MYSTICOOKIEBEAR

MYSTICOOKIEBEAR

Cardiac/Transplant ICU, Critical Care

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All Content by MYSTICOOKIEBEAR

  1. How Can I Have The "College Experience" While Attending Nursing School?

    MYSTICOOKIEBEAR replied to SunshineeStudent's topic in General Students

    If you want to have the "College" experience while also achieving top marks and earning a degree in nursing, I highly recommend that you do the following: Step 1: Buy a planner Step 2: Use it!...

  2. Move from Medsurg to ICU?

    MYSTICOOKIEBEAR replied to CafeduMonde4Breakfast's topic in Critical Care

    Actually, because we have advanced competencies and can take every other ICU patient from MICU, SICU, CCU, and NICU, that does make us a specialized unit not necessarily a "special snowflake unit"....

  3. Move from Medsurg to ICU?

    MYSTICOOKIEBEAR replied to CafeduMonde4Breakfast's topic in Critical Care

    The biggest indicators that a person is ready for The Units is A) They are hungry to learn more and want to continue to challenge themselves and grow B) They have shown they can very competently care...

  4. New RN-Licensed: How to enter CC nursing?

    MYSTICOOKIEBEAR replied to crome's topic in Critical Care

    When I graduated nursing school I thought I was a hot shot and that I wanted to go directly into The Units. The hospital I was applying to is a Top 10 AMC and they said that they DO NOT hire into the...

  5. You know the shift is gonna be a hot mess when ...

    MYSTICOOKIEBEAR replied to CardiacDork's topic in General Nursing

    I am happy and quite proud that my training and experience kicked in and held up in one of the most stressful situations that I have ever been in. I don't think I have EVER had to Critically think so...

  6. New nurse: I get no respect

    MYSTICOOKIEBEAR replied to Nurse326's topic in Emergency

    I do not treat every employee in the hospital with respect, I treat them with professionalism. There are some MDs, NPs, RNs who are not very good, consistently make bad calls, or are just indifferent...

  7. dealing with rude doctors?

    MYSTICOOKIEBEAR replied to 2016New's topic in Patient, Colleague Relations

    Tell them something along the lines of "You are being completely unprofessional and extremely rude. I am asking you to do your job so that I can safely deliver YOUR patient care in a timely fashion"....

  8. You know the shift is gonna be a hot mess when ...

    MYSTICOOKIEBEAR replied to CardiacDork's topic in General Nursing

    You know your shift will be a hot mess when... You already have an ECMO patient and your attending is running down the hall in street clothes, and then have to help your attending insert another ECMO...

  9. Does this feeling ever go away?

    MYSTICOOKIEBEAR replied to ps3114's topic in General Nursing

    Unfortunately, only the Tincture of Time and experience will help abate this feeling. You and I are very similar in that we want to get everything done. But IMHO I think the best thing to do to help...

  10. Insulin and phenylepherine

    MYSTICOOKIEBEAR replied to offlabel's topic in Critical Care

    Nursing preference or against hospital policy? Our post op cardiac surgery patients have a very tight insulin protocol devolped by our endocrine team in conjunction with our cardiac surgery team that...

  11. CTICU for Beginners

    MYSTICOOKIEBEAR replied to nckcb's topic in CCU, Coronary, Cardiac

    Being in The Units, at some point in time, you will experience and be part of a code. I actually just finished a video about nursing roles and positions during a code that might help you prepare. I've...

  12. Want to swap to ICU but I cry during codes

    MYSTICOOKIEBEAR replied to Aliareza's topic in MICU, SICU

    I will admit, the first time that I had a patient that was close to me die while still new-ish to The Units, it hit me VERY hard. So much that I had an existential crisis and went on a $3000 shopping...

  13. ECMO Training in ICU

    MYSTICOOKIEBEAR replied to IGOTMYBSN28's topic in CCU, Coronary, Cardiac

    Ask a lot of questions and don't be intimidated by the machine. Learn about it, figure out which dials do what, and definitely bring up what should be done in an emergent situation. You never TRULY...

  14. Med surg to ICU

    MYSTICOOKIEBEAR replied to S3ash3ll's topic in MICU, SICU

    I started on a CVT Stepdown and wanted to quit every day for the first three months, got a hang of it, learned a lot in a short amount of time and felt like I learned everything that I could learn at...

  15. Experience for Open Heart ICU

    MYSTICOOKIEBEAR replied to cocoa_puff's topic in CCU, Coronary, Cardiac

    I work in a Top 10 hospital in the country and I started on our CVT Step Down worked there for a year and then transferred to tour Cardiac/Transplant ICU. I feel that the 2 years plus 1 year of...

  16. LVAD patients in travel position

    MYSTICOOKIEBEAR replied to sarena33's topic in CCU, Coronary, Cardiac

    I would say listen to what the manager and nurses on the floor have to say. More likely that not, you will NOT be taking the LVADs unless you have had prior experience with them. If you do get the...

  17. Bed Baths Washing Post Op Heart Patients

    MYSTICOOKIEBEAR replied to AllisonMcTigue's topic in CCU, Coronary, Cardiac

    CHG bed bath during night shift is the standard protocol in my Cardiac/Transplant ICU. Whether it is given before or after extubation is up to the patient's

  18. How to build my confidence and competence

    MYSTICOOKIEBEAR replied to Favor2013's topic in Critical Care

    The one thing that you already have going for yourself is that you want to learn more, you want to better yourself, and you want to grow. The best way to do that is to ask the MDs lots of questions as...

  19. Finding a job

    MYSTICOOKIEBEAR replied to Wsullivan's topic in Critical Care

    I would recommend that you do 1 year in a CVT/Tele step down, then one year in a CTICU. It will give you a huge amount of experience in the moderately critical areas and then later on down the line in...

  20. Insulin and phenylepherine

    MYSTICOOKIEBEAR replied to offlabel's topic in Critical Care

    I see patients come out of the OR with insulin in the VIP all of the time. I would, however, advise you to NOT run your insulin with your adrenergic agonists because if you have to give a bolus, you...

  21. New Charge Nurse

    MYSTICOOKIEBEAR replied to Chilled1121's topic in Critical Care

    Hear

  22. Admission Process in ICU

    MYSTICOOKIEBEAR replied to Jlucasrn92's topic in Critical Care

    In my Cardiac/Transplant ICU we call it "Dream Teaming" a patient (usually when they come straight from the OR). In any admission, and for the most part, you will have the same things that you will...

  23. Womp, womp, womp...

    MYSTICOOKIEBEAR replied to TheBlackDogWaits's topic in Critical Care

    Please correct me if I am wrong, but it seems that you are offended that the OP was sharing their concern and seem to be extremely defensive and very rude. You seem to have a chip on your shoulder and...

  24. Womp, womp, womp...

    MYSTICOOKIEBEAR replied to TheBlackDogWaits's topic in Critical Care

    First and foremost congratulations on getting a job on one of the Units fresh from school, that is no small feat! Secondly, I am very sorry to hear that your preceptor/s take offense to you not being...

  25. Ambulating a pt while on vasoactive drugs?

    MYSTICOOKIEBEAR replied to nurs1ng's topic in CCU, Coronary, Cardiac

    It really just depends on what kind of pressors the patient is on, reasons for being on those specific pressors, the doses the patient is on, and the patient's overall clinical picture. If they are on...