Help!! ICU Nurse Needing Advice!

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Hi everyone!

I'm really in need of some advice of people that have maybe been in my situation before... so here's the story..

I'm 26, I've been an RN since the summer of 2013. After I graduated I moved to Florida from the Midwest and started a night shift job in oncology. The unit was tele/med surg/neuro/chemo. It was a teaching hospital....yes I felt stupid at times when I was newer, but overall got a good bit more comfortable with time. I eventually was charge nurse. I learned a ton there. But everntally moved home because I wanted to be closer to family.

So my next goal was getting into critical care. I'm still very unsure of what type of nursing I'd like to do long term so I figured this would either be a great stepping stone, or something I'd like to stick with.

Well it's another night shift job... which I hate... but still thought it'd be a good plan. I started had 3 months of orientation.. and still feel awful. This month marks my month 5. It's not that I feel like my assessment skills are bad... or my patients are unsafe under my care... I just feel dumb constantly. To the point I've cried in the back at work and cry on my way home. I get scolded by doctors and nurses daily. Bottom line, I'm afraid I hate it. Absolutely hate my job. I feel terrible saying this but I want nothing more than to quit. No one seems to have respect for anyone there. No matter what I do or say it never seems right.

Its really taking a toll on me..on my confidence and my overall well being...I feel like a failure because I'm used to being good at what I do.. some people (nursing friends from old job) are telling me stick it out for 1 year. My boyfriend of years hates it, wants me to quit so badly because I'm always so upset.

I know I'm the only one that can make this decision and the only one who knows what's best for me, but I'd like some opinions on what I should do?

Bottom line im very unhappy there, but feel like it's best to stay and learn more..

Thanks for the advice guys!

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.

You went from a job at which you were competent to one at which you were not. You're a beginner all over again. It takes about a year to get comfortable in a new job. So suck it up, stick it out and decide how you feel after a year. Good luck. ICU is a wonderful job; I hope you grow to love it.

Its normal to be stressed the 1st 1-2 yrs in intensive care. U will like it after that. U should not be expected to know everything. After 11 yrs in ITU I still learn something new every day. Better safe than sorry, if u don't know something ask someone who is likely to know.

Pray you don't do mistakes. Listen to what people say but don't let it demoralise u. Change gear, do not leave until u find another job offer.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
Its normal to be stressed the 1st 1-2 yrs in intensive care. U will like it after that. U should not be expected to know everything. After 11 yrs in ITU I still learn something new every day. Better safe than sorry, if u don't know something ask someone who is likely to know.

Pray you don't do mistakes. Listen to what people say but don't let it demoralise u. Change gear, do not leave until u find another job offer.

You can type out "intensive care" but not "you"? Please refresh yourself on the Terms of Service. Text speak is not allowed.

By the way, what is "ITU"?

Specializes in ICU.

AliNajaCat, we use Levophed all the time.

It's not that I'm even making mistakes... for example this weekend I called the cardiologist after obtaining an EKG on a patient because I thought I noticed ST elevation on the tele monitor.. sure enough EKG showed STEMI... the patient was asymptomatic... but to me, that did seem like a significant rhythm change and being that he was a few days post CABG thought that they'd want to know... well boy was I wrong! The doctor asked why I got an EKG and called him If the patient wasn't having symptoms in a very condescending "now why would we do that?"- type of manner...

Or this weekend when we had a patient from the ED come up receiving blood products and on levo (suspected gi bleed) ... not my patient but I was helping out a little with transfusions and what not... I called lab to get more FFP thawed and the lab guy made small talk and asked how the patient was... I stated he was becoming more stable...(we were going down on levo, 100% room air, heading in better direction to me)

well the doc heard my comment... when I walked in the room to bring the blood products.. in front of the patient and all the nurses on the unit she yelled "I heard your phone call! This patient is NOT stable! He's on levophed!" Okay yeah I get he wasn't completely stable by any means... but was it necessary to yell? It's not like we weren't all in there helping, getting kings done ASAP, and being serious about it. Ugh

Did the cardiologist say that the patient had had a STEMI?

What was the reason it was necessary for the lab tech to need to know about the patient's condition? As I understand your post, the lab tech was not directly involved in the patient's care. Making "small talk" about a patient's condition with people who don't have a need to know about a patient's care is against HIPAA rules.

There may be valid reasons the physician/s are not supportive of your practice. You didn't mention what the physicians/nurses criticisms are of your practice. I suggest considering if this could be the case and not just assuming they are being mean to you/bullying you.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
AliNajaCat, we use Levophed all the time.

We use it a lot, too. I'm not saying it's a GOOD idea, but it is done.

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