Friday, September 19, 2008

What to do, what to do, what to do...

Over the next several weeks I have lots of decisions to make. Particularly, where I want to end up working when school is over and done. I am in the ED now, and always thought I wanted to stay there. That is until last week when I had my clinical rotation through ICU. My experience in ICU was the best experience yet in nursing school. The nurse I was paired with was FANTASTIC! She gave me total patient care and control of all of the decisions, telling me "you're the boss, what do you think?" Patient to nurse ratio is 2:1 and the pace is usually much slower than the ED, giving you time to really learn about your patient and their complex problems. I have requested to do my 120 hour preceptorship in ICU and even "name dropped" this nurse to our coordinator hoping she will pair me up with her again. On the other hand, already working in the ED, I know I love it. I have my clinical rotation through there tomorrow and am excited to go, in my element, where I feel like I can shine. I have already talked with my Manager about being hired after I graduate and it looks like it will happen. So here is my dilemma: I loved ICU with the complexity and time to really gain knowledge in a more controlled environment. I love the ED. The fast pace keeps you busy and makes you think on your feet with more of a treat 'em and street 'em attitude. The problem I see with the ED is our regulars (the drug seekers). You know them by name when they come through the door. They get tiring. I am afraid after already dealing with them as a tech for almost two years and then taking them on as their nurse will burn me out fast, and I don't want to get burned out. I love working with the patients who truly have emergencies. I don't love working with the ones who are complaining of elbow pain while leaning over, bearing full weight on that same elbow as they tell you they are allergic to all other narcotics except the one they want the Doctor to give them. You know it is so they can get high again. After all of the thinking is done, I will probably stay in the ED because that is truly what I want to do. I just need all of it to process through.

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