new nurse needs help!

  1. i'm a newly hired nurse here in the u.s. and i need ur help in deciding what dept. i should specialize in coz the hospital offers many fellowships to choose from. i was supposed to be in the med-surg unit because i thought it was a requirement but i learned from the forums here that it is not necessarily like that. i prefer to be solely responsible for the patients and i don't like the idea of having to depend on other people to do all the work, which is the case if u are on the floor, right? i just want to know if it's different when u are in the critical unit? i need ur suggestions. pls? i'd really appreciate it...
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    About nurse_doty

    Joined: Dec '01; Posts: 5
    registered nurse


  3. by   P_RN
    Usually when one is hired into a nursing position it is for that position only.

    Unless you are into a fellowship program during orientation that offers you a choice before starting I'm afraid that med surg will be their choice for you .

    How much experience do you have? Are you a new graduate?

    Have you inquired from the employer if it is still not too late to ask for a change?
  4. by   nurse_doty
    yes, i am a new graduate and i just passed the boards.

    the thing is, the hospital has given me a choice to pick my fellowship training and i'm having a problem deciding. can u help me?
  5. by   P_RN
    Just my humble opinion ...but.....

    Actually I would recommend med/surg. I think you need to get to know the hospital routines, rules, skills and politics first.

    A lot of people here say that anyone can start in a specialty area now that there is a shortage. I don't see it that way. I'd prefer to get all my skills down so that when I DID make a move to a specialty area I wouldn't be so green!

    As far as being totally responsible for your patient, that goes more to the style of care that is used on each varied unit. I've worked primary care, total care, team nursing, pod nursing and they all have their good and bad points.

    Good luck and congratulations on becoming a nurse!
  6. by   huckfinn
    Go for O.R.

    You will learn everything you need to know for surgery right there. I know lots of people say "go to med-surg first"...I say Bunk! There are entirely different models of organization and procedures, so the med-surg suggestion is hogwash. Lots of new stuff to learn every day, never a dull moment. You are ultimatly responsible for the patient, and you only do them one at a time.
  7. by   Scarlette
    I am also a new grad and I had a choice of Med/Surg and ED where I was hired. I chose med/surg because I feel I'm not ready for emergency/trauma situations right out of school....even though I would LOVE to be in the ED. I'm glad I chose med/'ll soon find out that nursing school barely scratches the surface of what you're going to face on a daily basis. Reality will set in quickly. I can't tell you anything about OR...we only had 1 week of observation in that dept. in school....I've only been working for 2 1/2 months and I am learning so much on the med/surg floor! I don't want to do Med/Surg the rest of my life but I plan on doing it for at least another year until I feel comfortable with my skills there, then I hope to transfer to the ED. Best wishes in whatever you decide to do.