Where should a new grad nurse start? ICU or ED?

Is the ICU or the ED better for a new grad nurse? Is there advantage to one versus the other?

I answer another #heysean Q&A from the tribe.

Until next time…


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The views and opinions expressed on this channel and/or in the videos on this channel are that of myself and not of any educational institution. In compliance with HIPAA and to ensure patient privacy, all patient identifiers in all videos have been deleted and/or altered. The views expressed on this channel and/or in the videos on this channel are personal opinions only, not intended as medical advice. The information I present is for general knowledge purposes only.

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[melnice]

I once heard a Dr say ER nurses are like cowboys of nursing and the ICU nurses are like the Marines of nursing

[chads]

Sean, I have been following you for about 6 months now. Your videos are very straight forward and are grateful appreciated. Your videos have helped solidify my “why”, and I reflect on that often. Thank you for your hard work and experienced opinions.

[helenebevhelen]

This is a good post. As an upcoming grad (in May) I will be looking into a nurse residency that gives me options to go into many different specialties. My personal top 3 are ED, NeuroICU and OR. Right now (since the only clinical ED experience I have is with pedi - and the hospital where my dream job is located only hires BSN) I'm leaning towards ED or OR while I earn my BSN. Long term goal is I want to do travel or flight nursing. Not sure if either of my top two would be a good fit for that.

[susynne]

oh! this is EXACTLY my question! Thank you for addressing it.

[kurt]

Hey Sean! Thank you for your videos. At times I wonder if I'll find a way to simply obtain my associates and have come close to throwing in the towel due to numerous hurdles.But the energy and knowledge you throw out is invigorating and one of the contributing factors in helping me put one foot in front of the other

[iwatchkittenvids]

Neither, at least in nyc, cause no1 will take a new grad. They want a year or two of experience which makes no sense cause you're going to learn floor nursing instead. Mold the new grad not the person developed a mindset

Although there are residencies

[kurt]

I'm thinking when the time comes I'll take what ever position they're willing to offer if its at the Hospital I want to get into

[slstuart]

Really enjoyed this content. I’m graduating in 6 weeks, with an ultimate goal of obtaining my DNP in Pediatric Acute Care. Do you think it would be beneficial to experience both of those areas? Thanks for the great videos!

[Johndoe-usob]

I really think new grad nurses should challenge themselves in their first year, so they can grow exponentially. However, it is important for them to do it safely. I have noticed that most ICU are hiring new grads over experienced nurses. Unfortunately, these nurses are not staying. In my humble opinion they should be loyal and stay for at least 5 years.

[resusart]

Hey @seandent, Im 6 months in the ED and it looks like im stuck in deciding what my future is going to be like. I would LOVE to be a NP in the ED but from my experience they get stuck most of the time with lower acuity pts with the PAs. Maybe its just my facility but it looks like from what I see the FNPs in the ICU have much more fun and scope.
SOO it looks like I will either stay as an ED nurse for my career and teach one day OR become an ACNP and work in the ICU.
Have u noticed this scope of practice trend when you come down for ur consults with the ED NPs????

[TammiLay]

In the ICU are there always MD or NP present 24 hours or do they just do rounds like other units?

[matthewbargerstock]

No where there is NO hazard pay benefit for workers who Day in an out for the Nurses who are putting their lives and their families at risk to take care of people who have tested positive for you guessed it for Covid-19!

[jeffrt]

What about RT's? Oh wait, we cover the entire hospital!