u/fo1ieadeux

For context, I have a year and a half of experience in subacute/rehab as an LPN/RN. It was very chaotic 10 iv meds per shift. Heavy med pass. Screaming, confused patients all night long, and lots of high fall risk pts. Now I'm at my community micu, I have been there for one month on orientation. The acuity is low-moderate. The patients don't seem that critical by the time they get to us from the ED. I would ask my manager to transfer to ER, but the ER is a little too stressful for me when I floated down there as a tech. I'm learning a lot about critical care and drips and crrt. I just miss being busy. I had a patient that coded 4 times in about 4 hours. They died eventually. Still the ICU is 80-90% easier then my subacute job. I think I just miss being busy. Overall, yeah, this is a pretty weird problem to have . Going to stick with the ICU job I like the team and my colleagues. But I might transfer to a high acuity hospital down the line.

I'm at a community hospital in a impoverish area. We had around 14-16 patients in the unit. Most of our patients are very sick at baseline, 40-year-olds and 50-year-olds on dialysis. We get a lot of post-arrest patients, HD patients maxed on pressors who need CRRT now. Occasionally, we have a pt on CRRT and balloon pump. Our devices are always a 1:1 assignment. We see a lot of sepsis, trach to vent patients from LTACH. 50-70% of our patients are on dialysis. We see GI bleeds, post-arrests, COPD exacerbation, and respiratory failure, DKA, and liver failure, typical MICU. Last week we had 4 code blues. But sometimes our acuity does go on the lower end like patients who only need 5 mcg of levo. Just wondering how high this is compared to other ICUS?