mzbree

I say you find an alternative source of study unless you absolutely can't find anything else. We as humans learn best when we are motivated.

I think that you should open your mouth and say that you don't feel like the orientation that you are getting is enough. As far as giving up the IMC position is concerned I would say, never give up your dreams. Just tell your unit educator how you really feel, and how much you really want to advance in your career. After all, patient safety is of utmost concern; you want to be proficient in every task that you do. The only way to ensure this is a great orientation experience.

I couldn't have said it any better!

It is veeeery overwhelming. I should know, as my unit is the exact same way most nights. I've seen everything from acute MIs to GI bleeds to unresponsive SVT, you name it; we've had it! The key is they are trying to make your unit a step-down unit. That's why you are seeing an increase in patient acuity level. But you have every right to be overwhelmed, and you should speak up about it. Mind you that most ICU nurses can only have a maximum of 2 patients with the acuity level that your patients have; on any other floor (well at least on ours) the max is 6 patients. I really think you should have a serious discussion with your director about how these working conditions can negatively affect patient outcome in the long run. Safety is of utmost importance (in my mind), so a nurse with only 1 and 1/4 years experience as the most experienced nurse on the shift raises a red flag.

Say Jeff, I heard Dr. Newell celebrated his birthday last night. Must've had a dog gone good time!!!