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Discussion

ICU RN

Hi!

I am an ICU BSN RN with 1 year experience. I currently work in a non-specialized 42 bed ICU. I have experience from surgical, medical (maintaining CVVHD, septic), trauma, neuro (stroke, maintaining EVD), we also rotate into CCU so I have experience with temp pacers, transpacers, pa lines, balloon pumps. The only training I am lacking is in CVICU which I am hoping to start training on soon to make me well rounded, burns (which my facility doesn't take), and transplant. Our patient ratio is 2:1 at all times (unless immediate post op heart). Would I be wise to wait 1 more year before I start traveling? What's the best way to get started?

Wait another year? 12 members have participated

  1. 1. Wait another year?

    • yes
      66%
      8
    • no
      33%
      4

Please sign in or register to vote in this poll.

Featured Replies

Yes, wait. Fresh hearts is a completely new gig and if you want to travel CVICU you should have two years in just that.

Sounds like you work in a very busy ICU and have learned a lot in just a year! But yes, I too think it's best to wait another year. Remember you're competing against seasoned travelers with many years of ICU experience for just one position.

I was in your exact position after my one year of experience in a very busy ICU. Even with fast learners in a very well rounded ICU one year experience really isn't enough to begin traveling. The second year gives you enough time for the skills and knowledge to marinate. You'll become more comfortable and be able to cultivate that "gut instinct" that you need in the ICU. Also besides all that almost every position will absolutely require 2 solid years in the ICU before they will take you. Some positions require 3 to 5 years. I know it's hard to wait around but put in the time and it will pay off in the end.

Do some per diem or PRN jobs around town. That way you will get the feel of it. You get bare orientation, maybe one shift, and then you are on your own. I've been lucky enough to not have any experiences of "being thrown to the wolves", but have heard of several cases where that happens. No matter how big your home facility may be or no matter how much experience you think you have, there are things that you haven't experienced....and probably still won't experience in the next year or two. Best wishes in your travel endeavors....seems like you are getting a great foundation!

  • Author

Thank you all for your advice! The unit I currently work for is very busy, and I have learned a lot the past year. I'm grateful to be in a place where I get to see so much, I love learning new things every day. By no means do I feel like I know everything - probably never will feel that way, but that is why I am nervous about traveling.

I'm about to travel and at one year, I kept questioning myself if I had enough experience. Now at two years, I am glad that I waited because I have gained more experience and confidence. I feel like I am able to handle more compared to when I only had one years experience. I am also now working float pool, so that really helps me gain confidence in working with different units/patients. That second year takes away the doubt that you had =)

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