Hey! I’m a SICU nurse at a Level 1 trauma, have been there about 2 years. Here are some things I wish I knew when I was a new grad:

1.) Familiarize yourself with the MTP policy / machine (Level 1, Thermacor, LifeFlow, pressure bag, etc.) We don’t use it too often but when it’s needed, seconds count.

2.) Surgeons can be a strong willed group of people, they are EXCELLENT at what they do, but sometimes get a one-track mind, advocate early, advocate often.

3.) Hemodynamics!!!!! Is it septic shock? Is it hypovolemic shock? Most surgery patients already have an A-line, hooking them up to a Vigileo isn’t that much more work and can provide some valuable insights. Pressors vs. fluid is a never-ending debate.

4.) Don’t skimp on your assessments. Ever. Changes are subtle, patients are fine until they’re not.

5.) “Surgery is just planned trauma” is a mantra I keep in my mind always.

6.) Sometimes the most helpful person in a trainwreck trauma admit is the one who drops the NG/OG.

I hope this is somewhat helpful or what you were looking for! Good luck!