I don't know if any of you out there are working in Heart Transplant, but I have decided to up my game and have started working on the Heart Transplant unit. I've worked in a mixed, medical/surgical ICU for 4 years. I thought I had it down pat! I had great time management skills, knew when and which doctor to call, patient care was a breeze, etc. Well, I have been totally thrown off my wagon! I feel like a brand new nurse again! My time management skills have flown out the window and do not apply to this unit. I can't even keep up with the patient care and the hourly numbers, etc. I never know who to call. Too many residents, fellows, and they change every month. I've been here a month and I'm still struggling. Any suggestions, helpful hints, nursing brains that work. We have many LVADs, balloon pumps, ECMO, CRRT and they are usually all on one patient. I feel like I'm drowning!