I have completed my 4 weeks of orientation to my position that is akin to ANM on my floor. I was able to orient for 2 weeks on nights and 2 weeks on days to meet some of the physicians, staff, and to get a feel for both shifts. I will now be returning to nights permanently.
So far, I am really pleased with entering the management field. I am hourly instead of salaried, so I am getting 10-15 hours of overtime a pay period simply going to meetings and doing office work in addition to working my shifts taking care of patients and being the charge nurse. My manager is really appreciative of her ANMs and other staff, so I really enjoy working with her. I was granted home access to all work programs, including the EHR, so I find myself doing audits from home quite a bit. But even still, my manager has insisted that we get paid for all work done from home.
It has been a steep learning curve transitioning from ICU to med/surg. I am maintaining my ICU and ACLS competencies though by working PRN in my former unit. The rapid response team loves that I am in charge on this unit because it helps them out a lot and avoids a lot of calls to them (i.e., when to call the doctor; having an ICU-trained supervisor carries a lot more weight than a staff med/surg nurse; how to set-up chest tubes, etc.). We are short-staffed on nights by 2-3 nurses most nights, so I do have to take anywhere from 2-5 patients a shift, in addition to being a resource for my staff, dealing with patient/family complaints, communicating with the house supervisor, answering phones/call bells after the HUC leaves at midnight, etc.
So far, I have not had any issues with staff questioning my knowledge or critical care judgment/skills. No one has disrespected me based on my age. However, I have had to counsel a couple staff members on appropriate behavior/professionalism or policies relating to pain medicine, etc.
It has definitely been a great experience, and I am excited to put the time in over the next couple of years so that I can hopefully advance to house supervisor, nurse manager, or some other role.