What you should know first day in ICU

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  • Опубліковано 29 січ 2025

КОМЕНТАРІ • 157

  • @NoelPendergast
    @NoelPendergast 7 років тому +110

    Great overview!! You should be an educator ... as an educator myself, I admire that you do a great job of explaining the basics of critical care!

    • @roxannenoriega5661
      @roxannenoriega5661 5 років тому +4

      I thought the EXACT same thing!! Important information streamlined very well

    • @raybryson7545
      @raybryson7545 3 роки тому

      instaBlaster...

    • @iamlucy2308
      @iamlucy2308 9 місяців тому

      He likes learning to then break it down the most simplest way to teach others! He is pretty awesome!💯

  • @starlizgold7339
    @starlizgold7339 Рік тому +6

    You’re like the most reassuring nurse I have ever listened to 😊
    Being a nurse myself.
    Good job

  • @pearlbrown05
    @pearlbrown05 3 роки тому +3

    The best video ever on UA-cam for icu nurses. Perfect 👍🏽

  • @rosagomez1191
    @rosagomez1191 6 років тому +101

    "Tell a scary story" lol

    • @payalbhavsar6960
      @payalbhavsar6960 6 років тому

      Right?! It made me giggle

    • @gtas04
      @gtas04 5 років тому

      or pinch them really hard:)

    • @Samiitriis
      @Samiitriis 5 років тому +2

      If you accidentally rip out their foley catether it will go up as well. (Do not recommend.)

  • @keelydenham1887
    @keelydenham1887 7 років тому +44

    I'm just about to graduate and have secured a registered nurse position in ICU and this has helped me so much! Thank you

  • @itssteevoooo
    @itssteevoooo 5 років тому +17

    Starting in the SICU in a few months after having worked neuro med-surg for the last year. Loved this video. Been looking for concise overviews of what to expect and you did a great job.

    • @nursegreg9831
      @nursegreg9831 Рік тому +1

      That's my plan please tell me how was your transition

  • @christianbaxter_yt
    @christianbaxter_yt 5 років тому +4

    Been in ICU for 5 months, this is spot on and helpful, thanks. This is very solid

  • @jmjustiniano7
    @jmjustiniano7 7 років тому +8

    please do no stop with these educational videos for icu nursing. i've finished my orientation on the sicu floor at my hospital, and wished i found your videos alot sooner! they are all so helpful and alleviating for when i start my first shift on my own tomorrow. your statements are simple, straight-forward and easy to understand.

  • @carlose0318
    @carlose0318 Рік тому +1

    You’re so handsome, made it easy to listen to. For real though I’m a med student starting my first day on icu and I actually found this super helpful to hear a nurses perspective. Thanks!

    • @timschimmel5150
      @timschimmel5150 10 місяців тому +1

      I nearly died from a "spontaneous" spleen rupture. My hemoglobin drop bloe 6. Elders from my congregation and family and friends, prayed over me. I have spotted memory. Know that your training, care, knowledge and gut feeling is a gift. ❤

  • @allanochoa4826
    @allanochoa4826 4 роки тому +2

    man, as a new grad, i like that you're real. Not like a lot of influencers on ig. been watching your vids for a couple days and they have been helpful.

  • @stefnee4708
    @stefnee4708 5 років тому +7

    I work in a large veterinary emergency center and i watch your videos i have learned alot. The 2 worlds are incredibly similar its insane.

    • @maryem8263
      @maryem8263 5 років тому +1

      Stef nee Wow! Would be awesome if we could cross train into animal OR/ICU. #dreamlife Saving people and animals! Haha

  • @donovanmontgomery8225
    @donovanmontgomery8225 4 роки тому +19

    First day in ICU and I realized I need to know all of these...fml

  • @meganschwyn6096
    @meganschwyn6096 3 роки тому +3

    Tomorrow is my first day on the ICU as a new grad. I appreciated this video so much! It is the first one I have seen that is straightforward and easy to understand. I will definitely keep this info in mind!

    • @scarlet2589
      @scarlet2589 3 роки тому

      How is it going? I have an interview for a new grad residency in the icu

  • @franciscoGomez-nu9qk
    @franciscoGomez-nu9qk 7 років тому +21

    I'm starting a new grad program in the ICU in 2 weeks. This video was a great guide bro.

    • @kilo262
      @kilo262 5 років тому +1

      Any tips for a icu residency program interview?

    • @bridgeta7009
      @bridgeta7009 4 роки тому

      Kilo 26 be confident in yourself. I struggled with that a lot. Also, be prepared for clinical scenario types of questions like if you have a pt with low BP and is dizzy what are you gonna do? At least that’s how mine started. I was sweating balls 😆

  • @adhdHD09
    @adhdHD09 Рік тому +1

    I’m a new grad who’s starting at the CICU on August 14!! Super nervous but also excited. Saving this to prepare myself thank you so much for sharing!!

  • @riceluv
    @riceluv 4 роки тому +3

    I’ve been an ER nurse for 2 years now and will be transferring to ICU in a few weeks. I’m excited and nervous at the same time. I want to expand my critical care skill set and knowledge. Get into Critical Care Transport, open more doors for myself instead of feeling stuck in ER. Just hearing your tips here gives me a better understanding of the mindset in ICU. Compared to ER, I’m thinking what are they here for, what’s pending, what’s the plan, what did we do, and what do I have to do to keep them stable until transfer/dc.

  • @Tyber0sity
    @Tyber0sity 11 місяців тому

    Thanks for this video, starting in the SICU in a few days... short, sweet and to the point. 🙂

  • @janellrajeski7942
    @janellrajeski7942 6 років тому +2

    Wow. Thank you so much for this message. I have been asking around to all the nurses I know what to expect and not one told me anything helpful. This is exactly the kind of information I was looking for.

  • @Jcsuperstar22
    @Jcsuperstar22 7 років тому +7

    Thank you so much for making this video! Being an ICU nurse is my dream.

  • @jeanetterawlings6132
    @jeanetterawlings6132 5 років тому +1

    I have nothing to do with nursing, however, this was a great video!! It kept my interest from beginning to end!!! I was able to understand the information given and the thought processes behind them!!! GREAT GREAT JOB!!!

  • @JayArceo_
    @JayArceo_ 4 роки тому

    Tomorrow will be my first day BACK in ICU after not having worked there for three years. Covid19 brought me back and it led me to your video and it's been helpful. Thank you and stay safe - from Australia.

    • @JosiahShoon
      @JosiahShoon  4 роки тому

      We are in the exact same boat! Best of luck stay calm and stay safe!

  • @Belladonnasiren
    @Belladonnasiren 7 років тому +1

    I start my first shift in CCU on Monday and I found this video so helpful! It also brought back some things I learnt at uni but have not needed to consider on the general medical ward. Thank you for posting this

  • @alexisoliva6427
    @alexisoliva6427 7 років тому +27

    I'm going in for a interview as a patient care technician in the ICU this friday IM SO NERVOUS i finished my CNA course but i haven't even started my pre reqs for nursing yet I'm dying inside but I'm so excited at the same time !

    • @erikaortiz3134
      @erikaortiz3134 6 років тому +2

      Alexis Veal that's a great opportunity, but you shouldn't worry cna don't have that much of responsibility as nurses. I've been a Cna for 3 years and it's not bad. Just make sure to check urine, output take vitals, monitor input and output correctly, reposition patients every 2 hours and change them and give bed baths do oral care etc.

    • @katie4335
      @katie4335 4 роки тому

      I was very nervous when I went in to Office Max for my interview. I have been working there for 2 years. You will do fantastic

    • @girlgreenivy
      @girlgreenivy 3 місяці тому

      6 years on. Wondering how it all worked out for you at the interview and in school.

  • @wmedinaful
    @wmedinaful 7 років тому +1

    Hi Josiah, you obviously seem to be very passionate about nursing and you have the desire to learn more. Thats awesome! Keep doing what youre doing. I love your videos!!

  • @FalconMan91
    @FalconMan91 6 років тому +1

    Tomorrow is my first day in ICU working independently. Good video and thanks for the tips

  • @stephxuhxnie
    @stephxuhxnie 5 років тому

    was a tele nurse for almost three years, have floated to ICU before but tomorrow is my first official day as an ICU nurse. Thank you so much for this. freaking out so much that i found this video but thank youuuuu

  • @melzsmilez4928
    @melzsmilez4928 4 роки тому

    Thank you for taking the time to share, I recently got offered an ICU residency position for spring 2021. This will definitely help. You just got yourself a new subscriber :-)

  • @catherinemendoza8312
    @catherinemendoza8312 7 років тому +54

    check your creatinine if you are replacing electrolytes!

    • @juansaldarriaga8676
      @juansaldarriaga8676 4 роки тому

      Why is that?

    • @tyrmyrmidon2846
      @tyrmyrmidon2846 4 роки тому +2

      @@juansaldarriaga8676 I might be wrong but I think it's to check the kidney functions and make sure it can clear the fluids

    • @rn9167
      @rn9167 3 роки тому

      @@tyrmyrmidon2846 yeah, probably because you cant even give k+ to anyone who have any acute kidney injury or until the urine is at least 30 ml/hr

  • @ciuucatt6051
    @ciuucatt6051 Рік тому

    Thank you so much for sharing your advice. Please make more videos of ICU and routine of ICU nurse.

  • @xavi5183
    @xavi5183 6 років тому +1

    Good stuff bro, spoken like a true ICU nurse💪🏽

  • @smileykyleigh8983
    @smileykyleigh8983 4 роки тому +1

    Getting ready for my first clinical rotation through the ICU tomorrow!! Thank you for the info💕

  • @hombre1mia
    @hombre1mia 3 роки тому +2

    "Tell a scary story"....lol

  • @deeflores419
    @deeflores419 6 років тому

    My first day of preceptorship at CTICU is in 3 days. Thank you for this!! I want to become an ICU nurse, so thank you for all of your vids, especially the one where you rant in your car! lol its nice to hear the straight truth of what the job is!

  • @payasitarosita
    @payasitarosita 3 роки тому

    Liked this video. Gave me some basics. I'll start ICU in a month after a year of med surg. Thank you.

  • @ktay7847
    @ktay7847 Рік тому

    Great to know! This is very helpful- I feel like I know nothing. Thank you so much!

  • @mariaolivarez3368
    @mariaolivarez3368 5 років тому +1

    Thank you! I will be precepting in ICU soon and I wrote notes on your video very informative and educational on tips to look out for. LOVE IT!

  • @nurseval4763
    @nurseval4763 5 років тому

    Thank you from a new grad ICU nurse! Looking forward to watching all your videos!

  • @sibibabu7563
    @sibibabu7563 3 роки тому

    helpful video....even I am very frustrated with the same situation as you explained .now I am ok after listening that you too gone through the same

  • @awkwardgamervrn4827
    @awkwardgamervrn4827 6 років тому +1

    Interviewing for Cardiac ICU tomorrow (wish me luck!) and this helped soooo much. Now that I have a general idea of what to expect, I feel more confident!

    • @laurarobell2551
      @laurarobell2551 6 років тому

      Pablo Espana pablo how is it going? Tomorrow is my 8th day and i feel soo insecure still

  • @nursinglikeaboss5611
    @nursinglikeaboss5611 6 років тому +4

    Starting an ICU internship next week thanks for the tips!!

  • @jamesfournier9450
    @jamesfournier9450 3 роки тому

    Bad ass video! Thanks for the heads up on what to know. I am doing a critical care rotation next semester and want to go in ready.

  • @ellaxoxo15
    @ellaxoxo15 6 років тому

    I got placed in the ICU for my senior nursing capstone/internship! I am so thankful I found this video, I feel like at the very least I won't be walking in blind for my first shift on sunday!

  • @juansaldarriaga8676
    @juansaldarriaga8676 4 роки тому

    Thanks Josiah! Starting my journey in ICU in 2 weeks! This lesson really gave me peace of mind and a start point to dig deeper into these concepts.

  • @jenniewestforth789
    @jenniewestforth789 4 роки тому

    Thank you for posting this. I'm in NP1 and my main goal in life is to be a CRNA. I plan to apply for ICU positions due to the need of experience for crna school. This is something I will go back to constantly as a refresh.

  • @alyssazaira0406
    @alyssazaira0406 5 років тому +1

    Graduating in December and going to ICU tomorrow for my rotation and also hope to be able to do my preceptorship there! Thanks for the heads up! Will be binging the rest of your videos! Thank you so much for sharing!

  • @lisazeha3416
    @lisazeha3416 3 місяці тому

    thank you thank you thank you. This is what I need!

  • @delphinehansen4259
    @delphinehansen4259 4 роки тому +1

    Hey Josiah! I'm a med student from Canada, starting my first ICU rotation tomorrow. Thanks for your video, helped me review what to focus on and what to expect a bit! :)

  • @MeganDLP
    @MeganDLP 6 років тому +2

    Thanks for the video Josiah, Very helpful info! I just had my first day in ICU for PA school. Man ICU is a BEAST! I was Looking for youtube videos to study and I saw your face lol good to see you are doing great

    • @JosiahShoon
      @JosiahShoon  6 років тому

      Hey Megan! That’s so exciting you must be done soon! ICU is definitely a beast of its own and it can never be fully controlled. But I personally really loved it. I’m sure you will too! Best of luck and huge congratulations on all you’ve already accomplished!

  • @mirandaalexis
    @mirandaalexis 4 роки тому

    this is helpful especially for a 3 year ER nurse cross training in ICU

  • @haileylee7363
    @haileylee7363 6 років тому +2

    I just got hired in the icu so this video was helpful to watch~ :D going to vlog my journey as I gain more experience as a new nurse :)

  • @kelsey7712
    @kelsey7712 5 років тому

    I am so happy that I found your videos. You are so insightful. I am about to finish my prerequisite courses for nursing school. I want to be an ICU nurse.

  • @3Cesca3
    @3Cesca3 5 років тому +1

    Where have you been all my life! This is amazing thanks for sharing.

  • @timschimmel5150
    @timschimmel5150 10 місяців тому

    Forever ❤ for ICU nurses. 😊

  • @myle1207
    @myle1207 3 роки тому

    Thank U for giving such important info that others may prob take for granted!!! New Sub 👌🏽🙌🏽🙏🏽

  • @tabithaklein6801
    @tabithaklein6801 5 років тому

    New grad RN here! Starting in the ICU tomorrow! This was super helpful and allowed me to relax a bit 😉

    • @RT710.
      @RT710. 4 роки тому

      Tabitha Klein hows it been going?? I start in 2 months

  • @chevy2die
    @chevy2die 6 років тому +2

    Dude, you're good at this. Tell a scary story! Hahaha!

  • @daniellezm
    @daniellezm 3 роки тому +1

    Great overview! I'm transitioning to cardiac ICU after 4.5 years of med-surg and I'm soooo nervous. So I'm trying to prepare!

    • @TM11..
      @TM11.. Рік тому

      Hi! How was the transition? I'm a MS Tele nurse abt to do the same..

    • @daniellezm
      @daniellezm Рік тому +1

      @@TM11.. overwhelming but we have a pretty good orientation where I work, a couple months and lots of classes. So it wasn't so bad, hard when you're an anxious person tho!

    • @TM11..
      @TM11.. Рік тому +1

      @daniellezm Understandable! I'm pretty anxious too, lol so we'll see! But I guess anything new would make us feel this way, but good thing is that we do hv a nursing basis coming in, just gotta change our thought process. Thanks for the insight and continued success on your journey!

    • @daniellezm
      @daniellezm Рік тому +1

      @@TM11.. thank you

  • @Jcregent11
    @Jcregent11 6 років тому

    Just accepted and ICU position after doing rehab and surgical. This helped a buttload! Thanks dude!

  • @jordane2036
    @jordane2036 2 роки тому

    "tell a scary story" for MAP lol I love it

  • @lovelyladyroxy
    @lovelyladyroxy 6 років тому +8

    "tell a scary story" lol thanks for the tips

  • @andrewpayne8249
    @andrewpayne8249 7 років тому +4

    still getting my prereqs for nursing so I'll have to ref this later! good video!

  • @lujeenii3391
    @lujeenii3391 5 років тому

    Thank you so much for the video, really helped me as an ICU new staff

  • @sweetyp4499
    @sweetyp4499 3 роки тому

    Handsome nurse🤩

  • @SylwekGrega
    @SylwekGrega 6 років тому

    Thank you for sharing! I work on a cardiac stepdown unit and I hope to get into the CVICU hopefully by the end of this year! Thank you for the video and the information!

  • @saghar9044
    @saghar9044 5 місяців тому

    It was awesome thank you

  • @rusty315
    @rusty315 5 років тому +1

    Got bless you!! You helped me so much!!!

  • @sanasingh3779
    @sanasingh3779 6 років тому +1

    Very good orientation thanks

  • @tabithalucius8482
    @tabithalucius8482 Рік тому

    That was awesome!

  • @mariangely9546
    @mariangely9546 6 років тому +3

    I interviewed for an ICU position a couple weeks ago and my shadow day is today and so nervous I can't sleep 😂 I also don't normally work day shift so this is throwing me off LOL. K, Mg, and hgb are the first values I look at in PCU as well.

    • @jacretuya1684
      @jacretuya1684 5 років тому

      Mariangely i feel you! Thats me right now

  • @victoriak1219
    @victoriak1219 2 роки тому +2

    Where did you disappear to?!

  • @consciously_slow
    @consciously_slow 5 років тому

    thank u ....quite helpfull...im a new icu nurse

  • @haizamgolez5237
    @haizamgolez5237 4 роки тому +1

    Going to MICU next week bro! I’m on my last sem of ADN.

  • @j_demus
    @j_demus 7 років тому

    I have started training since sept. its awesome but concentration has to be good. thanks for the talk bro.

  • @sraine1772
    @sraine1772 6 років тому +3

    Italian mafia knows sign language

  • @hopeforkids7194
    @hopeforkids7194 3 роки тому

    this was very helpful, thanks a lot.

  • @da-liyaJoseph
    @da-liyaJoseph 2 роки тому

    Thankyou dear iam waiting to enter as a new nurse ❤️

  • @wedgepressure4313
    @wedgepressure4313 7 років тому

    Hey there! Love your channel! I plan on getting into the icu when I graduate. I have 2 more semesters and it really helps to hear this because it tells me in studying the right stuff. Everything you went over seems very doable so that gets me excited! I'm vlogging Unruh my nursing journey so we will see how things go along. Thanks again for the video

  • @beverlyalba8886
    @beverlyalba8886 7 років тому

    Thank you for this video. More power.

  • @jadehymel
    @jadehymel 7 років тому

    Thanks for making these videos!

  • @leahharpole4880
    @leahharpole4880 Рік тому

    This video was 10/10

  • @neuroticgypsy
    @neuroticgypsy 4 роки тому

    Very good. Thanks.

  • @jesuscoqui
    @jesuscoqui 2 місяці тому

    Very helpful. I start cvicu 02/10

  • @shegone8663
    @shegone8663 6 років тому

    My first day on the MICU is tomorrow! Thanks for the tips!

  • @christinebenson7912
    @christinebenson7912 7 років тому

    Great video! This would have been great when I first entered the ICU!

  • @Jansen33
    @Jansen33 7 років тому +1

    I'm in my Infancy; taking anatomy and physiology one. I want to be in ICU nurse. I pray o God I get there.

  • @chelleocean3614
    @chelleocean3614 3 роки тому

    thank you!!

  • @barbarafr3163
    @barbarafr3163 4 роки тому

    Wow! Thank you 🙏🏼

  • @johnitastarrcareercoach196
    @johnitastarrcareercoach196 3 роки тому

    Thank you !

  • @SLRGamingg
    @SLRGamingg 7 років тому

    Thanks you love your explanation.

  • @gborowme
    @gborowme 5 років тому

    You are great, arterial line before blood draw for labs , initial 10 cc waste blood first. Is that still the rule? I am all about learning I like your energy

  • @bea8916
    @bea8916 4 роки тому

    impressive! ☺️

  • @Versatilechik
    @Versatilechik 6 років тому +1

    Thanks I’m in wk 2 of being in the ccu so this helps

  • @edgaresquivel2147
    @edgaresquivel2147 6 років тому

    Very good video!

  • @All_in_1vidios
    @All_in_1vidios 5 років тому

    I am now working as a nurse in ICU

  • @myspoonistoobig5
    @myspoonistoobig5 5 років тому

    Thank you

  • @asafsafajew2643
    @asafsafajew2643 Рік тому

    Thanks a lot

  • @Ava-ul9wx
    @Ava-ul9wx 6 років тому

    great review thank you

  • @Booboo-js4us
    @Booboo-js4us 7 років тому +13

    I'm have been a med-surg RN for 2yrs now. I just got a job in the ICU. I start orientation aug 28. Any recommendations for ICU preparations like videos or reading materials? Pls let me know. I greater appreciate it.

    • @JosiahShoon
      @JosiahShoon  7 років тому +3

      jenni santana the best advice I could give is do your best to get a great preceptor someone who challenges you but also makes you feel comfortable that person is who changed everything for me. They're still my role model

  • @bubblebee8248
    @bubblebee8248 6 років тому +3

    Thank-you for your videos! I just started in ICU and I am feeling overwhelmed, learning is a little harder when preceptors are not the teaching type with rather getting things done themselves. Some preceptors make you feel low. Since I am new to the ICU setting, any more advice on how to intervene quickly to pt's conditions changing?

    • @JosiahShoon
      @JosiahShoon  6 років тому +6

      Bubblebee Poo I have very few issues with nursing, but one of my biggest is when “nurses eat their young.” There are going to be preceptors who make you feel low, but please don’t let them discourage you. ICU is hard, there’s no getting around it. But push through it and you’ll find after some time you’ll be swimming and you’ll be the one precepting. The one thing I ask is that you don’t buy into a culture of putting new people down. As to your question on a patient condition changing quickly. If you’re still being precepted, call your preceptor, no matter how scary or impersonal they are. It’s a patients life. Their job is to teach you and your job is to learn. Call them if you feel uncomfortable or concerned about a patients condition, and regardless of their attitude there is something to learn from someone who is experienced, even if they don’t want to teach. So call, explain your rationale, see what they say or do, and take a mental note or actually write a note, review it when you get home and believe it or not... you’ll learn from that. It’s kind of like a sport, I wrestled and really enjoyed MMA and there was something coaches called “mat time” you could practice all you want, drill etc but nothing improved an athlete more than really being in the situations over and over again to become comfortable and competent and know what to do. You learned even when you didn’t know you were learning, when you were just trying to survive. That’s kind of how ICU is. So keep getting your time in, learn as much as you can, study situations that happened during the day when you get home and it will take some time, but one day you’ll be shocked at how much you’ve learned, one day you’ll be the person teaching what you know. So stick with it and don’t let anyone discourage you from being the best you can be.

    • @bubblebee8248
      @bubblebee8248 6 років тому +1

      Josiah Shoon thank you again!

  • @chanadorsey5378
    @chanadorsey5378 6 років тому

    Very very helpful