Tips for transitioning from lower-acuity ICU to high-acuity ICU
Hi!
I have been a nurse for one year now in an 8-bed MICU in a rural, community hospital. I recently accepted a job in a 29-bed MICU in a huge level one trauma center, academic hospital.
I am starting to feel pretty anxious and ridden with imposter syndrome. I am worried that this change will be extremely overwhelming and make me feel like I'm "starting all over" in terms of my nursing career so far.
In my current job, I feel confident in my nursing role and the level of autonomy I have. I feel competent in the basic ICU nursing skillset (e.g., managing drips, ventilators, etc.) but do not have experience with more advanced therapies, including CRRT. Also, my current ICU is managed by one hospitalist, who also manages the medical unit's patients. No intensivist or medical residents/fellows. The place I am going is managed by a formal critical care team, so this will also be a learning curve for me.
So, I was looking to see if anyone here had any pointers for this transition. I will get a pretty extensive orientation, so that is definitely a plus. Thank you all in advance