5 Things I Wish I Knew Before Starting in the ICU

Starting in the ICU can feel overwhelming — the monitors, the medications, the acuity of patients. Here are five things that would have made my transition so much smoother:

1. You won't know everything, and that's okay.

The ICU is a steep learning curve. Give yourself grace in the first year. Ask questions, lean on your preceptor, and trust the process.

2. Learn your drips before you start.

Vasopressors, sedation, and pain management drips are your best friends — and your biggest responsibility. Study them before your first shift.

3. Prioritization is everything.

In the ICU, things change fast. Learn to assess quickly, identify what's urgent, and communicate clearly with your team.

4. Documentation is as important as care.

If it's not charted, it didn't happen. Develop a system early and stick to it.

5. Take care of yourself too.

ICU nursing is emotionally and physically demanding. Build habits that protect your mental health from day one.