I have been working in A SICU for the last 6 months. I was prior to this job a cardiac step down RN for the last 12 years and had worked about a year in ICU settings. I have had on the job training for post open hearts I was able to recover 10 open hearts in my training. I took an online class about HD monitoring. The other day I came into work and was given a hypothermia patient. The patient was cooled prior to my arrival. Another coworker experienced in hypothermia was my back up. I did not receive any formal training on the machine or protocol. The good news is, I had the patient for 2 days and he returned to complete normal functioning. I am a strong RN and always ask questions if I am not sure. Do other hospitals have training programs for this? Should I have taken the patient? Is on the job training enough?