MYSTICOOKIEBEAR

MYSTICOOKIEBEAR

Cardiac/Transplant ICU, Critical Care

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All Content by MYSTICOOKIEBEAR

  1. ICU/Stat nurse interview

    MYSTICOOKIEBEAR replied to astuteRN's topic in Critical Care

    Congrats! What managers are usually looking for are examples of leadership, examples of sound nursing judgment, and split second decisions that you made whilst using solid critical thinking that is...

  2. ICU Patient Ratios

    MYSTICOOKIEBEAR replied to Misnim's topic in Critical Care

    The ICU nurse that is assigned to the CVVH patient (1:1) is the primary care nurse for that patient and does all of the patient's care i.e. running the machine, baths, meds, etc. The CVVH/Dialysis...

  3. Path to ICU

    MYSTICOOKIEBEAR replied to Fiddlesticks27's topic in Critical Care

    That path that I took was Cardiac/Vascular/Thoracic Stepdown first as it will get you moving fast, thinking on your feet, using your time management, prioritizing, and getting familiar with EKG...

  4. Transitioning from Hospice to Critical Care, please help!

    MYSTICOOKIEBEAR replied to dwskillman's topic in Neuro Intensive Care, ICU

    I'm gonna be honest with you, you will be in the same world of very critically ill patients but on completely different ends of the spectrum. You are already familiar with end of life and comfort care...

  5. What have you learned in nursing school that was utter nonsense?

    MYSTICOOKIEBEAR replied to TheMiss's topic in General Nursing

    Broncophony and making the patient say

  6. Question for new grads in ICU

    MYSTICOOKIEBEAR replied to vaivorykste's topic in Critical Care

    Hello ladies and gents, I thought I would chime in since there are a few new to ICU RNs in this thread. I have made a few videos that help as a review for seasoned ICU RNs but I really have it...

  7. The Doc said this can't happen!???

    MYSTICOOKIEBEAR replied to qaqueen's topic in Critical Care

    The Doctor has either A) Never experienced a patient on long term Neuromuscular blockers (which shouldn't even be a thing but sometimes there are extenuating circumstances) B) Too proud to admit that...

  8. NG insertion Doctors VS nurses

    MYSTICOOKIEBEAR replied to BendyEm's topic in Critical Care

    Unless the patient had a lung transplant, had an esophagectomy, has active varices, the RNs do it. If we are using it just to decompress, we just listen and hook it up to LIWS, if it is watery and...

  9. New Grad in a MICU

    MYSTICOOKIEBEAR replied to lifelonglearnin's topic in Critical Care

    MICU, definitely MICU!!!!!! Brush up on your Anatomy and Physiology (heart and lungs) as well as pharmacology especially cardiac meds (CCB, B blockers, Adrenergic Agonists, ACE, ARBS, Digoxin,...

  10. Femoral arterial line protocol

    MYSTICOOKIEBEAR replied to dougnj01's topic in Critical Care

    Whenever I pull an A-line, I go straight up cath lab rules on it. Minimum 20 minutes of solid pressure usually 30 minutes, CBR and completely flat for 4 hours post pull. I sometimes cheat with reverse...

  11. Feeling overwhelmed

    MYSTICOOKIEBEAR replied to CardiacDork's topic in Critical Care

    Hey brother, we have all been in that situation, but admitting and knowing your limitations is a step in the right direction to working on becoming better. When it comes to charting, get your vitals,...

  12. Scary Situation

    MYSTICOOKIEBEAR replied to smithRN16's topic in Critical Care

    I have seen it and have been part of the decision to move people to the CVT step down from my Cardiac/Transplant ICU. First and foremost our patients come first and if an RN shows an inability to...

  13. Scary Situation

    MYSTICOOKIEBEAR replied to smithRN16's topic in Critical Care

    I respectfully disagree. If there is an issue with incompetence in one of my coworkers, it affects us all, and is something that needs to be addressed immediately. In times of high stress, which...

  14. Sepsis and low temp

    MYSTICOOKIEBEAR replied to Enm89's topic in Critical Care

    In a septic patient, the body's natural response to any foreign invader (bacteria, fungi, etc) is to massively vasodilate in order to dilute and spread out the invader in order to more easily destroy...

  15. ICU Patient Ratios

    MYSTICOOKIEBEAR replied to Misnim's topic in Critical Care

    If it was an LTAC with patients who have been on the vents and have been stable on them for months, maybe. But in an ICU setting? Absolutely not. Unless it is some new progressive place that is...

  16. Too Old to Enter Critical Care Nursing?

    MYSTICOOKIEBEAR replied to Fiddlesticks27's topic in Critical Care

    35? Absolutely not! If you are interested and want to increase your knowledge, skill set, and your nursing abilities, go for it. It is a very fun world to get into, it is scary, exhilarating, and...

  17. RT focus on pao2?

    MYSTICOOKIEBEAR replied to hotcoffee's topic in MICU, SICU

    I recently had a patient on VV ECMO at 100%, on the vent at 100%, Nitric at 40. The spO2 was 92% but the PO2 was 52. So the spO2 is not the end all be all, it definitely helps to have both to guide...

  18. Reflections after my first code

    MYSTICOOKIEBEAR replied to ilikesharpthings's topic in MICU, SICU

    I am proud to have you as a colleague in arms in this small but very important world of Critical Care

  19. Vasopressin

    MYSTICOOKIEBEAR replied to Doge's topic in MICU, SICU

    500mL bags?! Woah. I guess that would be nice for the patients on rocket fuel with vaso @ 0.12 (Canadian Fellows brought that into our practice ) but I have actually seen it work so I can't really...

  20. RNs running ECMO on adult patients

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

    You had a perfusionist at the bedside 24/7?! Lucky!!! My First deviced patient was an ECMO/IMPELLA. Mind you, I had never had either and lo and behold I had both, in front of me, in the same...

  21. The ICU nurse struggle

    MYSTICOOKIEBEAR replied to ddr436's topic in Critical Care

    5 Years? Congratulations, that is more than most people last on the units . I completely understand where you are coming from, I know what you are going through, and know how stressful it can be. But...

  22. ICU vs OR nursing

    MYSTICOOKIEBEAR replied to Jordym919's topic in Critical Care

    Having worked on a CVT Stepdown and now a Cardiac/Transplant ICU, I would recommend you go into the Critical Care arena. The Units is where a lot of the action is at, you get to work on your time...

  23. SICU or Cardiac stepdown- New Grad

    MYSTICOOKIEBEAR replied to squeetleb34's topic in Critical Care

    First things first, CONGRATS! Getting a job offer before you are even finished with nursing school is a very big deal and at Cleveland Clinic no less! Directly out of nursing school I started on a...

  24. Unsafe ICU staffing/ patient ratios! Please help!

    MYSTICOOKIEBEAR replied to sophiern1's topic in Critical Care

    I mean this in the most respectful and encouraging manner possible, leave that hospital system. A hospital system that truly does not care about their ICU RNs, ratios, or patient safety is one that no...

  25. Med/Surg transfer to ICU. Going for peer interview and no idea what to expect!

    MYSTICOOKIEBEAR replied to ibubblepop's topic in Critical Care

    When you meet everyone stand up to shake their hands and introduce yourself and for the love of God try to remember their names. Be nice, be cordial, be honest, as much as possible try to come off as...