I think what I like most is that Nursing gives you so many options, and some of them don’t even involve patient care. I was not informed at the time that I would not be allowed to work in the ER or Newborn Nursery or PACU – my three areas of interest – because they don’t hire new nurses into those specialties unless you precepted at their facility. However, I’m now so confused and heartbroken. I’ve just been offered a position on the unit and some of the nurses have suggested I get med-surg experience before I try to work in ambulatory surgery, and that it’s more of a place for people with significant experience.

She currently serves as an RN content Specialist for Clipboard Health. I’m already a birth doula and I was so looking forward to OB and my clinicals in OB.

This is why ICU is so dangerous because meds are given the incorrect route all of the time; this is why med-surg is so impt. Just a tip for anyone considering nursing or is in school now: geography is going to be a big factor in your ability to get into your choice of job. Well.. of course I will get what I am given but still being undecisive what path I want to take. I’m really glad I read this article.

Every nurse knows that they get interrupted, and ICU nurses are no exception. For instance, a surgeon needs to insert a femoral line under sterile conditions. 4. The additional PCU staff includes nursing assistants, patient care technicians, and unit clerks.

It seemed boring and slow compared to my job as an extern.

Really very like it. If those options don’t work, you may have to consider leaving your contract (have something in place first though). A patient may be admitted to the ICU if they experience: While there are similarities between the PCU and ICU, the major differences lie in the types of care and treatment plans for patients, the staffing level requirements, and the clinical knowledge and expertise required in each unit. I really want to get into OR nursing. Related. There was just something about the patients, the equipment and the prestige that always interested me.

As a nurse you are not to good to work anywhere, her attitude is actually what is wrong with this current generation of nurses.

I really enjoyed my psych rotation in school and love talking and educating patients. She also suggested that after we get our experience, we could later apply for the CCU. I have never regretted that even one tiny bit.

As a recent grad who finally got their nursing license, I’ve been applying to jobs nonstop and not get much. The Bureau of Labor Statistics projects that the overall demand for registered nurses expected to grow by 12% by 2028, and critical care nurses are playing an important role in this growth.

Thank you Marsha! With jobs being so tight for new grads, I would like to see hospitals open up internships in various areas where new grads can gain experience and decide where their niche is. I had to go up against the beliefs of the admin above me. PCU stands for “progressive care unit.” Patients on PCU floors require more monitoring and assessment than patients on regular hospital floors, but their conditions are stable enough to avoid the ICU (intensive care unit). Unless the patient is an emergency admission, patients typically need a referral from their doctor or specialist to be transferred to the ICU from other floors of the hospital. Nurses in these units must monitor patient conditions carefully, as they may be at increased risk for complications. Any suggestions? I agree… If you’re placed in a undesired specialty, it’s not necessarily a bad thing. I’m just saying going into your preferred specialty from the beginning could lead to burnout and failure. It really does depend on where your heart is drawing you the most. I am unable to sleep well and have exhaustion. Although this is certainly not true of all hospitals, med-surg nurses get help on occasion due to high ratios. Shortly after, I received a call for a phone interview and was immediately offered a RN resident position in Trauma Stepdown at a Level 1 trauma hospital.

Thanks again!!! It breaks my heart to hear about nurses who feel miserable in their position because of some outdated “rule.”. But I disagree with this article 100%. I also believe in pursuing a specialty that you’re interested in. And at the time, I didn’t want to spend 6 months to a year doing something I probably wouldn’t enjoy. Q: What is PCCN certification? Some locale are saturated with new grads. Albeit, the stressors may be different, but it’s important to seek out ways of self-care to help you deal with it. I took the first job offered (and the only one I applied for) because I was desperate to have a job secured before graduation to relieve the financial burden on my family.

As a nurse working in a critical care setting, you may have to answer important questions about a patient’s condition and communicate information to them and their loved ones. Looking for work in an ICU or PCU? If you’re truly interested in one line of work, do what you love and not what’s expected. Other procedures are also done at the bedside, including opening up a CABG patient’s sternal incision on the spot to save a life. If I had started with less acute patients, I would have got more of the “basics” and learned time management. The ICU will support patients through traumatic injuries, heart attacks, strokes, and severe respiratory/circulation issues, to name a few. I have to say that I think cultivating enthusiasm is extremely important in both new grads and seasoned nurses! I have always proposed that new nurses need to have a few years experience before moving into advanced practice and management.

I have been working/orienting in a med-surg/tele unit at a community hospital for about 2 months. You need to start out in med-surg so you can learn prioritization of care, get your rhythm, learn how to document, develop your basic skills (PIV insertion, NG insertion, tube feedings, using the IV pump, kangaroo, tpn administration, admin. I now WELCOME the opportunity to solidify a strong nursing foundation in Med-Surg–which is like the basic currency of nursing– before attempting to hit the big leagues.
Many hospitals have a 2:1 nursing ratio for ICU patients. I don’t really hate it. Good luck! After this update, I immediately begin to apply to every RN residency program in my state. Would the money you would have to pay back be just as important as your reducing current stress level and overall well-being? Medical Surgical nurses aka Med Surg nurses work in a variety of clinical settings and their work supports many patients post-surgery or in a general medicine unit. The study concluded that RNs with specialty certification may ultimately speed the process of bringing the latest research-backed practices into everyday clinical settings, which ensures that patients in PCUs and ICUs receive the highest quality of care. Her answer was exactly what you wrote about….apply for L/D because life is too short. Which brings me to the next point…. Oftentimes, PCU’s are used for monitoring patients during or after cardiac events.

Lots of 7p to 7a and mandatory overtime. It was a nurse residency program. And thanks for supporting new grads who would like to start in specialty areas first. What I don’t understand is what I needed to do differently so that patients didn’t complain? This is just not so in the ICU. If PICC team is where you want to be, I say go for it. I never thought I was going to become a nurse growing up, so the thought of doing something nurse-y freaked me out. A bigger chuck of us landed in whatever we could get. The Medical Surgical Unit is an 8 bed unit with the purpose of allowing transfers or admissions of medical surgical acute care patients who would benefit from a single room placement due to isolation or other identified needs. I knew I wanted critical care. I know this may change when school and clinicals start it’s comforting to know that these ideas aren’t crazy!

I’m also pursuing career as RN. What’s the worse case scenario–having to start on a Medsurg without new grad status (read leniency)? It can be difficult to keep our sparks burning bright, but AMSN President Robin Hertel and some special med-surg RNs commit to being your spark when you need it. I asked her this very question, if I should apply for the L/D residency or if I should work in med surg for a few years to solidify my skills.
Excellent post about Medical-Surgical Nursing. Your email address will not be published. “Working at Med-surg is a waste of time, hard to get any critical nursing care opportunities.” A quote from my co-worker today. During our one-on-one meeting for the transfer, she kept trying to convine me that I needed to start med surg or neuro telemetry (basically med surg). Med-surg is the back-bone of nursing. I worked a med-surg acute care floor directly out of nursing school. Hi Schaina! Wouldn’t L&D or psych run into same dilemma? My first job out of nursing school was on a med-surg floor.

This is because of the constantly shifting nature of the ICU patient. Along with the belief that Med-Surg is an excellent foundation for nursing practice, there is a certain creed among the nursing profession that new graduate nurses should begin their nursing career in this specialty regardless of their true desire to work in other areas. I, too, am interested in something other than Medsurg. It doesn’t do to only perform a focused assessment, either.

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