experience –
Pros and Cons of your job?Rating: (votes: 0) Ortho Trauma at a large hospitalPROS - they pay me to show upThe patients get mostly get better each day it is nice to see them improveSome of the docs are very nice and helpful;CONS- The pay is not goodVERY high stressWe are never properly staffedWe rarely have techsIt is very stressful and we have high patient ratiosWe have a high turnover rateSome of the surgeons are complete jerksI do not recommend Comment:
I don't have a speciality since I am a float nurse. Pros- I set my own schedule and don't have to work weekends and holidays. Cons- well there are too many to list. I'm in the process of getting away from he bedside. But I wanted to point out something that I saw in your post. Why don't you look for a wound or IV therapy position? Your still doing care and making a difference but it different than working at the bedside the whole time. Technically you are at the bedside but you come and go.Sent from my iPhone using allnurses.com
Comment:
Medical ICU @ a large hospital PROS- 1 or 2 patients, can be exciting at times (crashing patients, codes, if you're into that sort of thing), tons of autonomy, you get to learn a lot of skills/procedures and work with different technologies (rapid infusers, CVVH machine, ventilators), good for the book smart people of the world, good for anal nurses that like to have a lot of control, if things go wrong, you figure it out. There's no rapid response to help or swat nurses to take your patients away. CONS- not a lot of snacks on the unit d/t our patients mostly being on enteral feedings/NPO (of course this would be the first thing that comes to mind), obviously a lot of death (I had the delightful assignment of taking someone off life support on Christmas), super stressed out family members (enough said), total care (98% of the time I do fingersticks, vitals, ADLs/bedbaths, cleaning+stocking rooms, post-mortem care, I have NEVER delegated blood draws, and most of the time our aides just help with turns), too much responsibility at times (babysitting doctors, everything falls on the nurse), a lot of additional paperwork, noisy alarms
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I float and I have recently worked MS/Tele, ICU and ER. This is my opinoin...Floor nursing: pros- busy, see new things a lot, most patients can talk and tell you what they want, opportunities everywherecons- too many patients, staffing can be poor, lots of charting, physically demanding, if you don't have a good tech you're screwed, have to ask the doc for everything and he gets angry when you call, and also when you don't call...ICU nursing:pros- autonomy, lots of protocols and standing orders, doctors respect ICU nurses, have time to dive into a chart and learn about the patient and know their results, only have 1-2 patients, learn so muchcons- patients are sedated or unresponsive a lot (can be a pro for some, con for me), stressed out families, lose a lot of patients, can be a lot of downtime depending on the hospital acuity, not much ancillary supportER nursing:pros- autonomy, docs are right there - no need to page them, doctors respect ER nurses, high turnover, see lots of stuff, can be excitingcons- don't get to see many outcomes, can be high stress, your patient assignment may not be acuity based because you can't control what comes in, lots of ridiculous patients
Comment:
Thank you for the informative feedback. I guess I'm trying to find something that gives me more time to breathe and actually learn about each individual, and less chaos and stress. I have thought about ambulatory care in a hospital setting - would give me tons of IVs to start, better hours I think, maybe less anxiety? Wound care is also a possibility. I love wound care, but get so stressed when there's no time to devote to learning about the wound and causes/treatments.. Don't like slapping a dressing on it and running to the next thing. Also, does 2 years med/surg/tele give me a good chance of getting a position practically anywhere?
Comment:
I think having some experience should help you land a job in another specialty. If you float you would see how many different departments work. Also try to read through the posts in the specialties section here on Allnurses.
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