nickel38

Thank ya'll do all ya'lls support. Thank you Janfrn, you replied in another one of my posts. I decided to leave the PICU with 2 months under my belt. I was told when I was hired I would get 3 months adn when I started it changed to 6 weeks. During my orientation process my preceptors gave me vague, contradictory, and misleading feedback and comments. The orientation was not very helpful at all.

I am in orientation in the PICU coming from NICU (4 years) and I had a really rough assignment the other day which I made some errors. I was infusing 20m/hr of ffp's to my patient. Because I think my brain was going too fast trying to learn everything and trying to help my patient. I mislabeled the ffp's as platelets. My boss told me the next day I didn't know the difference between platelets and ffp's. I know the difference. I just mislabeled it wrong. I keep going over that day in my mind over and over again because I got a lot of negative non constructive critisim about that day. In thinking about the ffp's I think I might have used the wrong filter tubing and used the platelet filter tubing instead of the blood. What happens when you use platelet filter for ffp's.? I feel terrible, and I don't know if I harmed my patient or not or even helped him.

I saw your post recently and wanted to know how it ended up. I am in the same situation. Came from NICU to PICU and having a rough orientation. My preceptor doesnt tell me anything I am doing wrong other than maybe I am not getting the big picture but that comes with time. I am so confused. They keep trying to push me to the step down floor but can't tell me what Im doing wrong, what I am missing etc.

I too am making the jump from NICU to PICU. I spent 4 years in a level three NICU then moved and the only day position available was in PICU. I kind of always wanted to do PICU. I love kids and wanted a change. My question is how do you know you got it, that you can handle it? I've done 9 shifts so far, having to get used to paper charting, not to mention all these differen disease. I had my first critically ill patient with my preceptor that day and I thought it went well. I thought with more time, that I could be confident in what I do, prior to this day I was having my doubts about PICU, I love the kids but felt like I was paper pushing a lot. Well after I thought things went well, my preceptor tells me that I didn't seem like a NICU nurse(she said most nicu nurses are detail oriented), she felt like I was task oriented and I missed the big picture. Then it really made me question my whole decision again. I am an ICU nurse and I don't want to work on the floors, should I just go back to NICU?