Greetings, CCNurses, Im a step-down ICU(mostly medical) nurse. I have been doing this job for a year and a half and desperately need a change. This was my first job out of nursing school. I really wanted to do critical care nursing and enjoy learning and applying the knowledge however I did not want to go directly into ICU for fear that my lack of experience could grant an unstable patient a celestial discharge.
The step down unit I work on has a high acuity level (i.e. all vented patients, some on stable gtts, with multiple co-morbidities, I also have ACLS) The problem is, improper staffing of the unit, everyone and I mean EVERYONE is a full code regardless condition (ethics never bothers with our unit) Many of these patients are unresponsive due to anoxic events or their bodies had enough of our interventions, they all have multiple decubs and some of the families have rediculous expectations or are just plain in it to get social security and maybe sue the hospital. It is very depressing and I want out before I become totally disgusted with nursing. I worked hard to get here, graduated with honors while putting myself through school as a single mother with two children (I now have the huge student loans to prove it). What areas of critical care nursing have you found rewarding? What qualities/qualifications must a nurse possess to work in these types of areas? Are there any good places to work in SouthEast Michigan that treat nurses like human beings. I would greatly value any feedback that you more experienced RN's may have