MYSTICOOKIEBEAR

MYSTICOOKIEBEAR

Cardiac/Transplant ICU, Critical Care

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All Content by MYSTICOOKIEBEAR

  1. Tube Feeding on Hold

    MYSTICOOKIEBEAR replied to grace08's topic in Critical Care

    Whether the patient is vented or not, if a patient's condition is rapidly deteriorating and you have time before you actually initiate ACLS, ABSOLUTELY turn it off. You can always restart it if it is...

  2. ICU Nurses - IV Carrier Rate for Infusing Pressors

    MYSTICOOKIEBEAR replied to rebrrn's topic in Critical Care

    Assuming that the patient in question has a Mac Cordis with a SWAN threaded through, it takes 1.5mL of any fluid from the VIP to the blood stream. They usually come out of the OR with a driver of...

  3. what are daily icu nurse duties

    MYSTICOOKIEBEAR replied to hw1992's topic in Critical Care

    Cheers! Being on The Units is a beautiful thing, at times it can feel impossibly challenging, but it can also be violently fulfilling especially when you hit a home run and your actions are what saves...

  4. Wrong decision to enter critical care

    MYSTICOOKIEBEAR replied to TKOmurse's topic in Critical Care

    Thank you for sharing your experience with us, I know it is not easy, but that's what we are here for . I came from a CVT stepdown and within a year's time quickly rose up through the ranks and...

  5. CCRN with tele experience?

    MYSTICOOKIEBEAR replied to jennysong81's topic in MICU, SICU

    I respectfully disagree. If I had two candidates applying for the same position and was solely hiring them on what was on paper and they had the same number of years of experience, came from similar...

  6. CCRN with tele experience?

    MYSTICOOKIEBEAR replied to jennysong81's topic in MICU, SICU

    I used to work on a CVT Stepdown for a year-ish before switching to The Cardiac/Transplant ICU. Would it have been possible for me to pass with only the Stepdown experience and if I had studied the...

  7. One Liner to Diffuse Escalating Situation With Patient

    MYSTICOOKIEBEAR replied to Lev's topic in Patient, Colleague Relations

    You have very respectful and admirable responses, but I feel I do not have the patience for that any more. Long gone are the days of being being quite and passive when on the receiving end of any...

  8. what are daily icu nurse duties

    MYSTICOOKIEBEAR replied to hw1992's topic in Critical Care

    First thing you do is get report from day shift. Together come up with goals for the shift. Take a look at labs, vitals trends, any tests for the day, and also things to look out for (soft maps while...

  9. New Grad preparing to be hired on a Cardiac Step-down unit

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

    That's the unit that I started on and absolutely loved my experience for the year-ish that I was there before transferring to the Cardiac/Transplant ICU. Brush up on your EKG interpreting skills and...

  10. CABG recovery ratios?

    MYSTICOOKIEBEAR replied to brook0224's topic in CCU, Coronary, Cardiac

    I believe our policy is to keep them 1:1 for a minimum of 4 hours before we can get a new patient, whether they are extubated or not. More often than not, we keep them 1:1 on the shift they came out...

  11. Picked wrong unit?

    MYSTICOOKIEBEAR replied to CrisV's topic in Critical Care

    I will tell you this. I work in a top 10 hospital in the country and my unit, the Cardiac/Transplant ICU, takes the sickest of the sick that the world has to offer; Im taking Cardiac transplants, with...

  12. Failed CCRN again

    MYSTICOOKIEBEAR replied to Whitroth05's topic in Critical Care

    Try doing the Pass CCRN book, when you read the rationales, write it down as pieces of information because there are a lot of common

  13. 25000 mcg of fentanyl in 5 sec

    MYSTICOOKIEBEAR replied to 8-ball's topic in Critical Care

    This is true since the Level 1 and the Belmont can max out at about 1,000mL-1,400mL/min and you can only do that if you have a big bore access like the big arm on a Mac Cordis. But for the...

  14. Changing the culture in the ICU

    MYSTICOOKIEBEAR replied to SuperNurse225's topic in MICU, SICU

    Help build the team that you want to see. Be a good, helpful nurse and lead by example. One thing that I make a point of doing is doing rounds on the nurses on the unit 3-4x/ shift, beginning, twice...

  15. 25000 mcg of fentanyl in 5 sec

    MYSTICOOKIEBEAR replied to 8-ball's topic in Critical Care

    Did it sound like a jet engine or was there a sonic boom around the brain as the pump was infusing 250mL at a rate of 90,000 mL/hr over the 10 seconds that you claimed it did? Even if it was over one...

  16. Passed CCRN

    MYSTICOOKIEBEAR replied to futurecrna1's topic in Critical Care

    Congrats and welcome to the club! Don't forget that you renew every 3 years and you need 100 CEUs, just do the free ones on the AACN website and you should be gtg. Now put that new CCRN information...

  17. Pacer capture

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

    When talking about a VVI backup, capture is when you have a QRS after every spike, 100% of the time. If you set the VVI backup to 70 and it drops down to their intrinsic rate, you have lost 100%...

  18. How do people feel about male nurses?

    MYSTICOOKIEBEAR replied to Natgurad's topic in Men in Nursing

    You will fit right in, DO

  19. Is it for me?

    MYSTICOOKIEBEAR replied to OldIsNewAgain's topic in Men in Nursing

    If you want a job where you can do so many different things (floor, ICU, dialysis, school, GI lab, PACU, informatics, research, clinic etc), make a good salary, have a job anywhere in the country,...

  20. Best unit for growth/learning as a student?

    MYSTICOOKIEBEAR replied to onajourney's topic in Critical Care

    For learning, as a tech, get on the units. It will give you more time with the devices and patient population that you are going to want to take care of and also more face time with the nurses who...

  21. New Grad RN, Neuro ICU

    MYSTICOOKIEBEAR replied to kmk84's topic in Neuro Intensive Care, ICU

    Congrats to the both of you! Honestly just brushing up on your notes from nursing school should be enough to hold you over because you don't TRULY learn until you are on the unit and experience things...

  22. Open Heart ICU, Student Precepting

    MYSTICOOKIEBEAR replied to CodeRed5's topic in CCU, Coronary, Cardiac

    Since you are still very new to critical care, this video I just finished on ICU Nurse's role during endotracheal intubation might help. You will see and be a part of many a intubation and knowing...

  23. New MICU Nurse

    MYSTICOOKIEBEAR replied to TheBerriGirl's topic in MICU, SICU

    Unfortunately I feel like experiencing things first hand is the only way to really know what to do when something goes wrong. I feel like you should be focused more on learning how to do things...

  24. Ventilator Questions

    MYSTICOOKIEBEAR replied to BeatsPerMinute's topic in Critical Care

    Honestly, the only way you truly learn almost ANYTHING with the vents is with actual experience and talking to your RTs because they are the masters of that domain. Intubating, proper management of an...

  25. OG Tubes after Intubation - suction

    MYSTICOOKIEBEAR replied to Genavina's topic in Critical Care

    Have the suction tubing ready to go, once you auscultate and verify it's position is gastric in nature, connect the suction tubing to the OG/NG to LIWS (Low Intermittent Wall Suction). If you are...