Hey there! Congrats! Going into the heart room for the first time, my advice is: don't get overwhelemed. You'll be bombarded the first few weeks with positioning, electrocautery, suture, instruments, blood products, bipass, drugs, central lines, art lines, not to mention all the different procedures and implants etc. Just try to pick up on what is the SAME with each case not what is DIFFERENT. Then, once you get the basics down, you'll realize that every case has a foundation that is the same and details that are different. Try to learn the flow of the room and the order in which steps are taken. These things won't change. For example, EVERY case will be: patient comes in, goes to sleep, lines are placed, positioning, prep, procedure, closing, dressing and end. Remember this and then, even when you are given your general OR training, you will be able to take the basic foundation that you've learned and apply it to almost any type of case!