Tele RN, 7 months, thinking of ICU?

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Specializes in Pediatric and Adult OR, Tele.

Graduated last May with BSN. Been working a step-down tele for about 7 months. Not real keen on the 5-patient load and have been thinking of moving to ICU. I feel like I would do better with less patients and more complex issues than trying to manage 4-5 almost critical patients. Anyone have similar issues in Tele or transferred to ICU from Tele after such a short stint?

Specializes in ICU and Telemetry/Step-Down.

I started working on a Tele/Step-Down floor when I graduated in August 2009. Throughout school my desire was to work in the ICU but due to limited openings and zero experience I wasn't able to get in right away. About 6 months after I started working, 3 positions opened up in the ICU. I applied for the transfer and managed to get the job. I have been in the ICU for almost a year now and do not regret my decision to transfer so early into my nursing career. I liked the Tele floor because it gave me necessary time management skills that I was lacking, however I felt more like a waiter than a nurse at times. I absolutely love the ICU, more for the specialized nursing skills than the decreased patient ratio. The hospital I work for is a Level I trauma center, and we are a mixed ICU so I get to see a little bit of everything. The experience is invaluable, I learn something new almost every time I work, and I am constantly forced to stay on my toes. I say go for it if that's what you want to do! My best advice is to never be afraid to ask questions if you transfer and always be willing to learn more and challenge yourself. You will never know everything, so don't ever act like you do.

You'll be fine. GPU's teach you nothing but minimal time management/prioritization skills. In the ICU even those skills get changed up.

You don't need a year on a GPU before you should transfer as you might hear, it is a crock of monkey poo. You'll be fine going straight from tele to ICU if you're willing and eager to learn. I went straight to ICU out of school and it was a non-issue for me.

Good luck!

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