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ICU or IMCU for first job?

Nurse Beth Nurse Beth, MSN (Columnist) Educator Columnist Innovator Expert Nurse

Specializes in Med Surg, Tele, ICU, Ortho.

Hi Nurse Beth,

I need a career advice. I just graduated from nursing school and I have an offer as an ICU nurse at a trauma level 1 hospital that is 1 hr away from home

I am a respiratory therapist and therefore has been easier to find a job in ICU, however, its a 2 year commitment and if I leave earlier I will have to pay 10k. The pay is low and I feel the training is being charged in every possible way

I have another option in the IMCU at the current place of work, which is 9 miles away. The pay is better as well
I am confused about what job to take because ICU is my dream job, but I didn't want to start in ICU at the facility at work so I applied for IMCU.

My question is what should I do? Should I take the ICU job or the IMCU one?

Dear Confused,

CONGRATS on having 2 job offers!

Intermediate Care Unit provides care for patients needing close monitoring and is a step down from ICU. You will get good experience but not with pressors, or continuous renal replacement therapy (CRRT), or other modalities.

If you really want ICU, but don't want the ICU at your current facility, then go for it. Two years will go fairly quickly, and you won't regret good training and opportunity.

Best wishes,

Nurse Beth

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