switch from NICU III to NICU II

[Caroline0074]

Has anyone here ever switched from Level III NICU to Level II NICU? What was your reason and was it worth it? I'm thinking about making the switch, I have been floated to NICU II a few times and I really liked it because the atmosphere is more positive. I've been working in NICU for a 1 1/2 years and I still cant get over how depressing it is most of the time. I do really love the happy endings and I treasure those but I wonder sometimes if maybe I need to try something alittle different before I become jaded.

[Jolie, BSN]

Yes, and I was happy with the change. I spent 3-1/2 years in Level III NICUs, and learned so much! I enjoyed the work, but when hubby was transferred, I was unable to find a job in another Level III unit.

I took a position as an Assistant Head Nurse in a small Level II Nursery in a community hospital. It was quite a change, and required some adjustments on my part. I had never worked in a small community hospital before. I was used to having residents, attendings, and NNPs available at all times. I was also used to working mostly with unmarried teen parents with challenging social situations including drug abuse.

The change to a community setting challenged me to be confident in my assessments and ability to handle emergencies until medical help arrived. It aslo opened my eyes to the fact that there are parents in this world who plan their pregnancies, and want to do everything they can to give their babies the best start in life. I attended many high-risk deliveries, another aspect of care that was not part of working in a Level III unit.

The challenges are different, but no less interesting! Good luck in your decision!

[prmenrs, RN]

I retired from a Level III, later took a parttime job @ a Level II much closer to home. A 40 bed high intensity to a nice 10 bed. Can't think of anything not to like. For a younger, high energy nurse, a Level III is great, and I've been there, done that. And my little unit would drive that nurse up the wall. But it's perfect for me.

[ncbeachgrl]

Hi! I just found this thread and while it's a few days old now, I can definitely add some insight about changing NICU levels. I have just recently left a level III to work at a level II due to my husband's job. It is true what one person said, if you're younger, a level III is more exciting. I thought going to a level II would be great after I charged for a 50 bed, 130 nurse unit. I was so disapointed. Granted, a lot of your experience in the level II will depend in part on the hospital itself, the area where it's at, and what your nurse manager's (and MD's) philosophy is. Not that I don't love all of my babies, but just last night I was commenting that I was losing my skills because we usually admit 32 weekers and above. Not that I would ever wish prematurity on any baby or parent for that matter. You already know this, but I guess it just comes down to where you are in your life. Hope this helps.