The options are there to go straight to ICU. But, let me give one caveat:
If you choose to learn to drive on the nascar circuit, don't be surprised when some of the drivers run you down. It happens. It happens, alot.
I'm not saying don't do it. But, it IS a choice that YOU are making. As a result, you really can't complain about being 'eaten' when there are obstacles and attitudes to overcome based on your choice.
I'm an advocate of a year on med surg. I had 3 before moving to ICU 10 yrs ago. Did it stop me from being run over by assertive nurses there? Oh, no, not at all. My first year in ICU was far from certain and mostly due to a few key personalities.
But I WILL say this. I had 3 yrs of experience in time management, meds, skills, critical thinking AND maybe most important, unit politics. I wouldn't have survived that without those previous skills.
You hear that a year of med surg is recommended for a reason. Yes, you will hear voices that say otherwise. But different perspectives help inform the whole picture, and not necessarily the one perspective.
I know this was such an encouraging thread before I posted. But, a reality check is in order:
IF you go right into CCU, you will meet some resistance from a few of your peers. While most might be accepting, it is the few that can undo your world and taint your experience. That will translate to some "assertive" behavior. If anybody tells you that such attitudes don't exist in THEIR unit, or in most units, then they are whitewashing it for you. I'm not saying it's right, just that it IS an obstacle to overcome in order to persevere.
On top of that, you will have a higher learning curve because you are learning BOTH critical care AND basic nursing.
It's a large amount to bite off. If you choose to do just that, then you really can't complain later about how difficult it is. Learning to be a nurse is difficult enough (and school doesn't teach the real skills, experience does). Go to the first year of nursing threads and read about how difficult it can be. Now, add at least a 20% premium to that difficulty.
For some people, this is a challenge, and they rise to such challenges. That's fine. My point is this: are YOU that type of person.
But all these people telling you how great it is to go straight into critical care and how they did it and do fine, ask them this: what is the attrition rate that they've seen over the years, generally, and for new grads specifically?
In my group of 5 critical care students, 10 yrs ago, I'm the ONLY nurse to my knowledge that is still practicing as a critical care nurse. 3 never made it through the first year. The other quit after about 4. I will confess that THAT unit, 10 yrs ago, was a difficult place for new critical care nurses to excel. But, that is a common, if not universal or majority, reality.
Sorry to be the 'keep it in perspective' voice. I wish you well.