I have worked in a CVICU for over three years, managing post-operative cardiac patients, including those recovering from CABG, valve replacements, and heart transplants. My responsibilities included monitoring hemodynamic parameters, administering vasoactive medications, and responding to emergencies like cardiac arrests. I collaborated closely with cardiologists and surgeons to ensure optimal patient outcomes. My experience also involves educating patients and families on post-discharge care. This role honed my critical thinking and ability to work under pressure in a fast-paced environment.

Prioritization in the CVICU/CCU involves assessing acuity, stability, and urgency. I use tools like the ABC (Airway, Breathing, Circulation) framework and triage principles to address life-threatening issues first. For example, a patient with unstable arrhythmias takes precedence over routine medication administration. I also delegate tasks to support staff when appropriate and continuously reassess priorities as conditions change. Effective communication with the team ensures no critical needs are overlooked. My goal is to balance efficiency with thorough, compassionate care for each patient.

To manage stress, I practice self-care through regular exercise, mindfulness, and debriefing with colleagues after difficult cases. I also maintain a support network outside work. In the moment, I focus on controlled breathing and compartmentalization to stay calm during crises. Recognizing the impact of cumulative stress, I participate in hospital wellness programs and seek mentorship when needed. These strategies help me sustain resilience and provide consistent, empathetic care without burnout.

I regularly attend conferences like the American Association of Critical-Care Nurses (AACN) sessions and complete CE courses on topics like ECMO or advanced hemodynamic monitoring. I subscribe to journals like Critical Care Nurse and participate in hospital-based training for new protocols. Additionally, I engage in peer discussions and online forums to exchange insights. Staying updated ensures I deliver evidence-based care and adapt to evolving technologies and treatments in cardiac critical care.

I once noticed a post-op CABG patient’s MAP dropping despite stable vitals earlier. Recognizing early signs of tamponade, I auscultated for muffled heart sounds, checked for jugular vein distension, and alerted the surgeon. A stat echo confirmed pericardial effusion, and the patient was rushed for pericardiocentesis. My prompt assessment and escalation prevented hemodynamic collapse. This reinforced the importance of vigilance and trusting clinical intuition in the CVICU, where subtle changes can signal life-threatening conditions.