New Grads in the PACU - page 3

I know this topic has been bopped around in here a few times, but here it goes... I am a 35 year old, second-career, NEW grad RN with a license so new (7 days) that the ink is still wet! I'm... Read More

  1. by   GHGoonette
    Rojo, what kind of cases do you see on a day to day basis and what is the staffing like? Do you do a lot of paeds, and do you see many critically ill patients? Also, what level trauma does the hospital have, and how cooperative are the anaesthesia providers? On average, how often does the staff get called out and are you alone or are there others on duty with you?
  2. by   Rojo33
    Wow, tx for such a quick response. We see a lot of total knee/hips, lum/lams, lap choles, carotids, mysectomies, a little bit of everything. We're not the largest facility with only 9 bays but our hospital has a very good reputation so we stay busy. We don't see a lot of trauma but occasionally we will (lvl II).
  3. by   GHGoonette
    Level 2 will mean you see your fair share of after-hours emergencies, with potentially risky patients. I think you may be wise to request an extension of your orientation period, not so much for the increased experience, although that's important, but for your own level of confidence. Speak to your preceptor about it; she may feel you're ready as far as experience goes, but if you feel in any way unsure of yourself, try for at least an extra month.

    As regards my other question, will you be alone on call, or is there another nurse with you? When we do call, there are two people called out, an RN and an EN (enrolled nurse, approximately the equivalent of an LPN). The RN usually receives the unconscious patients, wakes them up and then hands them over to the EN in order to receive the next unconscious patient. If there's more than one list running, there should be an extra RN on duty, but staffing doesn't always allow for it. In such cases, where the RN is busy with one unconscious patient, and another rolls into PACU, the anaesthesia provider is supposed to remain with his/her patient until the RN is free to take over.
  4. by   Rojo33
    Yeah I think I will ask for an extension just to be safe. I hope im not coming across as a whiny noob, i just know enough right now to realy understand how much I dont know. As far as call goes, we have 2 ppl. One goes in with the 2nd on standby. We don't have EN's, we manage the pt start to finish. Technically while on call the OR nurse and CRNA are supposed to stay but that from what I understand doesn't always happen.
  5. by   anne74
    I was a new grad in a high acuity PACU. It's a wonderful place to learn how to take care of any kind of patient. Not to mention it's a huge open room, so you're constantly in the presence of other really experienced nurses and you learn a lot from them. I thrived there along with the other new grads. HOWEVER - our hospital has an amazing New Grad residency program, and I had 6 months orientation with a preceptor, and took the ECCO critical care class (along with ACLS and PALS). It all depends on the hospital, and the first thing a new grad should find out is how they handle their orientation and in particular look for a hosptial with a formalized New Grad program.