I have a major dilenma on my hands. I am just about finished nursing school, i only have finals left. FOr the past year I have been working in the PACU as a nurse extern. I was offered an RN position there. I accepted the position.
Recently, I had a change of heart. I have been feeling that I need to go to the floor to get exepreince and to gain a knowledge base. I interviewed on a 35 bed cardiac telemtry unit with 15 beds for stepdown. I love the experience this unit will provide me, however the schedule sucks!!!! I would have to do 50%nights and 50% days rotating every two weeks. not only is this unhealthy, but I have an infant and I just dont think i would manage...
the PACU is very busy and chaotic at times. we are a level 1 trauma center, the hospital is always full. we have a lot of overnight patients and SICU borders in our PACU. I feel that I would learn alot in the PACU but I am worried that I dont have the knowledge base or skills to be successful. My manger offered me 6 months of orientation or more if needed, our clinical nurse specilists are putting together a PACU specific orientation for me/new grads, the hospital offers an a gatewya program which includes a critical care course.
i am torn, what would you all do?
thanks, sorry this was so long
Dec 5, '07
first, congrats on you finishing up nursing school..i'm sure the hard work was worth it!
the recovery room was where i wanted to start-out as a new rn (but i had prior lpn experience to refer to though). that being said, at the time i finished my bsn program, pacu wasn't available for new grads/rns...gateway to critical care for the icu/ccu was available though. in order to work recovery/pacu, one has to have at least one year's critical care experience first (as we receive unit patients from time-to-time). so it made perfect sense to complete the gateway to critical care course, work icu, the transfer to pacu.
but since your manager/hospital is willing to send you to their gateway to critical care, give you a six month or more orientation with a cns to guide you along...i say go for it! pacu hrs aren't all that bad either. you'll get to pick which shift you'd want to work; it may require you to carry an on-call pager from time-to-time, this may also mean carrying the on-call pager over a weekend as well. but that won't come until after your orientation is complete; you & your manager/cns feel comfortable enough for that. the staff in your pacu already know you...have seen your work ethics & obviously like them or they wouldn't have asked you to stay!
good luck in your boards & your future endeavors!
Dec 6, '07
Believe me, PACU jobs for new grads are few and far between. I am sure you were only offered it since they already knew you and you have been working there as an extern. Congratulations on the offer! I think that the orientation that they are offering you is a very good one--6 months is a lot more than I got as a new grad! Considering the alternative of nights/days with a new baby I think the PACU option is better. PACU is a very good specialty if you enjoy it.
Dec 6, '07
DEFINITELY stick with the PACU job!! You get a lot of exposure there to many different kinds of patients, both critical and floor sorts, and overall I think it's just a better job.
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