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ICU Nursing

Nurses   (1,230 Views 19 Comments)
by CardiacDork CardiacDork, ADN, RN (Platinum*) Platinum* Nurse

CardiacDork has 5 years experience as a ADN, RN and specializes in ICU.

1 Follower; 3 Articles; 17,615 Visitors; 572 Posts

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Zookeeper44 has 8 years experience as a RN and specializes in Psych.

1,887 Visitors; 82 Posts

Will it make that big of a difference in the grand scheme of your career, to find something different for the next year while you complete your BSN? You already have 5 years' in CCU, and the certification. Is the 6th year in CCU going to make or break your options later?  You need a mental health break for sure.

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Maybe you should consider CRNA school after your BSN or advance? The bedside seems to be crushing you. Its understandable with the current crunch on the bedside ICU nurse. 

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myoglobin has 11 years experience as a ASN, BSN and specializes in ICU, trauma, neuro.

3,614 Visitors; 478 Posts

I have always told my SO that if I wasn't able to go the NP route (PMHNP) in my case and would thus stay in bedside that there is no substitute for California. Why? Ratios mandate no more than 4 to 1 Med/sur, 3 to 1 PCU, and 2 to 1 ICU.  In fact 4/1 Medical surgical in California (also with mandatory overtime after eight hours, and mandatory lunch breaks) may be the best deal in nursing. Consider in my seven or eight years in ICU I've maybe been able to take a total of 15 lunches over that entire time and even they were a "gamble" since the relieving nurse was watching four patients (hers plus mine).  

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myoglobin has 11 years experience as a ASN, BSN and specializes in ICU, trauma, neuro.

3,614 Visitors; 478 Posts

2 hours ago, ICUNurse32 said:

Maybe you should consider CRNA school after your BSN or advance? The bedside seems to be crushing you. Its understandable with the current crunch on the bedside ICU nurse. 

The only negative that I see about CRNA school is that it is a "high risk/high reward" strategy. I have known two individuals (nurses in my ICU) who returned after failing out during the "clinical" portion their last semester. In both cases their preceptor (who was an MD who really didn't think that nurses should be doing the job anyway) basically failed them in clinical.  Thus, instead of graduating they owed about 100K in student loan debt and were still RN's.  I believe that this is much more likely to occur in "deeply MD dominated areas" such as I live in Florida than it is in more enlightened areas such as Washington State, Oregon, or even Pennsylvania.  Of course people can and do fail out of FNP, PMHNP and other programs, but I suspect it is at a substantially lower rate than CRNA school.

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CardiacDork has 5 years experience as a ADN, RN and specializes in ICU.

1 Follower; 3 Articles; 17,615 Visitors; 572 Posts

Although a great career for some, I definitely don’t see myself being a CRNA. I do enjoy the cerebral aspect of ICU, and thus I believe I would also enjoy the theoretical nature of anesthesia - while despising the technical. 

I am not too excited to be putting in lines and tubes in patients all day.

My preferences are patient education/speaking with patients and their families. 

Don’t have a liking for putting in IVs for example. Would much rather educate a patient about CHF. 

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On 7/7/2019 at 9:08 PM, ms boogie said:

Hi cardiacdork. I have 2 words for you.     Outpatient dialysis.   I practiced in critical care for years and I found the perfect nursing job in outpatient dialysis.  It is cake and the best kept secret in the nursing world.  The pay is amazing (can you say very well sought out specialty) and we are closed on Sundays, nights and major holidays.  The best kept secret in the nursing world.  And, I have masters degree.  My only regret is I wish I found it sooner.  

This, plus outpatient surgery clinics. It's better than cake 😀, I think of it as Disneyland. We're closed weekends, nights and holidays. 

My only warning is if the surgery clinic is part of an acute care hospital you may have to take call for PACU.

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myoglobin has 11 years experience as a ASN, BSN and specializes in ICU, trauma, neuro.

3,614 Visitors; 478 Posts

2 hours ago, brownbook said:

This, plus outpatient surgery clinics. It's better than cake 😀, I think of it as Disneyland. We're closed weekends, nights and holidays. 

My only warning is if the surgery clinic is part of an acute care hospital you may have to take call for PACU.

The only bad part of dialysis that I see are the 8 hour shifts. For me at least 50%  of the reason for going into nursing was to have 12 hour shifts and only work 3 days per week and to be able to work nights (since I'm a night person who would prefer to stay up until 0500 anyway). Dialysis tends to be 8 hour days, five days per week in the past I would have told you that I wouldn't do that for 10 million per year (well I would have said I would take the job for a month, then quit/retire and live off my million), but now I'm becoming a PMHNP so I guess I have to eat my words.    

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