I'm just curious about the general thoughts on new grads in the ICU.
The units I work in have been seeing a huge influx over the last 2-3 years, mostly out of necessity. For the most part, they have been doing well, and we all know there are nurses of 30 years out there who can be more scary than a new grad. We are a medium acuity ICU and it's probably a good place for new grads interested in critical care to get into.
On the downside, there has definitely seemed to be an increase in rookie mistakes, some of which have been potentially deadly to patients (pneumos from badly dropped dobhoffs, extubation without turning off sedation, missing critical changes in condition, etc).
Part of me feels like we've dumbed down the nursing process to the point that even in critical care any average nurse can do it. ICU used to be a respected nursing position and they were considered the "best of the best" (I've even heard patients say that a time or two). We were called on to start IVs and answer tough questions and handle difficult situations, but now we have a bunch of one year old nurses who have barely put in a foley running around the units.
Again, most are doing well, and I don't intend this to be a condescending post, but I find myself skeptical of the decision I've seen in at least 2 or 3 hospitals to allow a lot of new grads into staffing.
We need the staffing, yes, but when a rookie mistake is putting patient's lives at risk, is it worth it?