Hey nurse friends,
My nursing experience for seven years has been on what my hospital called a med-surg/ tele unit. The hospital has only med-surg units and ICUs; no step down or progressive care unit.
On the med-surg/tele unit we took care of patients on IV gtts like Cardizem, Amiodarone, Nitro, Integrillin, Heparin, Lidocaine, low dose Dopamine. We had patients immediately pre & post caths with interventions and femoral sheaths, PPM & ICD implantation, pre & post CV and EPS, in with chest pain, MIs, post-op day one CABG and valve surgeries... among others.
I just took my first travel assignment & I picked a med-surg/tele unit, thinking it'd be a good fit. But at this hospital, all those patients pretty much go to the ICU. The nurse manager said when they renovate they're going to build a step down unit....
Would someone explain to me the differences? For my next assignment I may consider a step down unit, if I have the right experience. What type of care is provided there compared to that of med-surg? I'm not sure now where I best fit.