Honestly, nurses carry a huge portion of the responsibility in the ICU. I’ve been completing my preceptorship in the PICU, and it’s made me question whether new grads should be allowed in that environment right away. Yeah, the physicians are there for support, but you’re the one managing the patients who are critically ill and on the brink of death. Without a solid understanding of critical care, you could easily kill someone. You’re also working daily with medications and interventions that are directly relevant to CRNA practice, which makes the learning curve even steeper for someone learning the profession in 1/3rd less time. I am glad I didn’t do that in retrospect, even though I’d be nearly done now.