New Grad in ICU feeling terrible...,

Specialties MICU

Updated:   Published

I just began a job in the MICU in a large teaching hospital as a new grad 7 weeks ago. My orientation is 12 weeks long, which includes 7 weeks of working 2 days a week with preceptor and doing ecco course 1 day, 5 weeks doing three day weeks with preceptor. During my interview, the management was pretty hesitant about letting a new grad work in their unit. I left the interview feeling like there was no way I would get the job, but then I did! I feel so lucky to be in my dream position right out of school, but although I feel like I am a "cream of the crop" new grad (I graduated first in my class w/ BSN, did an externship in a level 1 trauma center ED, etc), I am still A NEW GRAD.

Long story short, I alternate between 4 preceptors (which is a problem in itself) and one of them really thinks its unacceptable that they must teach me "basic nursing" rather then only the critical care component. I was told all along in school, you really learn how to be a nurse in your first job in a new grad program. Well, my program wasn't designed for new grads, it is the same program "New to the ICU" nurses go through (that's what all my documents state--new to the icu RN).

Regardless, I am meeting the minimum goals for each week. I am, however, still slower then most nurses at many things. I am still learning to organize and time manage. I feel like they don't understand that my 6 month externship does not bring me up to the same starting level as an RN who worked years in tele or medsurg.

I am just wondering, are there expectations of me unrealistic?

Is a new grad RN supposed to be learning basic nursing things (by this I mean becoming comfortable with giving report, talking to doctors, organizing your day)?

If I am the one who is wrong, I would like to know, because in that case maybe I am truly NOT ready for icu yet...

Specializes in Hospice, Palliative Care.
ProgressiveActivist said:
have a great ICU worksheet if you're interested.

May I have a copy please?

Thank you.

Specializes in Pediatric Hematology/Oncology.
pmabraham said:
May I have a copy please?

Thank you.

The worksheet was posted on the first page of comments.

Specializes in burn ICU, SICU, ER, Trauma Rapid Response.
VANurse2010 said:
I've seen too many new grads make mistakes and too many floor nurses do well in the to ever believe such a mindset is appropriate.

I wonder if this is because you are a VA nurse. In my experience the VA doesn't provide a comprehensive training program for new grads.

Where I work new grads go through a 9 month critical care nurses residency and it's intense and high stakes. Standards are very high and plenty wash out. After that each nurse resident is assigned to a mentor. They work the same schedule as their mentor and the monitor agrees (and is compensated for) to be the resident's "go to" person and to keep their eye on the grad. After 12 months of being on their own the resident, his/her mentor, and the unit manager get together and decide if the resident is ready to move on to open heart orientation. If they do, they attend several days worth of classes, observe an open heart operation in the OR, then are assigned to a heart preceptor and start recovering open hearts together. After a dozen or so hearts they start recovering them on their own, while having an eye kept on them and only on day shift so they can be better supported.

I only have experience in one large VA medical center, but their ICU orientation was a joke.

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