Quick advice on multiple unit offers!

[parasalyne]

Hi y'all. I recently applied for a GN residency program in a panel interview. It included directors and nursing managers from:

1. CV Intermediate I AND 2
   
2. Oncology
   
3. Medical/Cardiac
   
4. MICU
   
5. General Surgery: Bariatric unit
   
6. SICU: Ortho
   
7. Observation unit
   

I got a phone call back and was offered positions from all of the units (really lucky!!! But I have to call back in the next few days) and would like in sight. I have been doing research. My best friend's mom is a nurse and I asked for her advice; she said if I didn't want to do (very) critical care, go with gen surg bariatric where I'll be able to use basic nursing skills--doing NGTs, urinary caths, etc.

I am narrowing it down to MICU (since I've had clinicals in this specific unit), the observation unit, and bariatrics. I WOULD LOVE Y'ALLS ADVICE!

I am planning to go back for furthering my education within the next 6 months, so that is also another factor. I want space for me to focus on my education and my job at the same time. Thank you, nurses!!!

[Been there,done that, ASN, RN]

MICU is far from laid back.You need to learn your basic skllls before you apply them in the critical setting.

Bariatric patients will quickly become routine.. and suck the life out of you.

The observation unit would show you a variety of patients, with a variety of interventions/ levels of care needed.

Best of luck whatever you decide.

[rearviewmirror, BSN, RN]

surgery, go to surgery. ER is made of 75% recyclers that follows this algorithm: go to e-->ask for narcotics, get blood work, rads, etc--->everything is negative, d/c home with specialist--->never go see them because "my insurance don't cover" or "I don't want to pay"--->come back for same thing, same complaint, wants dilaudid and get high--->everything is negative again, d/c and repeat.

That's pretty much most of ER for you. There are some cool cases that make you bad-a nurse like intubations, stemi, stroke, trauma, etc but most of the ER is what I described above, and that killed me, so I left. I would have chose OR of all specialties if I went back to bedside, working alongside with surgeon, learn a lot, be unique and an asset, and get knives thrown at by attending and dodging them.

[CanadianAbroad]

If your ultimate goal is the ER, I would work Obs. I work Obs (we call it CDU) and it is part of the ER. We see a good mix of patients, and run codes a lot. We have seen an influx of higher acuity patients. Considering you would be an extension of the ER, it would be a natural progression to the ER. Just food for thought from someone who works on that unit.