MYSTICOOKIEBEAR

MYSTICOOKIEBEAR

Cardiac/Transplant ICU, Critical Care

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All Content by MYSTICOOKIEBEAR

  1. ET tube questions

    MYSTICOOKIEBEAR replied to Thedevinestman's topic in Critical Care

    You can be very liberal with your movement of an intubated patient at long as it is properly secured and there is enough slack on the vent tubing. It is very important to make note of the length at...

  2. Confused about dobutamine. Help!

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

    Done and Done! After my first video I was planning to do a video every week, but all of a sudden it was 4 weeks later and finally got around to

  3. Confused about dobutamine. Help!

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

    My pleasure, im happy I was able to

  4. UCLA CTICU VS Cleveland Clinic CVICU

    MYSTICOOKIEBEAR replied to Michael McNurse's topic in Critical Care

    Cleveland Clinic is world renowned and is currently ranked #1 in Cardiac surgery, but there isn't as much to do in Cleveland. UCLA is currently ranked #12 and there is significantly more to do there....

  5. I want to quit ICU after one week.

    MYSTICOOKIEBEAR replied to Lady4Scrubs's topic in Critical Care

    The Units are not for everybody and don't feel bad or feel like you are less because of it. Everyone has a different journey and The Units might not be for you. It is very important to find a useful...

  6. New Grad TMICU position

    MYSTICOOKIEBEAR replied to Da1uLuv_RN's topic in Critical Care

    It is slower in the sense that you really ONLY have to worry about your patient so you are allowed more time to focus on them and their care. You're not working with PT/OT, dietary, dealing with a lot...

  7. Name one of your favorite things about being a male nurse.

    MYSTICOOKIEBEAR replied to DatMurse's topic in Men in Nursing

    When it comes to any romantic involvement, I stay away from my coworkers like the plague . Hanging out, going out dancing, drinks, and dinner together in a group is totally fine. But dating a coworker...

  8. Name one of your favorite things about being a male nurse.

    MYSTICOOKIEBEAR replied to DatMurse's topic in Men in Nursing

    Some of the best nights at work is when we have a "Sausage Fest" aka more guys than gals on the unit and pretty much just bro out, shoot the sh*t, and get stuff done! This is kind of weird but I...

  9. Switching from OR to ICU?

    MYSTICOOKIEBEAR replied to Jenn.RN's topic in MICU, SICU

    Props for wanting to go to CRNA school! But first on the docket is getting the ICU experience. I have trained a few people who have been in the ORs and transitioned to the Units. The area that I feel...

  10. New Grad TMICU position

    MYSTICOOKIEBEAR replied to Da1uLuv_RN's topic in Critical Care

    Congratulations!They will most likely train you on days as most hospital systems do this. The great things about days is that you get to experience a lot of things, you have a lot of support, and you...

  11. ICU Nurse Help!

    MYSTICOOKIEBEAR replied to aquille4's topic in MICU, SICU

    Go to CTICU!!! In my humble, but very experienced opinion, the skills you learn in the CTICU will carry you through ANY other ICU that you may come upon. Nurses from the other ICUs in my hospital...

  12. Starting ICU in less than a month

    MYSTICOOKIEBEAR replied to niko1999 RN BSN's topic in Critical Care

    First of all, take a deep breath...............you're going to be fine. Going to the unit is a very big step and you will have a lot more responsibility and autonomy. It is rather difficult to...

  13. Question on roles in code

    MYSTICOOKIEBEAR replied to nursingchick111's topic in Critical Care

    One thing that you must remember is that there is ALWAYS something to do in a code. It doesn't matter how many people are there, there is always some way you can help. In the codes that we have in the...

  14. Late admissions/close to shift change

    MYSTICOOKIEBEAR replied to Enmc412's topic in Critical Care

    Prioritize. Do the really important things that you would want the previous shift to do for you. Make sure the patient is stable, has access, has critical medications infusing or at the ready, and has...

  15. New Grad, Need Advice for Success

    MYSTICOOKIEBEAR replied to NewToICU_17's topic in Critical Care

    First of all, technically, it is the MD's or mid level provider's responsibility to put that order in. You are NOT going to lose your job. Unless the patient was in respiratory distress or REALLY...

  16. Is your ICU staffed with mostly New Grads?

    MYSTICOOKIEBEAR replied to Morguein's topic in Critical Care

    We hire new grads into 4 (CCI, SICU, MICU, NICU) of the 5 ICUs at my hospital. However we do not hire new grads into the Cardiac/Transplant ICU, which is the ICU I work in. Let me put it this way,...

  17. Vasopressin vs. Levophed

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

    I had no idea and actually never thought to look up normal serum levels vs what we give in the Critical Care setting, cheers! Im gonna have to do a little more research myself now . Thanks for the...

  18. Vasopressin vs. Levophed

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

    What doses are you talking about when you say "at the doses used in critical care" because I have personally used vasopressin as low as 0.01 to as high as 0.1 and have seen it as high as

  19. Open Heart ICU, Student Precepting

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

    Start getting comfortable with your rhythms, know how your SWAN works and the numbers that go with it, also learn how to manage a chest tube drainage system (Dos and Donts). The rest will come with...

  20. Vasopressin vs. Levophed

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

    First of all you have to understand that Levo or norepinephrine is an Adrenergic Agonist that stimulates the a1, a2, B1 receptors. This will give us vasoconstriction in the peripheral vasculature...

  21. Accepted SICU! Need help in preparing.

    MYSTICOOKIEBEAR replied to RN0429's topic in MICU, SICU

    Be proficient in your ability to identify different rhythms and which are lethal, which are not, and what you need to do. You already know electrolytes from your med/surg experience, look up your ABGs...

  22. New grad starting out in ICU?

    MYSTICOOKIEBEAR replied to DCtooRN's topic in MICU, SICU

    I currently work at a top 10 hospital in the country and when I graduated nursing school I thought I was a hot shot and could hang with the best of them (Cardiac/Transplant) ICU. But I was told to get...

  23. Hi my fellow cardiac/CT nurses!

    MYSTICOOKIEBEAR replied to Wrench Party's topic in CCU, Coronary, Cardiac

    How are things going?! Being able to quickly identify a rhythm and also knowing your unit's protocols for when SHTF is very

  24. Confused about dobutamine. Help!

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

    When dobutamine is started you have a stimulation on your B1 and mild B2 andrenergic agonist receptors. The B1 stimulation causes a + inotropic and + chornotropic effect. With dobutamine being an...

  25. ICU RNs floated to floors?

    MYSTICOOKIEBEAR replied to jamisaurus's topic in Critical Care

    For us we float there just to resource pretty much as a glorified patient care tech that can also pass