Day in the Life of an ICU Nurse | Night Shift Routine, come to work with me
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- čas přidán 30. 07. 2024
- Hi friends! Welcome to another video monday! In this day in a life of an ICU nurse, I'm going to take you through what we do in the ICU. You'll be seeing my night shift routine and hopeful find out a little bit more of the structure of what people do in the ICU! I'll run you through assessment, workflow, and structure.
DISCLAIMER: Keep in mind, this is only a glimpse. Patient care is my main priority. I remember when I was a student that I did not have an ICU rotation, I was looking for resources on what working on an ICU would be like but did not find much. For preceptorship, I had a feeling that I wanted to do ICU but did not know exactly what that entailed it was a 50/50 chance that I would enjoy the ICU or hate it. Luckily i loved it and found a home in the surgical ICU! I hope that this gives nursing students or nurses transitioning to ICU a glimpse of what ICU shifts look like and I hope you realize this comes out of a place of wanting to help future nurses/future ICU nurses. If you got this far, thanks for reading!
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#DayInALife #NightShiftRoutine #ICUNurse
I’m currently doing prerequisites for nursing school, I love watching videos like this to get a feel of what being a nurse is really like, especially in the icu. I have a special place in my heart for critical care and would absolutely love to work in the icu. Thank you for making this video! ❤️
Thanks for watching! I tried to keep it as realistic as possible with the constrictions of being at work. I hope you get into the ICU! It was also my dream when I was in nursing school. If I can make it, you can too 🤗
I love ICU but you need to be aware that the vast majority of ICU units have a staffing ratio of 2/3:1 RN. I have worked in teaching hospitals, non teaching hospitals, University connected units, for profit and non profit units. I have been working full time in ICU for 31 years. I am thrilled you are considering ICU nursing but please, please go in with your eyes open. Tricia is awesome but her working situation is extremely rare.
@TriciaYsabelle hey may I ask what state and kind of facility you work in?
did you make it?
@@kimhannan4892do you think it's realistic to work in an ICU as a new grad?
My grandma was in the ICU for a month after two strokes. now she’s in a nursing home and doing so much better. thank you for all the work you do 💕
Glad to hear your grandma is doing a lot better ☺️💕 thanks for watching!
this was actually a really helpful video of what it's like to be an ICU nurse! thank you! I hate seeing videos that just talk about what you do at home.. I like knowing what you do AT WORK because I'm determine whether or not to switch my career to nursing. You rock!
Right??! I thought I was the only one. I can never finish those videos
It’s so nice to be young! I would not have the energy to go to the gym after a 12 hour night shift😩.
I’m hit or miss! There’s some days I have the energy and other days I don’t 😬
I’m telling you lol
haha agree
I’m 24 and after my shift I’m either hungry or sleepy 😂
okay ka 👍 and
Must be nice to have 1 patient, get help, and get a break
it's appreciated & i definitely don't take it for granted
That’s ICU life! Love it. 1-2 patients, more help, and more patient care balance.
Your making me want to be a ICU nurse lol! is NICU similar?
@@adi7843 NICU is very different! Smaller population different way of taking care of them. I think the ratio is still the same tho! 1 nurse to about 1 or 2 babies.
It’s definitely different from Tele or medsurg where you have 5-6 pts per nurse 🥴
This is an awesome video, Tricia! Thank you for all of your hard work and dedication. I hope you are always in good health and stay safe.👍
Thank you All for what you do in Healthcare and as a Nurse it is people like you who saved my life all before covid began I remember being in the ICU from having 4 major life saving surgeries 💜
You’re such an animal! I love that you go to the gym after. I just started as an ICU new grad RN.
I’m precepting on days currently but will be night shift. I hope I can make it to the gym on work days too. Thanks for the tips!
you're welcome! the transition can be hard at first. so prioritize sleep on those days. once you're more settled, then try going to the gym once on your back to back shifts to build the stamina! hope this helps :)
I much they pay as new graduate iCu nurse I’m in the process thanks
Awesome video! Shotout to all the ICU nurses out there. The workouts post shift are amazing 🙌
This is one of the best "day in the life" videos I've seen. Thank you.
I am finishing my prerequisites and I'm excited to get closer to applying for the nursing program, your videos give me motivation.
Thank you for doing this Tricia. You sound like an amazing person!
Thank you for this. I can't believe that you actually have one patient a night. I work in what they call a step-down ICU unit with lots of patients with trachs, ventilators, and tube feedings. Most nights we can have as many as 5 or 6 patients. And for a new nurse that is really overwhelming. Am starting to think l may be on the wrong unit as a new nurse. But thank you for this. It's helped me with an idea of how to organize myself at work.
Awesome vid, Trish. I appreciate how insightful you are about your area of work. Currently a 2nd Year BSN student here in AUS. Doing currently some simulated refreshers before heading out to my clinical placement in ICU.
Thanks a bunch and you got a sub! Mabuhay!
Close to graduating nursing school and have always wanted to be an ICU nurse, this video just motivates me more to continue and graduate!
i’m a junior in high school and have been wanting to be an anesthesiologist for the longest, but this video opened my eyes to so many more choices and I just want to help people in general. this seems sooo fun. After covid is over i really hope i can job shadow. Thank you so so so much for this video it really helped me
Stay with anesthesia don’t do nursing lol
@@skunkedfishing7868 why?
@@skunkedfishing7868 CRNA > Medical school. Same time, less debt, and still 200-300k+
omg I know exactly where you work based on that uniform! It's my dream hospital system to work for I love this!
so happy I found your videos! much needed hehe thanks!!
Thank you so much for this video! Your videos have been the most informative among all the nursing/medical vids I’ve been binging on. Sorry to have read all the passive aggressive comments here. You’ve clearly been working hard, and I think it’s tragic some people here are low-key undermining your work as a nurse just bc you don’t have 20 patients at a time, or are allowed well deserved breaks. Thank you for all that you do!
I really love how descriptive your video is!!! New sub ✨✨✨✨
Currently an LPN working in LTC, in RN school. I hope to be an ICU nurse one day! Thank for the video!
New subscriber here! I love this video so much! Currently waiting to hear back on acceptances for nursing school. CVICU nursing is something I would love to pursue in the future
That was awesome get it girl!
Thank you. I'm in my last semester of my ADN and my clinical instructor days she could see me ICU. This gave me some insight and definitely got me more interested
How are you neena
This is so great! A lot of videos I have found are more about someone's pre-shift routine at home, which no disrespect to them but I wanted to see a shift regarding the nursing aspect lol... thanks so much! From a soon to be grad hopefully ICU nurse ♥️
So much respect for you!!
Thanks so much! I appreciate it 😊
I want to become an CRNA and looking thru videos all over youtube is so helpful but i know classes will be difficult 🤦 but i also know i got this i won't give up!
New subscriber and CZcamsr 🙌🏽❤️ your vlogs really make me excited to become a nurse 👩⚕️
hi! thanks so much for watching! good luck on your journey 🤗
Trynna decide if I wanna do my nursing internship at an ICU, ER, or OR. Thanks for the vid!
Thank you for this video as an LPN going back for my RN it is my dream to be an ICU nurse😍 Great job and thank you again for sharing!
You’re welcome! Good luck!! I believe you can do it. Keep pushing for it And you’ll get there 🤗
@@TriciaYsabelle thank you!
How are you
Thankyou for all you do ❤️🌹
Thanks 😊
I just accepted a position in the ICU as a new grad! I keep rewatching this video so I can get a clearer picture of a somewhat routine shift in the ICU. I also watched your other video describing your nursing brain - but in this video, are you using index cards to write your notes/to-do lists? Which do you find to be more efficient/better for you?
congratulations!! im so excited for you. i hope you enjoy it! So for the most part, i put everything on my nurse brain but on day one i usually will have used the 12 hour time portion to write out meds. so when i come back, i like to write it fresh on an index card. on the back of my day 2 index card, ill also write updates if i dont have a colored pen to distinguish the updates from the first day that I was on. i also use index cards to write pager numbers. I'll fold it so it sits up like a little tent on my desk w the pager number for the MD or anyone else i need to contact!
I love your videos !!!!
I found this very helpful.
Hello,I was in a coma in the ICU for a month and I'd like to give input on the opposite side. When it comes to bathing please dont leave us laying there cold while you are deciding on what to do next,we know what's going on but cant talk, remember we arent dead yet lol. And please use the hot wipes as being a women we care about being clean plus we are very embarrassed as well we dont like it just as much as you. Plus we can hear everything you discuss to other nurses😏😂
Sure, your brain hears it but it isn’t as if you’re consciously eavesdropping lol
I’m an aspiring rn nurse. Going into it soon. My father was in a coma for 6 months from a car accident (brain injury) he is now passed. He is the main reason I’m going into nursing. I treated him with so much respect when his nurses didn’t. He had some nurses that were amazing but…I won’t lie. Very few went the extra mile. I want to be that nurse that family can trust when they aren’t around. I tried telling them my dad heard everything even if he was a “vegetable” he was able to let me know he heard me with doing a thumbs up.
How are you
Ahh this is one of the reasons that drives me to be an ICU nurse. I’m that person that will come in and say things to comatose patients or babies like “hello incredible soul! I’m here to help you on your healing journey today and I hope today is another productive day of healing for your body.” Im acutely aware that although a patient may not be coherent or able to speak (ie a baby or pt with severe aphasia) I understand that the mind and body can still absorb positive energy and words of encouragement ❤ I want to help facilitate healing for patients and that includes paying attention to my own energy and the words I speak while around them.
Wow! It is interesting to learn about the differences. I work in Sweden in the ICU as an ICU nurse and we work a lot different it seems like. We don't have dialysis nurses or RTs, we work 3 shift so night is between around 9pm to 7am, we are almost always bedside unless we prepare medicine or eat. We start of with a shift assessment but that's the only full assessment we do. We don't have routine time for labs, just some routines for certain things and if the anesthesiologist order something special. We do ABGs from the arterial line multiple times a shift depending on the patient and we just go to our machine and analyze it. From that we get glucose, sodium, potassium, chloride, BE, bicarb, pH, pO2, pCO2, hemoglobin, lactate etc. We work together with I belive you call them CNAs (best case scenario 1 ICU nurse and 1 CNA per patient). That's just a couple of things that comes to mind.
I loved reading this just as much! That’s nice that you can get the lab values right away. The only values we get right away are the blood sugars and hemoglobin which we can get a read at beside! Some hospitals have an ABG reader on their units but not at my hospital. Our nurse aides (there are usually three) have 8pts each.
How are you
Wow thanks it really gives us a idea what your life is like.
How are you jenni
I have an ICU interview Monday. Currently watching everything I can to prep! lol
Good luck today! Sending you my best wishes!
How did your interview go?
@@dropthatashe it went well. I'm currently working there on the unit & loving it!
I could never be this bold to vidoe record my unit
Loved this vid! I’m approaching my 1 year mark at a SNF (post acute rehab) as an RN. I’ve been looking into ICU nursing. Would you think this is a good idea to jump into after working at a SNF? A tad bit nervous 🥴 Thank you for this informative vid!
You are a great nurse 💉 ❤️
I'm in 4th year of nursing school I have one semester left and I want to be an ICU nurse so I'm here to take an idea about it and that helps me to be more excited to be one of you
Good job ❤️❤️
thank you! good luck on your journey. i'm glad i could help 😊
I loved this video. I’m trying to get into the NICU now 🤞🏾
Fingers crossed! I love the ICU and I hope you love it too!
NICU is an entirely different ball game
You guys get me so excited to be a Nurse ♥️🥹
Bless you guys
I just finished my 2nd semester of nursing school and since first semester, I have felt in my heart that I want to do critical care. I really want CCU after graduation; cardiac is extremely interesting and I find it to be a great specialty to be in. I ultimately want to be a CRNA, so it would be a great stepping stone for me. I really hope I can get in the CCU at the hospital that I currently work at, as a new grad. 🤞🏾🥺
CCU doesnt count for CRNA school. youre better off going straight icu
It does count.
I work at a heart hospital, so the CCU there IS the ICU. We also deal with cardiothoracic surgeries, etc.
A couple of coworkers from my unit have started their CRNA programs recently with just working there and no ICU experience elsewhere. 🙂
Hi Yani, hope all is well - I just read your comment a year later, and I also want to be a CRNA. I start nursing school at the end of August and just wanted to check in with you and see if you graduated nursing school yet and if you got into the CCU at the heart hospital? Just curious your thoughts on being a new grad in a critical care unit if so.
@@Mr-E. - Hi!! Sorry that it’s been a while!! I have graduated and have been working as an RN for 6 months now. Unfortunately, I was unable to start in the CCU upon graduation, but I am in a step down unit. We have the occasional critical patient. I do hope to be in the CCU within the next 6 months as promised by my director. 🙃 I have enjoyed my time as an RN. It has benefited me greatly with the amount of knowledge that I have received. There’s something new to be learned every shift! It can be tough at times, but it is so rewarding at the same time! I love my job!!! So much!!
Almost cried when you said covered dinner and CNA. We have it rough in Texas.
It’s a beautiful day to save a life
Hi Trisha, I have an interview for the Medical ICU next week. What made you choose the night shift? Any advantages besides differential pay for the night shift? I have a family to take care of, and I was wondering if the body gets used to staying up three nights out of a week. I still want energy on my days off to play with the kids and do chores.
I am on my journey to starting nursing school I want to become a CRNA and I want to work in the ICU, thank you for providing us with this information
Wow. Y’all get an hour break? Neat!!!
yeah we do! i appreciate it so much
Going to the gym in the morning that is the best
Thank you for this video..
Wow! going to the gym after a night shift :)
I have always wondered about dressing in ICU.
- do nurses and doctors bring their own scrubs? Like do you wear scrubs from home itself or you change in the hospital?
- do you wear your own shoes in icu or slippers/clogs provided by hospital?
I will try to learn answers to my questions from watching your other videos but I just want to say as a four-year nurse that you are amazing you seem so organized you do not seem overrun overworked end running behind. I would love to know if you have always been this way or if you learned from your preceptor how to run a shift like this and actually be able to stay caught up so you can go help other nurses. I can learn from the med-surg floor and am applying to ICU but I must admit I am intimidated
I’m in my second semester of nursing school and my biggest fear/thing that I worry about is not being good with skills and multitasking. I’m experiencing imposter syndrome and I just want to know if you felt that way when you were in school, and does it get better? Everyone says your skills get better with practice, but I just need reassurance that it’s true lol Love your videos!
thank you! thats how i used to feel ALL THE TIME. i still do sometimes when i make a mistake and i really dwell on it. what's helped me is to write affirmations and remind myself of how hard i worked to get where i am. (honestly, i didn't know if i could make it in the ICU bc of grades and the learning curve but I'm here now!) if i can do it, you can too. just keep pushing through, remember the lessons but dont let how tough it is crush you. life is tough, but so are you. good luck! feel free to message me if you need anything at all(:
@@TriciaYsabelle this right here just reassured me that I can make this happen for me! I struggled with grades but I am determined to at least give ICU a try. I don’t ever want to have the “what if’s” in the back of my mind. I’m 10 weeks out from graduation and I’m scared to death but so so excited too!
Great vlog as always
Thanks so much! I see you always commenting and supporting mellonee! 🥰
How are you mellon
wow,! where I work, I don't even have time to step away from my patient to pee!! when I do get a break my mind is always worrying about what is happening in my absence ....I guess it depends on pt. acuity and where you work ( aka where tripling in ICU is normal ) organizing stuff for the next shift? and make a video?? super nurse !!good job!
Love this
How'are you
I'm still a bit trouble choosing between ICU and Emergency nursing cause I love both of them 😐
Omg. I was a nursing volunteer at RR UCLA when I was in nursing school. Working there as an ICU RN is my dream 🥺💙💙finally graduated from nursing school now. Waiting for my ATT to take my NCLEX 💙 love your videos
You can totally do it!! It was my dream to work ICU and I wasn’t sure if I would ever get there. Just keep going. Good luck! Message me if you need help with anything at all 😊
@@TriciaYsabelle tysm
This is me right now
Videos like this inspires me, do more pleasee. Anyways, Hi im a nursing student from the Philippines❤
hi! 🤗 its on my todo list to figure out how to do this differently hehe
Thank you to all nurses and nursing students willing to do this difficult, dangerous, under appreciated under supported work. A disproportionate number of Filipino American nurses have died in this pandemic
Im currently in a Accelerated BSN progrma rn. I was wondering if you ever went straight to ICU as a GN when you were a new nurse? And how was the experience if you did go into ICU straight away compared to going through PCU and then ICU?
What a great video! I just graduated and I’m starting an ICU Residency next month. I’m super excited and a little scared because I know for a fact the ICU nurses there have been tripled a lot since covid started. But I guess it’s better to start out that way than to get comfortable with one or two patients and suddenly start having three. It can only get better, right? Also, what kind of car are you driving? Looks like the whole top is sunroof!
I’m almost finished with school and was offered an ICU Residency starting this summer. I was just wondering if you’d mind updating how it’s been after a year or more?
what are the usual medications in the ICU?what medications you need to be careful with.Thank you
Gym after work? Omg! I wish i had the same energy as yours. Im totally knock out on my bed after my shift. Im a MICU nurse..
I am currently doing prereqs at a community college, hopefully, in a year, I can transfer to a 4-year university. To get a bachelor's in nursing, and then becoming an ICU nurse. It's my dream because I have been in the ICU many times due to my diabetes. It's a hard disease to take in control of. But I have a passion and a dream to help people. You are inspiring.
Wow, thanks so much for this 💕 good luck on your nursing journey! I’m sure your passion will show through in your essays ☺️
Hi, did you end up transfering after one year? How was the process ? Im in the same boat 😂
How are you quella
Can i ask what state you work in that allows you a 1 hr long break? I see mult nurses have this opportunity in some places in California- but im just curious bc sometimes I dont even get a break during my 12.
What kind of car you got? Love the panoramic sun roof!
Thanks! I like the way it looked in the video too! I have a Q5
i love how concise and straight forward this was!
Also would you recommend day or night shift for new grad icu nurse?
Everyone's different but... Nights
Making me miss my ICU night shift days. If even just for only a few minutes.
in 2 days I'm working my first ICU shift and its a 12 hour night shift. I'm in my last year of nursing school. So i guess the 2 biggest things to know are vents and drips? and also pathophysiology
Hello! Thank you for that video and your insight! I am a new nurse grad interviewing for an ICU position in January. Any and all advice would be highly appreciated. Thank you in advance!
How are you kata
Hello, Im thinking of switching from med surgery to ICU.. Im a nurse and my program is gives us the chance to switch in 6 months.. any tips.. and thank you..
Thank you for your video! I got offers from ICU and cardiac unit yesterday and was looking for little bit of insight how it's like in real life, and your video was helpful! I might choose ICU but has little anxiety if I can handle the sickest patients well since I'm a new grad... Did you go to ICU right after you graduated or you had some experience? Would like to share how you felt in the beginning of joining ICU?
I also have anxiety about starting in the ICU and I even have 5 years of non-critical care nursing experience lol (hospice and home care). My interview is tomorrow and I'm so nervous but I think that's pretty normal for any new job. You're not alone, and I'm sure you'll get plenty of training, especially with being a new grad.
@@alisongasaway609 Thanks Alison for your kind comment, and good luck for your interview! I know you can do it, they will see the passion and warm heart inside of you. I think I was extra worried because though I'm about to graduate nursing school English is not my first language and bit overwhelmed about communicating in new habitat, the training, and long journey ahead of me. But I will take it as a good opportunity to grow and be better. Thanks for sharing your case! Hope you get a position in ICU!
I went to ICU right after grad. The learning curve is pretty steep at first. So it’s important to ask for help. Clarify if you don’t understand something because it’s important to build a strong base. I definitely felt impostor syndrome at times and times where I felt dumb for not knowing something so you’re not alone! Just be sure to work at it everyday and show them how much you want to be there. Try you best to listen to their advice and adapt. It’s worth it! Good luck 😊
I hope you did well on your interview! 🤞🏼
Love the video, and no hate on it when i say this but my ocd level is so high right now with her keeping her hair down..😭
Wait, did you say excited to sleep on a break?! That sounds great lol. Please tell me more! I am finishing up nursing school this May and am looking at ICU or OR. I’m leaning more towards ICU because I still have a thing for CRNA schooling and want to keep my options open in case I go that route 😊
Yeah I do get to sleep on my break! It’s nice for sure. I really like the ICU. I’m learning a lot, on my feet with sick patients and I do get time to pick the doctors brain every once in a while. A good compromise for or and icu is surgical ICU! (Okay I know it isn’t the same) but you get to learn about lots of different surgeries and you can pick surgeons brains about how they did a particular procedure. You get to help with preop and post op care of the patient too! so again, not the same, OR is it’s own awesome beast but something to think about! I also hope to go to CRNA school one day!
What is this sleeping nonsense?!!! In all my ICU career sleeping is something one would have to sneak in! Which hospital is this?
@@twinztwice Yes, how is this hour long break with sleeping happening.. what state are you in?
Tell me this is California... that’s the only place I’ve seen that kind of break and it was glorious
hi can you make a video on on continues dialysis,and are you international nurse ,which agency did you use please
I wonder if your still a the ICU. I’m a RN in Puerto Rico 🇵🇷 and I aspire to become a ICU RN. Our patient/:Nurse ratio is 11/10:1
I’ve been working for year as a Tele RN and my experience in general is 2 yrs. You think I can get used to the ICU or learn as quickly as I learned at the Telemetry unit?
So do you have to have a BSN to work in the ICU?
I'll say it in one word: BRUTAL! Especially if they force midnights. I NEVER had 1 patient in ICU. ( 23 years). If the first patient was crashing, your second patient was on auto pilot with a buddy looking in. If BOTH your patients are crashing, all you can do is pray.😢. Go to the gym? I was lucky not to fall asleep at the wheel on the way home! 1 patient... damn!
Do you usually come for duty with your hair down?
Thanks for sharing..can u share what are the requirements for an ICU nurse?
Do you have 24 hour shifts? Love this video by the way!
wow you are excellent and amazing
Inspiring video I’m starting my job as a ICU nurse in a few months do you have any tips
Thanks for watching! I have a video coming out tonight with ICU tips 😊
Congrats on starting in the ICU, find a mentor and ask questions if you don't know 👍
One patient and an hour break while another nurse with one patient watches?! WHERE do you work? I want to work there!
ICU nurse here. You get a lunch AND another hour break? Did you say you sleep during that break? That’s awesome! Where do you sleep?
Hi! sorry I should clarify, short lunch 15m and an hour break🙂 Due to my unit culture we usually sleep on long break and eat on the short break! We usually just sleep in the nurse lounge but lately our hospital has made respite rooms from the visitor lounges because visitors cant stay overnight due to covid
TriciaYsabelle Thanks for the info, I’m going to take that back to my unit.
I am a nurse, but I don't think I can be an ICU nurse, I just don't have that skill to check every little detail. I am afraid I might miss one essential thing like checking each of the IV pump, reading lab results, missing one medication, or I just might forget that my patient is scheduled for a test. It looks easy for some tho, I remember my batch mates were dying just to be assigned in ICU. I wanted to be assigned in out patient department where patients just come and go.
don't feel like you have to do ICU just because others are doing it! do what makes your heart happy because in the end, if you're doing things for others then you might not like it. And with those skills you just mentioned, they're learned over time! no ICU nurse is perfect. things happen. what matters is that you continue to learn and do better. good luck!
Love your video. Do you know nutse youtuber @MikiRai? She went to UCLA school of nursing as well!
Thanks so much! I didn’t know her personally but have heard of her. She was a year younger than me!
this is short but very informative!
Thanks! Glad you liked it 🙂
what kind of car do you have? i love the sunroof
You guys are allowed to sleep?! For how long?
What’s your typical nurse to patient ratio for your ICU? I’d love to do PICU but don’t think I can handle a ton of patients 😂
No more than 3
Seems like a smooth shift! I always hear Icu is stressful
I’m an ICU nurse of 2.5 years and it can be VERY stressful. There are definitely good, low stress days, but when they’re bad they’re bad.
How are you pisc
is it hard to be an icu nurse for fresh grads?
Do you ever feel like night shifts will cause you health problems down the road?
I’ve been working night shifts for over a year now and I’m not sure how much longer I can handle lol
i feel like it will lol. for now it's tolerable! i like the people and the environment but i think in the future, i'll have to swap to days
What are your ratios at night?
Beautiful brillliant nurse
How are you lea
Can u please tell me How I can apply for a job in abroad as a staff nurse
Watching this at 1am before my ICU rotation starting at 6.30 am T_T