As a core ED nurse who has worked in ICU on several occasion, I see both sides. I enjoy both, but you are right in saying that both are drastically different. I enjoy the unpredictability and chaos of ED, as well as the in depth care, combing through of minute details/pathophysiology of ICU. That said, I am proud of the ED..there have been nights where it was been 3 intubations (brain bleeds at that) back to back with only two nurses, an respiratory therapist, one doc, and one patient care assistant, with 12 other patients, on the floor, new EMSes, and an active code. There is a rivalry between ICU and ED, but one thing I ask of those nurses who work in the ICU, please shed us a little grace..remember, we stabilize so that you may do your job. 😁
Could you suggest if icu nurse spaced out with my senior friend care ICU care and I called her on it politely and she deflected towards me extensively how to report .My friends ER nurse was excellent thank you
The ADHD thing is SPOT ON!!! Lol I can attest that my ADHD has made me a better ED nurse. People are like "You're such a hard worker." Actually, I just can't sit still. 😅😅😅
I can see myself being a ICU nurse over an ER nurse . I'm a current nursing student . I want the same two patients all day . I like to work on my own .
This is so spot on its uncanny. I’ve gotten told that by three of the providers and my excuse is simply I can’t sit still. In fact people can see when I’m anxious because I don’t have enough to do.
I appear calm on the outside, but a restless mind thing is one of my main work // anxiety drivers and sources of frustration having adhd that was not diagnosed until my late 30's.
this video kinda down plays ER Nurses lol we titrate drips all the time, we have multiple icu pts vented/nonvented, we resuscitate people and save their lives and get them to u with IVs, diagnosis, drips, foleys, ng, etc, we put in chest tubes and u guys manage critical but we get them when they are at their WORST. Not to mention the gun shots, stabbing, mvc, sexual assault, code blues adults and children.
This guy makes it seem like ER nurses are babysitters. I don’t think he knows the volume of patients that come through the ER. Also ER nurses stabilize folks. He is full of himself.
ER nurse here and for sure one of the best comparison videos I’ve seen! :) I think this will help student nurses who have no idea what they want to pick. 😂 you made me laugh with all the details. I remember one nurse asked me while I was giving report for assessment info body system by body system for a patient who was in respiratory distress. I said “I don’t really know last BM to be honest. Didn’t ask. She couldn’t breathe and all.” 😂😂😂😂
@@smilinjoe23 I'd imagine those are pretty important questions. Some patients can't eat certain foods for various reasons and Nurses should ensure what they are consuming is correct. If you gave a patient food when they are having swallowing issues and are NPO, that would be a major problem. That's why the "floor" probably asks.
@@michaelreinhart562 I see your point however these are not pertinent at the time and it's frustrating when you sometimes have multiple things going on at one time, for example, stroke/MI/ trauma and we are playing 21 questions on the phone. We all have the same chart. It's the nurse's job to look through the orders to verify everything to ensure what was given in report is still accurate. Sooooo……….their diet is just as easy to look up when they get to the floor😃
ICU nurse. First off, I just want to say I love my ED nurses. You all are badass and I could never handle and put up with what you all do! And those IVs that draw back baby....a blessing! I love working in the ICU and getting to know my patient and working with my team of docs to help with coming up with a plan. I do like the structure of it and knowing somewhat how my day may go, because we all know that what we plan for rarely ever gets implemented the way we want it. But, we do have some structure. I say that ED is chaos and ICU is organized chaos. However, I will say that I am not the Type A ICU nurse, definitely the laid back Type B, but will still get stuff handled because I am not about to have you code on me! You are in great hands :)
Haha man, I'm a type B ED nurse. Most compliments I get are about how nothing phases me no matter how hectic it is... nah I just don't talk about it, I'm trying work here lol
I have worked ED and ICU. I loved them both. I was thirsty for knowledge and enjoyed the drama and adrenaline rushes. I always wanted to challenge myself and improve my skills. You nailed the differences and i hope to watch more of your videos.
I don’t know, I agree some people are made for one or the other unit. Me, I worked both simultaneously. Both ER & ICUs at a Level I trauma center. I believe it’s doable, but you have to want to do it. My background, is EMS, so I think that’s what allowed me to do that. Allows me to be jack of all, master of none. Great video, Bolt 👍🏾
I was working at an ER for years and he is absolutely right that we want to know just the necessary minimum. You don’t need every single detail about an ER patient . A month ago I started working on an ICU and it’s a different world for me. I am always fascinated when I see how much details the other nurses bring up during reports. So much stuff that I wouldn’t think of on the ER.
Great video! The only thing I slightly disagree with is that you definitely shouldn’t underestimate the level of organized chaos that goes on in the ER. At least in my ER (which is a level 1 trauma center) the main trauma nurse, and the med/tasks nurses, medics, and techs that go into the resuscitation room are preassigned. And everything in the room down to the paperclips have an exact spot where they should go. When we get the call from EMS that a critical patient is on the way we literally get in our positions and are prepared within minutes! For that reason most codes and traumas run pretty smooth in the ER if you work at a good hospital :)
OR a Surgical ICU that is pretty much a PACU to Long Term LTAC mixed bag of surprises. Reports from ER > Reports from OR. Reports from OR are literally like, "Pt had this procedure... we might extubate, we don't know. We'll be there in 5 minutes for bedside report."
I HATED giving report to ICU!! LOL Like dude!! I'm giving you report on 1 patient of 20 I just had in the last 4 hrs!! The only thing I'm certain of is this patient is alive and you as an ICU nurse have access to records!! Lol 🤣😂😂🎯
As a student in my prereqs for nursing school, I was unsure of what I wanted to specialize in as far as choosing either ER or ICU. This video gave such a clear and concise description of each specialty and REALLy helped me out. Thank you.
ER nurses deserve more credit. Many days I manage two ICU holds 6 hours + and 2 ER patients while helping with code stemi, strokes patients. It was always our goal in the ED ( kind of a competitive) by the time our dka ED patients arrived to the ICU that their anion gap would be closed ( dka). We rock!
I am an ICU RN and this is spot on! There are several protocols in place and the medications for those protocols are titratable! ICU is structures to a point, and WILL change in - a- blink of an eye! As a new nurse, I am realizing to have an ADHD attitude because they are usually critical! You want to get all this charting done, with all the disruptions that occur! Family is usually there with the patient our whole shift! It wears you out and they are constantly asking repetitive questions! Since, you have this patient for three days their information is easier to remember! It’s not as bad unless you let the stress get to you! You definitely have to keep stress under control! As a nurse, the unknown makes your stress buildup and I refuse to let that happen!
This video made me chuckle, you hit the nail on the head with the comparison. I'm an ICU nurse for over 10+ yrs and also did ER for a year. I can do both but I have the ICU nurse personality. The only thing in which I would say I have as far as ER personality is the can't sit still portion, always had to be doing something. I definitely loved having the autonomy and using my critical thinking as an ICU nurse. ER and ICU nurses I see more as sibling rivalry, where we have a love/hate relationship lol. But at the end of the day we would all be out having a drink together (at least where I worked) and we all definitely knew how to have a good time!!! 🥳🍻😁🤣
We actually take all the labels off the meds in the ED, after that we hide them from ourselves and spin each other around in our chairs until we’re very dizzy
This video explained the ICU so well! Thank you for the wonderful/informative posts. I've always liked the idea of getting into ICU and this solidified so many of my feelings!
ICU nurses are really good at what they do. I'm not taking nothing from an ICU nurse but ER nurses are beast like we are able to handle anything that comes into the hospital. For as autonomy, it is the same or more at least in my hospital. Yes we have physicians present but we order everything we need ourselves basically for the patient. Once, u get really good in the er physicians trust u to basically order what you want. We titrate just the same as ICU nurses without physicians telling us anything. Every patient comes through us first we stabilize them and send them to wherever they need to go. We help think for the doctors, we do every skill u can think of that u learned in Nursing school. We might have 2 icu patients and 2 medsurg patient all at the same time. We may have a cardiac arrest in one room and 3 icu patients in other rooms etc.... As an ER nurse u are able to handle all of them at the same time with minimum help.. In addition, an er nurse can work anywhere and excel with some adjustments on each floor that we would need to learn. However, everybody cannot work in the emergency room.
I'd love to work in the ER, I'd like the juggling, but I really don't like vomit. I'm also the first to stock, clean, and organize. I label everything and can appreciate the details. I can appreciate the immediate gratification of the ER and the long road of pulling someone back from the edge.
PCT here. I work a busy tele unit....one day we had a rapid on a patient and they needed to be sent to the unit. ICU had a bed but omg the nurse was taking forever to 'get ready'. Me and the charge nurse unplugged the bed and rolled them over anyway. Watching the ICU nurse become unhinged was the highlight of my day. We already had to deal with 2 code blues plus this, time to share the love. I could never work ICU.
I’m an ICU personality type hiding in the ED because I don’t like sitting still! 🤣 I love chaos and unpredictability to keep me on my toes but I also love organization and order. I come into work and immediately clean up my patients room, fill in their chart and write down everything I do. I also apparently document too much. I wrote down my speech before I call to give report and I’m always asking my coworkers and managers why can’t we be MORE ORGANIZED. Why must we use the ED excuse for why things are out of place and on the floor. Nonetheless, I love the ED. I do wish we could be ICU organized. It would make the ED less chaotic then it is already designed to be. I have yet to try ICU but maybe one day. I was trained to be afraid of giving report to ICU nurses and be on guard for the attitude but I am always pleasant and do not mind providing more info before sending the patient up. Being organized allows me more time to do so. Anyways love the video :)
battle between icu vs ed, ed wins hands down- they are the jack of all trades!!! i don’t like being floated to ed because i cannot get a break and my ocd, neat nature is out of the window everytime im there! im going to work in icu this october!
This was sooo informative to know, and its exactly what I observed about ER Nurses when I did a clinical observation for an EMT class that I'm taking. I actually would prefer to be an ER Nurse, there was never a dull moment.
I am a retired RN. I have worked womb to tomb. I had an invaluable skill in starting IV's and found my calling in the ED Level 1 Trauma Center, and IV Therapy. I guess I'm ADHD and OCD. The ICU made me crazy with all of the tubes and wires everywhere. I would spend 30 minutes sorting them out and making them as neat as possible. I worked 20 plus years as a Contract and Travel nurse and found myself in some unusual and quite frankly dangerous situations. Imagine you go to an adult med/surg 28 bed floor and you are the only nurse with one aide. My agency knew I did not want to work pediatrics. Well, the floor was all pedi overflow and only 4 adults. Eight of the peds needed their IV's restarted. I was disgusted and pissed. I called the Nurse Admin on duty and told him I needed him to come start the IV's on these kids. It took me over two hours to give the meds. Pedi meds have to be double checked for the right doses. I was a wreck and told my agency about this situation and said I would not work there again and if they did that to me again I would quit and report them. Look up algorithms for selecting the right spot for you. Some are a hoot. I did one and it led me right to ED and Traveling Nursing
Thank you so much for taking the time to make this video. As a current nursing student, I am really interested in working in a high acuity ICU and eventually working my way into CRNA school. :-)
I am set to graduate in april and I honestly have no idea what I want to do. But i always though ICU wouldnt be for me but now that i hear you explain it in depth...I have the ICU personality that you described. I love structure! I always wanna know everything about a patient. I annoyed my nurses in clinical with all my questions about labs, and the patho of stuff. I hated med surg because I prefer to focus on one task and spend more time on the patient.Thank you so much for this video! This helped me so much !
Amazing video! Aspiring ED nurse here- I was thinking about working on a Med-Surg floor but I fell in love with the ED on my first day as a volunteer. I loved the pace, variety of cases, and handling the hostile patients and upset families didn't bother me (I mean my first death threat was a little unnerving, but *shrugs*). One of my instructors recommended I apply to work in an ICU because she said I was so focused, but I just wanted to get the most out of clinical :). I don't think I could work with only 1-2 patients at a time and the words "Why don't you apply here?! You'd do great here! " echo in my mind (from the nurses at the ED I volunteered in). It's difficult finding a facility that accepts new grads to critical care areas, and I've heard hiring managers for this department only want nurses with prior experience- that having work experience in other specialties first is irrelevant. Thank you for the video! Definitely helped clarify how to proceed!
It's not just wanting experience, it's also wanting the confidence that experience brings. You don't know what you don't know and having learned to trust your gut, learned to really advocate and educate, and learning what resources you have and when to get them are things only experience can bring. By ALL MEANS GO FOR YOUR DREAMS! Just know to put your thick skin on and it'll get better! Any new assignments is hard, but brand new nurse in the ER will be a huge learning curve.
I have worked both ER & ICU. When in the ER it was treat and street them. ICU was I knew everything about this patient and I HATED playing rotating beds with my patients. Getting a new admit at 4pm then trying to get everything done before the 7 pm shift came in was a mess. I felt like I couldn't give a good report or I may not get everything charted in time.... The supervisor I worked for was the WORST to move my patients out. I have extubated one at 7:30 AM and have to transfer them out by 2 PM and start over. In the little hospital I was at we only had a 6 bed ICU but we was always busy with very sick patients, We were the closest hospital around for like 40 miles,, As an ICU nurse I learned so much about time management and what the most important thing to do first. We not only had the patients to deal with we took our own orders off and faxed everything to the pharmacy while caring for 2 other patients. there was only 2 nurses in the ICU unit. IT WAS VERY DANGEROUS AND BUSY but I loved it.
I just stumbled upon your channel and I just wanted to say I LOVE how you explained this. I am pre-nursing right now, hoping to get into nursing school this fall and later on go into CRNA school, but I am required to have a couple years of critical care experience so I’ve been trying to figure out ICU vs ER and which would be better for me and this really helped me!! I am definitely more of an organization, take your time, get into the nitty gritty kind of person, so now I know that the ICU will definitely work better for me! Thanks a ton!!😊
This is a great video, probably one of the best comparing ER and ICU, and I did appreciate you doing your best to explain ER from a non-biased perspective, I loved hearing about your perspective of ICU, it almost makes me consider transferring, I would love the learning opportunities you would get having only one patient! But I had a few questions; 1. How much abuse do you face in ICU, I know every patient there is at their absolute worst and emotions would be running high, but you also get more time to spend with families and make a difference, that could be a big player in potentially switching 2. What percentage of shifts do you actually get to keep the same patient(s)? I could totally get behind having one or two patients and learning everything about them, but then I know if I got in that mindset I would be frustrated switching them up, but I would also be frustrated with myself as an emerg nurse if I knew I was getting frustrated getting one new patient 3. How often do you get a second brand new patient that requires a lot of work, initial admission work, usually getting a central line and art line, and whatever else, how often does that happen as your second patient and just completely interrupt your flow and would you ever get a second brand new patient with an unstable first patient where the attention to the second patient could negatively impact the first patient? I work in emerg and I'm not a type A personality and I love the chaos of emerg, but I'm just exhausted from having 20 patients a shift, and everyone (patients and families) yelling at me about things I have no control over, and other floors yelling at me about things I can't control, I think I need a change and I don't know if this is just a general nursing problem that exists everywhere, but I'm tired of being understaffed and overworked and not being able to provide the best care to every patient (which I think might be a nursing-wide problem right now), but there's nothing I can do about wait times when we get 3 trauma, a VSA, and an airway patient back to back with one doctor, it just sucks, please tell me ICU is better
I’ve been an ICU RN for 20 yrs & this is my take on your ?’s 1) Abuse: you get a fair amount. We have to deal with A LOT of family issues. No doubt about that. It’s very stressful for families when their loved-one is in the ICU. Plus, many of them don’t survive. There’s a lot of end-of-life issues & ethical ?’s. You can’t let your emotions get outta control. You have to b calm when families aren’t. 2) Continuity of care: in my hospital, if you’re back consecutive shifts u get your same patients back. This is nice bc u know their situation, family, etc. Typically your report from night shift is just any changes from prior so it’s fast. If u have a day or 2 off u might get another team though. In the ICU there may b some patients that are there for weeks & all the nurses get to know them at some point (which is good & bad). 3) New admits: most ICU patients come from the ED, PACU or are transferred from a lower level of care in your facility bc of an acute change. We do get a moderate amount of direct transfers from other hospitals where I work bc i live in a larger city (in my state) with bigger/more acute hospitals. Most of my state is fairly small towns with small, community hospitals that don’t offer ALL specialties, like neurosurgery or ENT. If you work in a Level 1 trauma center hospital you will get A LOT of transfers from other hospitals. I hope this info helps you to make the best decision. If possible, shadow with an ICU RN in the unit you’re considering to get the best idea of what it’s like. Good luck 😊
I was mostly with him up until he got to the DKA pts. It’s been the norm for much longer than this video came out that we’d manage that pt in a hall bed for well past starting and initial titration of the drip. In my experience ICU doesn’t like taking a DKA pt on insulin drip unless there’s something else going on. But the medsurg floors wolnt take em either. So they stay in the ER and we deal with managing them and an unreachable in pt doc. Again to match his experience of the ER, “in my experience” the ICU gets a pt that’s stabilized because we cowboy titrated that pts drips for the last 6 hours until they were stabilized nough we could ignore them for our less stable pts then magically they have a bed. Just watched the next 10 s of the video and this dude has never set foot in an ER. For experienced ER nurses we titrate drips in ways that I’ve seen scare ICU nurses that try out the ER life. We do things and then tell the residents what to order. Once a pt is admitted it’s next to impossible to get a docs input on what to do in a timely fashion. So we do things that keep the pt alive and chart what the doc that gets back to us later said to do.
That really does speak to personality types. I’m ER nurse & when he said that I cringed. I can’t imagine being stuck with the same people all day!! My daughter is a tech in cardiology. She loves having the same patients all day. She even wants the same group on her second day 🤮.
After this video and your explanation of the differences between ER vs ICU nurses, I see why I had such a strong pull to ICU nursing. The personal and close working relationship with your patient. :-)
Lol omg thank you so much for this video! You explained the comparison between the two nurses so well. I’m almost done with nursing school and your video has helped me decide that I belong in the ICU!
I graduate next month. I’ve received numerous offers. ER & ICU both, I’ve had almost every nurse I meet tell me to work icu. I start in September and I am sooo nervous!! I am watching so many videos now to prepare, thanks for this! It prepared me for some obstacles I’ll face!
Just don't bully other nurses. Believe it or not, lateral violence does not make you a better ICU nurse. Even though the other ICU nurses will try to make you think bullying is the way to go.
I know this video has been 4 years ago and I wish you well. I'm an ER nurse in transition to being shifted to PICU and I got interested in the title of your video. Came to the part where you said ED nurses Doesn't CARE about data's, stool info, last meal and so on and so forth but it's just we have too much in our hands and we're pressed on time but yes we do care. It hurted my ER heart but yeah I'm gonna be transferred to critical care soon.
As a long time ER nurse I appreciate how hard you tried to hide your true feelings about us. You are right about one thing. We are fun at a party 😜 I’m curious, what does your shirt say?
I applied for the ER but got an interview with the ICU?? 😅😅 I’m going to go on it bc it’s my dream hospital but I’m scared of them hiring me to the dark side when my ADHD is in full force 😂
Great video well put, however I have ADHD and I am an ICU nurse! I have to keep moving, I get bored easily but I am not good at task switching so being an ER nurse sounds like a nightmare. Just like you I hate the idra of not knowing what to expect. ICU is way better for my hyperfocus and I get anxiety when I dont know everything about my patient. With more than two patients I am overwhelmed!
Thank you. Very informative. Makes a lot of sense. I'm only a nurse in a dementia unit but when I send my people off to ER and they end up in ICU I get it
This is an excellent comparison. In our rather rural, TEACHING hospital, there are attending physicians, residents, NPs and PAs always around in the ICU. That’s why I was shocked to hear you say that you were usually on your own! In our ED however , you usually have more autonomy and put in your own orders. After 3 years of being in the float pool, and the horrors of being charge nurse and a 6-8 patient assignment ALL THE TIME on our surgical floor, often with no aide, sometimes no clerk or phlebotomy, I am going to the ICU! I wanted more so to be in the ED, but am very grateful to be moving on! Thank you for investing in nurses everywhere!
Yes, teaching hospitals are a whole unique flow amongst themselves. They are designed at training and teaching physicians. Not for nurses or anyone else to have autonomy or opportunities.
i enjoyed working in my emergency medicine and ccu clinical rotations, deciding to get my emt-B certification while in an rn to bsn program. i am hoping to get into an er or ccu residency program that i have applied to. I am frustrated from being off 3 years to have major arm, shoulder, and stomach surgery, which has hampered progress, but have my fingers crossed that i can return to work soon. Apparently, also having adhd has been a very mixed blessing as I got bored with slow paced experiences, but could excel when I hyperfocused on one patient at a time on a team.
You mention ADHD for ED. You should mention Autism for ICU. I am autistic and it is very much a match for me. I think a lot of people are just ignorant of autism. People with ADHD can still be seen as competent very easily while it seems very much harder for people to see those with autism as competent. But we are. We love the structure, detail and the limit of one to two patients in the ICU.
Why is there rivalry lol? Both professions are highly needed and only so many people are willing to do it.... Should just be comrades just in slight different areas.
Do you have another video or advice on how to get into ICU nursing as a new grad? Is that even smart to do or should I look to getting experience in med-surg first? Great video! I can't WAIT to be an ICU nurse some day.
Although I knew some struggles of the ICU nurse, your video truly reminds me why they are so much more stressed out than other units, especially during these covid times and being expected to take more than 2 patients! It would suck to have learn everything about a patient, to then be told you have to send that patient off, or to receive a whole new admit with more data to have to memorize ( >,
The worst was when you took report but then Charge tells you something came up and they will take your patients, you have to float. You have to give them a full report now, and go receive all new patients somewhere else.
Lol. There's no "rivalry" because they are not equal. 1 is superior over the other. Only 1 of them can be accepted to the CRNA Program (the Crème de la Crème of all Nursing) Guess which one?
I just subscribed.. love your explanations My dream is ICU & apply to CRNA school. I'm very structured in learning but I also have the ability to multitask due to my ADHD. I'm very observant and I'm great at noticing changes in patients. I'm able to think in critical situations like codes. I have taken BLS and 24hrs later I certified in ACLS. Question: As a new nurse would you recommend starting on a med surg unit or ED and transfer to ICU or would you recommend me to apply directly to ICU? I'm asking because some ppl say go straight to ICU others say get med surg experience 1st. You time is greatly appreciated 😁
Hey Jason! Thanks for your helpful videos. I couldn't help but notice that you stated you're in the bay area. I'm very interested in going to CRNA school at Samuel Merritt -- however trying to get into the ICU first after being a Med/Surg/Onc for a year and a half. Just recently interviewed for a critical care training program at a hospital in Palo Alto, but didn't have "quality examples" during the interview. Any other tips?
i dont know if i was ever in icu; probably. i had a minor heart surgery and some internal surgery but i cant remember. i do recall the hospital main doctors get mad at er doctors a lot. i get their busy but i mean there is a point where they are just rude.thats like an induvial thing though.
Im finding that in the cath lab I am managing cardiogenic shock and running codes as the team leader basically on my own. The cardiologist relies on my decision making and clinical judgement pretty much the entire time the patient is on the table he is too busy placing stents or impella etc. It's like im a mini CRNA LOL
Thanks this is really interesting. Question, I'm a pre-nursing student here interested in CRNA school. What is tritrating a patient mean. Also, what does it mean to handle hemodynamics?
Titrating meds means changing IV infusion rates based off your assessment of the patient. Handling hemodynamics means looking at blood pressures, HR, CO, CI, SVR, CVP and interpreting the data and making decision based off it.
Med surg nurses just want to know if they are blood glucose checks, what’s their diet so I can feed them and keep that call light off and are they walkie talkie. 😭
It’s bc ED nurses have to turn and burn, the info is in the chart, it’s redundant in terms of efficiency. I feel like ICU needs to understand the reality of our roles and look up any relevant data themselves, they need a full head to toe upon arrival to floor anyways.
I did MICU, SICU, Neuro ICU, Pulmonary ICU, Cardiac ICU, Cardiothoracic-Surgical ICU. I was a travel nurse so I worked in 8 different ICU's during my time as staff and travel.
Aspiring nurse here with an ADHD Love of high pace spontaneity… ER sounds up My alley lol. What other areas or specialties would fall under this same category?
The differences are not important. The love for the patient is what matters. ER nurse. These are stereotypes because there are bad ER nurses and horrible ICU nurses. This is like a SWAT officers vs a detective. This guy says "structure" . Er is very structured. Why code sepsis , chest pain protocols, code strokes are all structured. Just have a heart and help others. This is bologna.
ER nurses (hopefully) stabilize patients so they can boot them out. ICU nurses (hopefully) keep them stable and get them better so they can boot them out.
Unfair. We do care. Having worked tons of different areas the one thing that drives nurses sideways is what each nurse sees as important information is not what the other nurse needs to hear. ER nurses go too light because we just need to get them through their event/s so the next team can sort them out. ICU knows every minute thing about a patient but Med/Surg nurses just need to know what does the patient need & what should we look out for? We are expecting ER & ICU to get it right. If we need to know more than the basics, the patient is not stable & they need to stay where they are until we get a boring report!🤣
I chose nurse anesthesiologist fully aware of both career fields and every opportunity to go either path. CRNAs and physician anesthesiologists have the same scope of practice in anesthesia and are held to the same legal standards of care. CRNAs are not owned by physician anesthesiologists so it's inappropriate to use the phrase "their CRNA". They are both two separate independent anesthesia providers.
@@BoltCRNA that is so awesome. Why was the CRNA your choice instead of the MD Anesthesiologist route? What did the CRNA give you that MD couldn't?? Time off? Work life balance?
Haha I’m a med surg nurse 😆 whenever I get report from the ICU I’m always in awe by the amount of information and details. We don’t get any report from ED they just send them up and we have to look through the chart in the notes to get report lol. Whenever the ED send the patients I’m surprised if they even hang a bag of fluids. No disrespect to ED nurses lol
Did you get a free tee shirt 🤣 lol. Makes me think of those shirts we get in a case of beer ! Maybe a case of Versed ? All jokes aside love your video and agree with your comments !
As a core ED nurse who has worked in ICU on several occasion, I see both sides. I enjoy both, but you are right in saying that both are drastically different. I enjoy the unpredictability and chaos of ED, as well as the in depth care, combing through of minute details/pathophysiology of ICU. That said, I am proud of the ED..there have been nights where it was been 3 intubations (brain bleeds at that) back to back with only two nurses, an respiratory therapist, one doc, and one patient care assistant, with 12 other patients, on the floor, new EMSes, and an active code. There is a rivalry between ICU and ED, but one thing I ask of those nurses who work in the ICU, please shed us a little grace..remember, we stabilize so that you may do your job. 😁
Could you suggest if icu nurse spaced out with my senior friend care ICU care and I called her on it politely and she deflected towards me extensively how to report .My friends ER nurse was excellent thank you
The ADHD thing is SPOT ON!!! Lol I can attest that my ADHD has made me a better ED nurse. People are like "You're such a hard worker." Actually, I just can't sit still. 😅😅😅
I can see myself being a ICU nurse over an ER nurse . I'm a current nursing student . I want the same two patients all day . I like to work on my own .
My ADHD is actually one reason I wanna try out ED!
This is so spot on its uncanny. I’ve gotten told that by three of the providers and my excuse is simply I can’t sit still. In fact people can see when I’m anxious because I don’t have enough to do.
I appear calm on the outside, but a restless mind thing is one of my main work // anxiety drivers and sources of frustration having adhd that was not diagnosed until my late 30's.
I have ADHD to the moon back and to the sun and spent years as EMS and am now an ER nurse
this video kinda down plays ER Nurses lol we titrate drips all the time, we have multiple icu pts vented/nonvented, we resuscitate people and save their lives and get them to u with IVs, diagnosis, drips, foleys, ng, etc, we put in chest tubes and u guys manage critical but we get them when they are at their WORST. Not to mention the gun shots, stabbing, mvc, sexual assault, code blues adults and children.
Well said
This guy makes it seem like ER nurses are babysitters. I don’t think he knows the volume of patients that come through the ER. Also ER nurses stabilize folks. He is full of himself.
Well said
Let’s go!! I agree
ER nurse here and for sure one of the best comparison videos I’ve seen! :) I think this will help student nurses who have no idea what they want to pick. 😂 you made me laugh with all the details. I remember one nurse asked me while I was giving report for assessment info body system by body system for a patient who was in respiratory distress. I said “I don’t really know last BM to be honest. Didn’t ask. She couldn’t breathe and all.” 😂😂😂😂
Common questions from the floor : what's the Braden score,?! Or what's their diet order!? 🙄
@@smilinjoe23 I'd imagine those are pretty important questions. Some patients can't eat certain foods for various reasons and Nurses should ensure what they are consuming is correct. If you gave a patient food when they are having swallowing issues and are NPO, that would be a major problem. That's why the "floor" probably asks.
@@michaelreinhart562 I see your point however these are not pertinent at the time and it's frustrating when you sometimes have multiple things going on at one time, for example, stroke/MI/ trauma and we are playing 21 questions on the phone. We all have the same chart. It's the nurse's job to look through the orders to verify everything to ensure what was given in report is still accurate. Sooooo……….their diet is just as easy to look up when they get to the floor😃
ICU nurse. First off, I just want to say I love my ED nurses. You all are badass and I could never handle and put up with what you all do! And those IVs that draw back baby....a blessing! I love working in the ICU and getting to know my patient and working with my team of docs to help with coming up with a plan. I do like the structure of it and knowing somewhat how my day may go, because we all know that what we plan for rarely ever gets implemented the way we want it. But, we do have some structure. I say that ED is chaos and ICU is organized chaos. However, I will say that I am not the Type A ICU nurse, definitely the laid back Type B, but will still get stuff handled because I am not about to have you code on me! You are in great hands :)
Just get good with the ultrasound and slap 18 longs in people. They draw back for days lol
Haha man, I'm a type B ED nurse. Most compliments I get are about how nothing phases me no matter how hectic it is... nah I just don't talk about it, I'm trying work here lol
I always wondered how my type B personality would work in the ICU, but the more research I do I find type A and B can thrive in the ICU.
I have worked ED and ICU. I loved them both. I was thirsty for knowledge and enjoyed the drama and adrenaline rushes. I always wanted to challenge myself and improve my skills. You nailed the differences and i hope to watch more of your videos.
I don’t know, I agree some people are made for one or the other unit. Me, I worked both simultaneously. Both ER & ICUs at a Level I trauma center. I believe it’s doable, but you have to want to do it. My background, is EMS, so I think that’s what allowed me to do that. Allows me to be jack of all, master of none. Great video, Bolt 👍🏾
I was working at an ER for years and he is absolutely right that we want to know just the necessary minimum. You don’t need every single detail about an ER patient . A month ago I started working on an ICU and it’s a different world for me. I am always fascinated when I see how much details the other nurses bring up during reports. So much stuff that I wouldn’t think of on the ER.
Great video! The only thing I slightly disagree with is that you definitely shouldn’t underestimate the level of organized chaos that goes on in the ER. At least in my ER (which is a level 1 trauma center) the main trauma nurse, and the med/tasks nurses, medics, and techs that go into the resuscitation room are preassigned. And everything in the room down to the paperclips have an exact spot where they should go. When we get the call from EMS that a critical patient is on the way we literally get in our positions and are prepared within minutes! For that reason most codes and traumas run pretty smooth in the ER if you work at a good hospital :)
I agree, the ED can be organized chaos.
OR a Surgical ICU that is pretty much a PACU to Long Term LTAC mixed bag of surprises. Reports from ER > Reports from OR. Reports from OR are literally like, "Pt had this procedure... we might extubate, we don't know. We'll be there in 5 minutes for bedside report."
I HATED giving report to ICU!! LOL Like dude!! I'm giving you report on 1 patient of 20 I just had in the last 4 hrs!! The only thing I'm certain of is this patient is alive and you as an ICU nurse have access to records!! Lol 🤣😂😂🎯
Haha
This is so good to know!
Hahaha but I'm still gonna ask.
As a student in my prereqs for nursing school, I was unsure of what I wanted to specialize in as far as choosing either ER or ICU. This video gave such a clear and concise description of each specialty and REALLy helped me out. Thank you.
Which did you choose?
Which did you choose?
ER nurses deserve more credit. Many days I manage two ICU holds 6 hours + and 2 ER patients while helping with code stemi, strokes patients. It was always our goal in the ED ( kind of a competitive) by the time our dka ED patients arrived to the ICU that their anion gap would be closed ( dka). We rock!
I am an ICU RN and this is spot on! There are several protocols in place and the medications for those protocols are titratable! ICU is structures to a point, and WILL change in - a- blink of an eye! As a new nurse, I am realizing to have an ADHD attitude because they are usually critical! You want to get all this charting done, with all the disruptions that occur! Family is usually there with the patient our whole shift! It wears you out and they are constantly asking repetitive questions! Since, you have this patient for three days their information is easier to remember! It’s not as bad unless you let the stress get to you! You definitely have to keep stress under control! As a nurse, the unknown makes your stress buildup and I refuse to let that happen!
This video made me chuckle, you hit the nail on the head with the comparison. I'm an ICU nurse for over 10+ yrs and also did ER for a year. I can do both but I have the ICU nurse personality. The only thing in which I would say I have as far as ER personality is the can't sit still portion, always had to be doing something. I definitely loved having the autonomy and using my critical thinking as an ICU nurse. ER and ICU nurses I see more as sibling rivalry, where we have a love/hate relationship lol. But at the end of the day we would all be out having a drink together (at least where I worked) and we all definitely knew how to have a good time!!! 🥳🍻😁🤣
We actually take all the labels off the meds in the ED, after that we hide them from ourselves and spin each other around in our chairs until we’re very dizzy
Lmao
This video explained the ICU so well! Thank you for the wonderful/informative posts. I've always liked the idea of getting into ICU and this solidified so many of my feelings!
ICU nurses are really good at what they do. I'm not taking nothing from an ICU nurse but ER nurses are beast like we are able to handle anything that comes into the hospital. For as autonomy, it is the same or more at least in my hospital. Yes we have physicians present but we order everything we need ourselves basically for the patient. Once, u get really good in the er physicians trust u to basically order what you want. We titrate just the same as ICU nurses without physicians telling us anything. Every patient comes through us first we stabilize them and send them to wherever they need to go. We help think for the doctors, we do every skill u can think of that u learned in Nursing school. We might have 2 icu patients and 2 medsurg patient all at the same time. We may have a cardiac arrest in one room and 3 icu patients in other rooms etc.... As an ER nurse u are able to handle all of them at the same time with minimum help.. In addition, an er nurse can work anywhere and excel with some adjustments on each floor that we would need to learn. However, everybody cannot work in the emergency room.
I'd love to work in the ER, I'd like the juggling, but I really don't like vomit. I'm also the first to stock, clean, and organize. I label everything and can appreciate the details. I can appreciate the immediate gratification of the ER and the long road of pulling someone back from the edge.
PCT here. I work a busy tele unit....one day we had a rapid on a patient and they needed to be sent to the unit. ICU had a bed but omg the nurse was taking forever to 'get ready'. Me and the charge nurse unplugged the bed and rolled them over anyway. Watching the ICU nurse become unhinged was the highlight of my day. We already had to deal with 2 code blues plus this, time to share the love. I could never work ICU.
I’m an ICU personality type hiding in the ED because I don’t like sitting still! 🤣 I love chaos and unpredictability to keep me on my toes but I also love organization and order. I come into work and immediately clean up my patients room, fill in their chart and write down everything I do. I also apparently document too much. I wrote down my speech before I call to give report and I’m always asking my coworkers and managers why can’t we be MORE ORGANIZED. Why must we use the ED excuse for why things are out of place and on the floor. Nonetheless, I love the ED. I do wish we could be ICU organized. It would make the ED less chaotic then it is already designed to be.
I have yet to try ICU but maybe one day. I was trained to be afraid of giving report to ICU nurses and be on guard for the attitude but I am always pleasant and do not mind providing more info before sending the patient up. Being organized allows me more time to do so.
Anyways love the video :)
THIS IS LITERALLY ME
battle between icu vs ed, ed wins hands down- they are the jack of all trades!!! i don’t like being floated to ed because i cannot get a break and my ocd, neat nature is out of the window everytime im there! im going to work in icu this october!
This was sooo informative to know, and its exactly what I observed about ER Nurses when I did a clinical observation for an EMT class that I'm taking. I actually would prefer to be an ER Nurse, there was never a dull moment.
I am a retired RN. I have worked womb to tomb. I had an invaluable skill in starting IV's and found my calling in the ED Level 1 Trauma Center, and IV Therapy. I guess I'm ADHD and OCD. The ICU made me crazy with all of the tubes and wires everywhere. I would spend 30 minutes sorting them out and making them as neat as possible. I worked 20 plus years as a Contract and Travel nurse and found myself in some unusual and quite frankly dangerous situations. Imagine you go to an adult med/surg 28 bed floor and you are the only nurse with one aide. My agency knew I did not want to work pediatrics. Well, the floor was all pedi overflow and only 4 adults. Eight of the peds needed their IV's restarted. I was disgusted and pissed. I called the Nurse Admin on duty and told him I needed him to come start the IV's on these kids. It took me over two hours to give the meds. Pedi meds have to be double checked for the right doses. I was a wreck and told my agency about this situation and said I would not work there again and if they did that to me again I would quit and report them. Look up algorithms for selecting the right spot for you. Some are a hoot. I did one and it led me right to ED and Traveling Nursing
This video is exactly to what im looking for... thank you. Great job! ❤
Thank you so much for taking the time to make this video. As a current nursing student, I am really interested in working in a high acuity ICU and eventually working my way into CRNA school. :-)
Glad it was helpful!
I am set to graduate in april and I honestly have no idea what I want to do. But i always though ICU wouldnt be for me but now that i hear you explain it in depth...I have the ICU personality that you described. I love structure! I always wanna know everything about a patient. I annoyed my nurses in clinical with all my questions about labs, and the patho of stuff. I hated med surg because I prefer to focus on one task and spend more time on the patient.Thank you so much for this video! This helped me so much !
Precept in the ICU and see if it's for you!
Amazing video! Aspiring ED nurse here- I was thinking about working on a Med-Surg floor but I fell in love with the ED on my first day as a volunteer. I loved the pace, variety of cases, and handling the hostile patients and upset families didn't bother me (I mean my first death threat was a little unnerving, but *shrugs*). One of my instructors recommended I apply to work in an ICU because she said I was so focused, but I just wanted to get the most out of clinical :). I don't think I could work with only 1-2 patients at a time and the words "Why don't you apply here?! You'd do great here! " echo in my mind (from the nurses at the ED I volunteered in). It's difficult finding a facility that accepts new grads to critical care areas, and I've heard hiring managers for this department only want nurses with prior experience- that having work experience in other specialties first is irrelevant. Thank you for the video! Definitely helped clarify how to proceed!
It's not just wanting experience, it's also wanting the confidence that experience brings. You don't know what you don't know and having learned to trust your gut, learned to really advocate and educate, and learning what resources you have and when to get them are things only experience can bring. By ALL MEANS GO FOR YOUR DREAMS! Just know to put your thick skin on and it'll get better! Any new assignments is hard, but brand new nurse in the ER will be a huge learning curve.
I have worked both ER & ICU. When in the ER it was treat and street them. ICU was I knew everything about this patient and I HATED playing rotating beds with my patients. Getting a new admit at 4pm then trying to get everything done before the 7 pm shift came in was a mess. I felt like I couldn't give a good report or I may not get everything charted in time.... The supervisor I worked for was the WORST to move my patients out. I have extubated one at 7:30 AM and have to transfer them out by 2 PM and start over. In the little hospital I was at we only had a 6 bed ICU but we was always busy with very sick patients, We were the closest hospital around for like 40 miles,, As an ICU nurse I learned so much about time management and what the most important thing to do first. We not only had the patients to deal with we took our own orders off and faxed everything to the pharmacy while caring for 2 other patients. there was only 2 nurses in the ICU unit. IT WAS VERY DANGEROUS AND BUSY but I loved it.
I just stumbled upon your channel and I just wanted to say I LOVE how you explained this. I am pre-nursing right now, hoping to get into nursing school this fall and later on go into CRNA school, but I am required to have a couple years of critical care experience so I’ve been trying to figure out ICU vs ER and which would be better for me and this really helped me!! I am definitely more of an organization, take your time, get into the nitty gritty kind of person, so now I know that the ICU will definitely work better for me! Thanks a ton!!😊
Glad I could help!
This is a great video, probably one of the best comparing ER and ICU, and I did appreciate you doing your best to explain ER from a non-biased perspective, I loved hearing about your perspective of ICU, it almost makes me consider transferring, I would love the learning opportunities you would get having only one patient! But I had a few questions;
1. How much abuse do you face in ICU, I know every patient there is at their absolute worst and emotions would be running high, but you also get more time to spend with families and make a difference, that could be a big player in potentially switching
2. What percentage of shifts do you actually get to keep the same patient(s)? I could totally get behind having one or two patients and learning everything about them, but then I know if I got in that mindset I would be frustrated switching them up, but I would also be frustrated with myself as an emerg nurse if I knew I was getting frustrated getting one new patient
3. How often do you get a second brand new patient that requires a lot of work, initial admission work, usually getting a central line and art line, and whatever else, how often does that happen as your second patient and just completely interrupt your flow and would you ever get a second brand new patient with an unstable first patient where the attention to the second patient could negatively impact the first patient?
I work in emerg and I'm not a type A personality and I love the chaos of emerg, but I'm just exhausted from having 20 patients a shift, and everyone (patients and families) yelling at me about things I have no control over, and other floors yelling at me about things I can't control, I think I need a change and I don't know if this is just a general nursing problem that exists everywhere, but I'm tired of being understaffed and overworked and not being able to provide the best care to every patient (which I think might be a nursing-wide problem right now), but there's nothing I can do about wait times when we get 3 trauma, a VSA, and an airway patient back to back with one doctor, it just sucks, please tell me ICU is better
I’ve been an ICU RN for 20 yrs & this is my take on your ?’s
1) Abuse: you get a fair amount. We have to deal with A LOT of family issues. No doubt about that. It’s very stressful for families when their loved-one is in the ICU. Plus, many of them don’t survive. There’s a lot of end-of-life issues & ethical ?’s. You can’t let your emotions get outta control. You have to b calm when families aren’t.
2) Continuity of care: in my hospital, if you’re back consecutive shifts u get your same patients back. This is nice bc u know their situation, family, etc. Typically your report from night shift is just any changes from prior so it’s fast. If u have a day or 2 off u might get another team though. In the ICU there may b some patients that are there for weeks & all the nurses get to know them at some point (which is good & bad).
3) New admits: most ICU patients come from the ED, PACU or are transferred from a lower level of care in your facility bc of an acute change. We do get a moderate amount of direct transfers from other hospitals where I work bc i live in a larger city (in my state) with bigger/more acute hospitals. Most of my state is fairly small towns with small, community hospitals that don’t offer ALL specialties, like neurosurgery or ENT. If you work in a Level 1 trauma center hospital you will get A LOT of transfers from other hospitals.
I hope this info helps you to make the best decision. If possible, shadow with an ICU RN in the unit you’re considering to get the best idea of what it’s like. Good luck 😊
@@hottstepher Wow, thanks for the great reply!
@@kaileyveitch353 Your welcome ☺️
I was mostly with him up until he got to the DKA pts. It’s been the norm for much longer than this video came out that we’d manage that pt in a hall bed for well past starting and initial titration of the drip.
In my experience ICU doesn’t like taking a DKA pt on insulin drip unless there’s something else going on. But the medsurg floors wolnt take em either. So they stay in the ER and we deal with managing them and an unreachable in pt doc.
Again to match his experience of the ER, “in my experience” the ICU gets a pt that’s stabilized because we cowboy titrated that pts drips for the last 6 hours until they were stabilized nough we could ignore them for our less stable pts then magically they have a bed.
Just watched the next 10 s of the video and this dude has never set foot in an ER. For experienced ER nurses we titrate drips in ways that I’ve seen scare ICU nurses that try out the ER life. We do things and then tell the residents what to order. Once a pt is admitted it’s next to impossible to get a docs input on what to do in a timely fashion. So we do things that keep the pt alive and chart what the doc that gets back to us later said to do.
I was thinking about starting off at Med surg and then moving up to ICU … ICU still seems cool. This just confirm that I can really try this
When you said 2 patients and keep those 2 I can empathize A LOT. Starting with 2 then getting 1 or both out then getting 1 or 2 back is horrible
That really does speak to personality types. I’m ER nurse & when he said that I cringed. I can’t imagine being stuck with the same people all day!!
My daughter is a tech in cardiology. She loves having the same patients all day. She even wants the same group on her second day 🤮.
After this video and your explanation of the differences between ER vs ICU nurses, I see why I had such a strong pull to ICU nursing. The personal and close working relationship with your patient. :-)
Lol omg thank you so much for this video! You explained the comparison between the two nurses so well. I’m almost done with nursing school and your video has helped me decide that I belong in the ICU!
Glad it was helpful!
ICU is awesome!
I wanna be in ED, but i just got an ICU job lol.. this should b interesting...
Everything about the ICU appeals to me... minus the intimacy. It terrifies me
I graduate next month. I’ve received numerous offers. ER & ICU both, I’ve had almost every nurse I meet tell me to work icu. I start in September and I am sooo nervous!! I am watching so many videos now to prepare, thanks for this! It prepared me for some obstacles I’ll face!
I am in the same boat except I start in 2 weeks
Just don't bully other nurses. Believe it or not, lateral violence does not make you a better ICU nurse. Even though the other ICU nurses will try to make you think bullying is the way to go.
I'm an EMT I'm the ER. I passed my HESIA2 nursing program entrance exam Dec 17. I'm scared and excited about finding out where I'll be the happiest.
“I know the med surg nurses get so annoyed...” lol yup! Give me the simple simple and I’ll read about the rest later 😂
Thank you for posting this it really helped very much appreciated it makes me want to start schooling tomorrow.
I know this video has been 4 years ago and I wish you well. I'm an ER nurse in transition to being shifted to PICU and I got interested in the title of your video. Came to the part where you said ED nurses Doesn't CARE about data's, stool info, last meal and so on and so forth but it's just we have too much in our hands and we're pressed on time but yes we do care. It hurted my ER heart but yeah I'm gonna be transferred to critical care soon.
As a long time ER nurse I appreciate how hard you tried to hide your true feelings about us. You are right about one thing. We are fun at a party 😜
I’m curious, what does your shirt say?
It says Versed. Fentanyl. Lidocaine. Propofol. Rocuronium. It's my preferred induction sequence for general anesthesia.
@@BoltCRNA got it👍 All I could see was Versed & I thought maybe Fentanyl.
In our world it’s RSI. Etomidate, Rocuronium, go.
🤣🤣🤣🤣
Thank you, excellent video of explaining, icu and er, now I know the direction to go to be that nurse that I want to be in the future 😀
ER nursing is DEFINITELY for me 😂🙌🏽
I like to treat'em and street 'em. ED is my cup of tea. I love triage and am excellent at that.
Hey there TikTok friend! I didn’t realize you had a UA-cam. New subbie!
I applied for the ER but got an interview with the ICU?? 😅😅 I’m going to go on it bc it’s my dream hospital but I’m scared of them hiring me to the dark side when my ADHD is in full force 😂
Its actually the opposite for me😄..applied for ICU and got ER on like 3 different interviews..m like is this fate?😄
Great video well put, however I have ADHD and I am an ICU nurse! I have to keep moving, I get bored easily but I am not good at task switching so being an ER nurse sounds like a nightmare. Just like you I hate the idra of not knowing what to expect. ICU is way better for my hyperfocus and I get anxiety when I dont know everything about my patient. With more than two patients I am overwhelmed!
Thank you. Very informative. Makes a lot of sense. I'm only a nurse in a dementia unit but when I send my people off to ER and they end up in ICU I get it
Fun watch! My mom is a long-time ICU nurse and she thinks I should go for ER nursing (I’m in nursing school now)… this vid was helpful!!
Hmmm in my ER we would and should know all things you asked for. ! However not the breakfast or family but definitely all the other stuff !
I really enjoyed the depth and detail put in this description. Thank you!
Glad you enjoyed it!
This is an excellent comparison. In our rather rural, TEACHING hospital, there are attending physicians, residents, NPs and PAs always around in the ICU. That’s why I was shocked to hear you say that you were usually on your own! In our ED however , you usually have more autonomy and put in your own orders. After 3 years of being in the float pool, and the horrors of being charge nurse and a 6-8 patient assignment ALL THE TIME on our surgical floor, often with no aide, sometimes no clerk or phlebotomy, I am going to the ICU! I wanted more so to be in the ED, but am very grateful to be moving on! Thank you for investing in nurses everywhere!
Yes, teaching hospitals are a whole unique flow amongst themselves. They are designed at training and teaching physicians. Not for nurses or anyone else to have autonomy or opportunities.
ICU I would probably rather do. They are already patients and cleaned up from the ER. It's tough but not quite as hectic
12:40+ (you made me cry, cuz I thought about my dad in ICU). The nurses were angels!
OMG! The ICU personality is me to the T!!!! 🤣🤣🤣 I'm interviewing today!
THANK YOU FOR YOUR PERSPECTIVE
You're welcome!
i enjoyed working in my emergency medicine and ccu clinical rotations, deciding to get my emt-B certification while in an rn to bsn program. i am hoping to get into an er or ccu residency program that i have applied to. I am frustrated from being off 3 years to have major arm, shoulder, and stomach surgery, which has hampered progress, but have my fingers crossed that i can return to work soon. Apparently, also having adhd has been a very mixed blessing as I got bored with slow paced experiences, but could excel when I hyperfocused on one patient at a time on a team.
You mention ADHD for ED. You should mention Autism for ICU. I am autistic and it is very much a match for me. I think a lot of people are just ignorant of autism. People with ADHD can still be seen as competent very easily while it seems very much harder for people to see those with autism as competent. But we are. We love the structure, detail and the limit of one to two patients in the ICU.
I NEEDED THIS! THANK YOU 💙
As the saying goes, "the ED saves your life, and the ICU keeps you alive."
Why is there rivalry lol? Both professions are highly needed and only so many people are willing to do it.... Should just be comrades just in slight different areas.
I agree!
Do you have another video or advice on how to get into ICU nursing as a new grad? Is that even smart to do or should I look to getting experience in med-surg first? Great video! I can't WAIT to be an ICU nurse some day.
Yes if you want to work in the ICU, go straight there after graduation.
Although I knew some struggles of the ICU nurse, your video truly reminds me why they are so much more stressed out than other units, especially during these covid times and being expected to take more than 2 patients! It would suck to have learn everything about a patient, to then be told you have to send that patient off, or to receive a whole new admit with more data to have to memorize ( >,
The worst was when you took report but then Charge tells you something came up and they will take your patients, you have to float. You have to give them a full report now, and go receive all new patients somewhere else.
Great job. Loved this comparison.
Lol. There's no "rivalry" because they are not equal.
1 is superior over the other.
Only 1 of them can be accepted to the CRNA Program (the Crème de la Crème of all Nursing)
Guess which one?
? Which one
You have the BEST intro edit!
I try
This is so funny because I’m definitely an ER nurse if there was a personality quiz 😂😂
I just subscribed.. love your explanations
My dream is ICU & apply to CRNA school.
I'm very structured in learning but I also have the ability to multitask due to my ADHD. I'm very observant and I'm great at noticing changes in patients. I'm able to think in critical situations like codes. I have taken BLS and 24hrs later I certified in ACLS.
Question: As a new nurse would you recommend starting on a med surg unit or ED and transfer to ICU or would you recommend me to apply directly to ICU?
I'm asking because some ppl say go straight to ICU others say get med surg experience 1st.
You time is greatly appreciated 😁
I started ER.then went to ICU/ PACU. Its a well rounded education.
I’m in nursing school and I can’t decide if I want to start in er or start in icu and move to PACU. Would you recommend starting in the er?
Hey Jason! Thanks for your helpful videos. I couldn't help but notice that you stated you're in the bay area. I'm very interested in going to CRNA school at Samuel Merritt -- however trying to get into the ICU first after being a Med/Surg/Onc for a year and a half. Just recently interviewed for a critical care training program at a hospital in Palo Alto, but didn't have "quality examples" during the interview. Any other tips?
What quality examples did they mention you were lacking?
Lol I think the adhd thing can go both ways though. I'm super ADHD and am one that prefers to to look at the whole picture vs just acute c/o
I am not really a big fan of dealing with family members and that’s why I work nights on a med Surg floor.
Nights definitely has its benefits.
Thank you for this video!!!
I’m in nursing school and I’ve had 2 of my professors tell me that I should go into the ICU.
Do it!
I use to work in Turlock as an LVN back in 2012… nice town
Lol I certainly have an ICU nurse personality.
i dont know if i was ever in icu; probably. i had a minor heart surgery and some internal surgery but i cant remember. i do recall the hospital main doctors get mad at er doctors a lot. i get their busy but i mean there is a point where they are just rude.thats like an induvial thing though.
You live in Turlock ??? I grew up there! I’d like to become a CRNA one day. Been binging your videos lately
I’m ICU and half my team (including myself) have diagnosed ADHD lol you’ll find that in both units
Im finding that in the cath lab I am managing cardiogenic shock and running codes as the team leader basically on my own. The cardiologist relies on my decision making and clinical judgement pretty much the entire time the patient is on the table he is too busy placing stents or impella etc. It's like im a mini CRNA LOL
Thanks this is really interesting. Question, I'm a pre-nursing student here interested in CRNA school. What is tritrating a patient mean. Also, what does it mean to handle hemodynamics?
Titrating meds means changing IV infusion rates based off your assessment of the patient. Handling hemodynamics means looking at blood pressures, HR, CO, CI, SVR, CVP and interpreting the data and making decision based off it.
Med surg nurses just want to know if they are blood glucose checks, what’s their diet so I can feed them and keep that call light off and are they walkie talkie. 😭
It’s bc ED nurses have to turn and burn, the info is in the chart, it’s redundant in terms of efficiency. I feel like ICU needs to understand the reality of our roles and look up any relevant data themselves, they need a full head to toe upon arrival to floor anyways.
You mentioned you worked in 8 icus. What types of icus did you work in?
I did MICU, SICU, Neuro ICU, Pulmonary ICU, Cardiac ICU, Cardiothoracic-Surgical ICU. I was a travel nurse so I worked in 8 different ICU's during my time as staff and travel.
Awesome video 🙏🏽
Y am I so offended hahaha I feel like this video is a satire! 😂🤦🏽♀️
Aspiring nurse here with an ADHD Love of high pace spontaneity… ER sounds up My alley lol. What other areas or specialties would fall under this same category?
The differences are not important. The love for the patient is what matters. ER nurse. These are stereotypes because there are bad ER nurses and horrible ICU nurses. This is like a SWAT officers vs a detective. This guy says "structure" . Er is very structured. Why code sepsis , chest pain protocols, code strokes are all structured. Just have a heart and help others. This is bologna.
ER nurses (hopefully) stabilize patients so they can boot them out. ICU nurses (hopefully) keep them stable and get them better so they can boot them out.
Unfair. We do care. Having worked tons of different areas the one thing that drives nurses sideways is what each nurse sees as important information is not what the other nurse needs to hear. ER nurses go too light because we just need to get them through their event/s so the next team can sort them out. ICU knows every minute thing about a patient but Med/Surg nurses just need to know what does the patient need & what should we look out for? We are expecting ER & ICU to get it right. If we need to know more than the basics, the patient is not stable & they need to stay where they are until we get a boring report!🤣
Do you think you would be happier as an Anesthesiologist MD?
What can the Anesthesiologist do that you can not as their CRNA?
I chose nurse anesthesiologist fully aware of both career fields and every opportunity to go either path. CRNAs and physician anesthesiologists have the same scope of practice in anesthesia and are held to the same legal standards of care.
CRNAs are not owned by physician anesthesiologists so it's inappropriate to use the phrase "their CRNA". They are both two separate independent anesthesia providers.
@@BoltCRNA that is so awesome. Why was the CRNA your choice instead of the MD Anesthesiologist route?
What did the CRNA give you that MD couldn't??
Time off?
Work life balance?
Haha I’m a med surg nurse 😆 whenever I get report from the ICU I’m always in awe by the amount of information and details. We don’t get any report from ED they just send them up and we have to look through the chart in the notes to get report lol. Whenever the ED send the patients I’m surprised if they even hang a bag of fluids. No disrespect to ED nurses lol
ED nurse here. That's so true haha. We only call report to ICU. With med surg, we just fax an SBAR up 😂. At least at my hospital.
What do you think would be the best nursing job, any
of nursing job, for an infj-p?
I'm an INFJ and I love emerg, most days :P
Where are you from originally?
From pcu to ed...just ask me what ya wanna know!
Did you prefer day or night shift? Any specific reasons why?
Definitely day shift. I didn't have good sleep patterns and mood on night shift.
Actually it’s super simple. Got ADD and like crazy, ER. OCD and kinda boring ICU. Jp….
Did you get a free tee shirt 🤣 lol. Makes me think of those shirts we get in a case of beer ! Maybe a case of Versed ? All jokes aside love your video and agree with your comments !
It's my induction sequence.