New grad in ICU

Specialties Critical

Published

Hi everyone 🙂

I am currently a nursing student in an accelerated BSN program in which I have a little less than a year until graduation. I still have quite a few clinical rotations to experience, however my heart has always been set on working in a critical care setting, specifically SICU, but ER is a close second. I understand that getting into these specialties as a new grad can prove extremely challenging but I am very determined to reach my end goal.

So, this leads me to my questions:

  1. What can I do now as a student to increase my chances of getting into an ICU as a new grad?
  2. Is bypassing a medsurg floor and going straight into specialty really going to be as detrimental as I've been hearing?

Just some background on my experience if it matters, I've worked as an EMT on a 911 ambulance for going on 5 years now where I've been exposed to lots of trauma and exciting scenarios. I currently also work at a well known children's hospital on a medsurg floor where I do CNA/tech duties so it really helps with time management. I value both of these experiences but I've realized further that medsurg isn't for me. I do love pediatrics (PICU would be awesome!) and hope to get back to that someday, maybe as an NP.

Thanks for reading!

Specializes in Cath lab, ICU.

Many good advices already, but I'll just add one more thing. Learn your EKG, know your rhythms, and learn your 12-leads. Many years ago I worked night shift in an ICU at a level 2 trauma hospital, a brand new grad called the doctor freaking out that her pt was in VT and we didn't know this until the doctor showed up and he was livid and started yelling. Her pt was V-paced. She didn't ask any of us and probably was wondering why we just went about our businesses. The point is, know your rhythms and consult with the senior nurses or your charge nurse. You're NEVER alone in the ICU and I'm hoping that they don't put all new nurses in one shift because it has happened...smh....Also, if you know your 12-lead you could really save your pt's life because you can easily identify an MI and know the culprit coronaries. And could help you understand why the pt's hemodynamics is the way it is. Best of luck!

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