Recovering open hearts is really fun because the patients usually do really well and are up in about in less than 24 hours. There is generally protocol for extubation and you will learn to know which patients will be easily extubated. Open hearts are rewarding because the patients are often grateful for keeping their pain down and also that they improve so rapidly after surgery. You will do well in this unit if you anticipate patient needs and have an eye for noticing minor trends. Extubate and mobilize your patients quickly as long as they are stable and the doctors will like you.
Where i work, anesthesia does not even advance the PAC into a wedged position on insertion. Also you'd have to be pretty inattentive to not notice an accidental wedge; it looks nothing like a proper PA waveform.
CVmursenary replied to fhsu_nurse's topic in Critical
I am a pretty new nurse working in ICU but i am able to pick up shifts in the ER. I dont think my facility would allow new ER nurses to work in the ICU. Working in ICU allows you to get comfortable with sick patients the fastest.