Transfer - admit. Working at the factory!
Back about 10 years ago, we had a separate 8 bed unit that was designed just for that. Only cases that were expected to do well and would transfer to the floor POD#1 would be assigned there. They were typically extubated quickly, dragged out of bed numerous times, then in the morning around 0500 we'd get orders to D/C swan, d/c chest tubes, maybe some blood along with lasix. Days would come in, finish up whatever orders we didn't get to on NOCs, transfer them out before 0900, and admit a new set of fresh hearts. There were only curtains separating the beds so in a way it worked out well. Each patient heard that the others were doing, so they knew what was about to happen. We'd work as a team and go right down the line. Midnoc and 0400: 1,2,3,4 up in the chair, then 30 mins later 1,2,3,4 back to bed. 0600 we're all pulling swans and chest tubes together. It was actually fun. None of this 'do I have to get up NOW?' stuff. NO! Everybody is getting up now, so let's go!
Ahhh, those were the days. Now, those cases are pretty much handled in the cath lab and they don't even do surgery on them. Pitty. (also, now you can see the beauty of a stable CVVH or IABP patient!)