New Grad in ICU struggling

Specialties Critical

Published

Hi everyone, new to the site and the nursing world.

Story in a nutshell: Graduated in May 2009 with a BSN and finally got a job in Florida as a new grad in a critical care program that rotates you through the different units. Basically, the first few months are mostly classroom doing the AANA ECCO program, and you build up to your 3 12 hour shifts per week. My first "rotation" is six months long, so I came of orientation at the end of May and worked through the 4th of July solo, got good reviews from my preceptor and coworkers, etc.

After that I was rotated to the Cardiac/Thoracic Intensive Care unit, given 8 shifts, and then "facilitated"-basically being tested to see if you can handle the patient load alone. The managements main complaint was that i did not have the concentrations and max dosing levels of some vasoactive drugs memorized, and that I take longer on some tasks. They said that they thought it would take another 4 weeks for me to be able to work alone (bringing my orientation on this unit to 8 weeks) Therefore, the unit did not want me, and I have just had a meeting with my rotation director where they are questioning whether I'm fit for critical care or not.

My question is, does 8 shifts seem a little short to anyone else? Granted, i was oriented in the neuro unit, but shouldnt there be a bit more leeway coming into the new unit, especially as a new graduate having not experienced 90 percent of what goes on there? I was told that since other rotators are able to pass, i should too, and that they dont have the budget for someone who needs a longer orientation. Am I truly not fit for critical care nursing? Thanks for any advice

Specializes in ICU + Infection Prevention.

OK, I'm still just a nursing student, but I know a thing or two about how people work. It really sounds like it is one of two scenarios. One you might be able to do something about, the other not:

1. Someone doesn't like YOU and so they will nit-pick you and hang you out to dry for frivolous procedural points that everyone else does without criticism and use it as an excuse to ax you. This is because they don't have the maturity to work out a personal problem directly, OR *they* don't see it as a resolvable conflict. The only thing you can do about this is: "Let's be straight forward. I like to be compatible with everyone. It is key to teamwork. If my style and interaction is rubbing you or the unit the wrong way, let's identify that and see if it can be shifted to fit. Not everyone fits in everywhere, but I am willing to try."

2. Pressure from management... it is a bad way to run a show but lots of businesses follow this HR routine:

Management: "OK we need 6 highly skilled people fast. Go find me a dozen of the best cadidates you can and run them into the ground in a super short (cheap) crash course. We figure half will not make the cut."

Training: "OK, great news, 8 made the cut!

Management: "***** We can't keep 8 new employees! Get rid of two of them. Find a reason... make one up if you need to."

This HR style is common in business, but it is really only indicated for emergency staffing. Unfortunately it is used as a SOP and it quite simply screws over valid candidates, souring them from working for that organization again. This hurts the company too, as does the training results of the crash course, even with competent candidates!

12 weeks in the tele

Specializes in ER, Addictions, Geriatrics.
12 weeks in the tele

How many different threads have you posted this answer in? I already saw the ER one you dug up from January...

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