ICCU clinical question

  1. Hi everyone! This is my first post but I've been learning from you for almost 2 years. I start ICCU clinicals in a few days. I'm excited and nervous. Any tips? I have an "easy" type critical care book and textbooks but what is the best way to get a preview of what a "typical" :-) day might involve? Thanks.:Melody:
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  2. 3 Comments

  3. by   zambezi
    My best advice is just to take everything in...be a sponge...ask questions...and most of all have fun.
    Once you get a feel for the unit, you can specify your learning needs to the unit and patient population...I would focus on assessment skills and technical skills. Try to learn how things relate to one another. In this unit, you will get lots of abnormals- lung/heart sounds, cardiac rhythms, labs, etc...Learn what the normal and abnormals are and what that means for your patient (make sure you know what normal is first!). This is a good place to learn technical skills too: IV starts/NGs/Foleys, etc...YOu may also get some Codes...you probably won't be able to push meds or anythings but you can record (just remember to write down everything), do compressions, or just observe what goes on....

    I work nights, but my typical day is to get report...if my patients are "stable" I will quickly review the chart for any scheduled meds or new orders. Then I go see my more critical patient first, do my assesement, get a feel for how the patient feels and looks. The I do the same for my other patients. It really depends on what kind of patient I have. If I only have one patient, especially if they have alot going on, I do my assessment and then organize the room how I like it (Label/sraighten tubing, label pumps, make sure all my other tubing, CT/NGTs are connected to the proper ammt. of suction, make sure vent settings are correct, etc). Then I chart, read the h/p, do a 24 hour chart check, etc...and so the night goes...of course it varies by what's going on.
  4. by   RainDreamer
    Hi and welcome to AllNurses!!

    zambezi, great post, thank you so much, I'm doing critical care this semester too!
  5. by   missbodine
    Quote from zambezi
    My best advice is just to take everything in...be a sponge...ask questions...and most of all have fun.
    Once you get a feel for the unit, you can specify your learning needs to the unit and patient population...I would focus on assessment skills and technical skills. Try to learn how things relate to one another. In this unit, you will get lots of abnormals- lung/heart sounds, cardiac rhythms, labs, etc...Learn what the normal and abnormals are and what that means for your patient (make sure you know what normal is first!). This is a good place to learn technical skills too: IV starts/NGs/Foleys, etc...YOu may also get some Codes...you probably won't be able to push meds or anythings but you can record (just remember to write down everything), do compressions, or just observe what goes on....

    I work nights, but my typical day is to get report...if my patients are "stable" I will quickly review the chart for any scheduled meds or new orders. Then I go see my more critical patient first, do my assesement, get a feel for how the patient feels and looks. The I do the same for my other patients. It really depends on what kind of patient I have. If I only have one patient, especially if they have alot going on, I do my assessment and then organize the room how I like it (Label/sraighten tubing, label pumps, make sure all my other tubing, CT/NGTs are connected to the proper ammt. of suction, make sure vent settings are correct, etc). Then I chart, read the h/p, do a 24 hour chart check, etc...and so the night goes...of course it varies by what's going on.
    Hi zambezi,
    Thanks so much for the tips and encouragement. Very helpful!!

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