Precepting in CCU
- 4Oct 10, '12 by Madds06I am so thrilled! I just found out that I will be precepting in the CCU! I was going to post this in the nursing student area, but wanted to get some feedback from CCU nurses!!! What would you want your preceptor to know coming in to the CCU as a senior nursing student?? Skills to brush up on?? Any websites or books that are beneficial for a student nurse to read before precepting in the CCU?? Thanks in advance!!
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- 1Oct 10, '12 by KBICUI had the same experience in school and it was truly irreplaceable. Congrats! Study EKG/heart rhythms for sure http://www.skillstat.com/tools/ click on ecg simulator its great!
Also learning cardiac meds would be a huge help. Neo, levo, cardizem, epi, dopamine, dobutamine, primacor etc. At least get familiar of the drug classes chances are youll see them alot. I work in a CCU/CT surg now so if you have questions feel free to ask!!
- 5Oct 11, '12 by echoRNC711I precept-ed students in the past (ASU/CVRU ) and currently in cardiac rehab.
What do I look for....
Very little actually. I don't have expectations. If a student is open to learning it is terrific. I pretty much go through rhythms, scenarios, survival skills, learning what's a priority.
The staff may get you to do some of the nursing assistants work if they are short. Try not to get annoyed with this. It's a balance.The world of nursing school is quite concrete/ rigid nursing in the field is more flexible so be open to that.
I personally ask students. What do you want to learn (even if it's non cardiac ) I get them to pick areas they are weak at. I tell them "Here is where you get to make mistakes because I am right behind you .I am here to help you not judge you. I have forgotten a lot of nsg school A&P but if you want to focus on something I will review it and then get back to you. If the nursing student asks for something to focus on then doesn't bother to review it herself then I no longer go out of my way for that student. I tell students straight up "Its your practice If you want to float through without actively learning. I have absolutely no issue with that but don't waste my time "I personally like students to teach me things. I may not know the latest DM med ,so go for it.
A lot of what I focused on was how to think critically.Just be willing and open. Don't waste energy on "but in nursing school....." Instead try, "I am not clear on this .Can you help me understand ".
I keep it really simple. Look,listen ,learn.
1 Look at the pt NOT the monitor (develop assmt skills ) ....(Catch the problem early prevents the future code )
2 Listen to what the pt saying. If you listen they will tell you the problem,cause and often the solution.
3 Be willing to learn from everyone. There are many styles .
Don't do something you are not qualified to do.
Don't spout everything you have ever learned. You are there to learn what you DON'T know (unless your seeking clarification )
Be prepared for a little turbulence .Nothing is perfect.
- 7Oct 11, '12 by Madds06Thank you all for your input!!! I just purchased the app called "Fast Facts in Critical Care" by Kathy White and the IABP and Cardiac Surgery one to go with it! I really appreciate you all replying! I will brush up on all the stuff you mentioned!! I start Oct 22, so I will update you on how it's going! My preceptor is a grad student at our university and is our tudor in critical care (which I am just finishing up now)! He loves to help and teach students so I'm very excited!
- 2Nov 11, '12 by Madds06Oh it's going amazing!!! My preceptor loves to teach and he really likes orienting new nurses!! You will love it! I have done six 12 hour shifts so far and can't even tell you all that I have learned! When do you start in the CCU??
On my first night, he asked me if I wanted to focus on one thing a night (learning wise) or just throw it all together.. And I went with throwing it all together! We do a lot with hemodynamics- swans, a-lines, cvvhd (I had no clue what this was til I googled it), and balloon pumps. I've had patients that are intubated and some that aren't.. Some post caths and we pull the lines. Lots of drips.. Most common I have seen are versed, nitro, norcuron, and lots and lots of LEVO! If you have any questions at all, feel free to ask
- 0Nov 11, '12 by on eagles wingsawesome!!! thanks for the advice!! i purchased the fast facts app because you mentioned it... it looks real helpful! i am so glad its going well for you, i am sure you are going to remember this for the rest of your life haha. i hope i have a similar experience in the CCU! i am super nervous! i start tuesday =)