internship.