Re: Preparing for Trauma ICU
Sorry got back to you so late. I was on vacation. Well honestly TNCC really deals with the treatment of the patient en route to the hosptital and pretty much while in the ER. Most of the skills and theories you learn in TNCC will already have been implemented prior to ICU RN receiving the patient. The book that I would recommend is the "PASS the CCRN". The CCRN certification is by far the most prestigious cert an ICU nurse can obtain. You will have a great understanding of all aspects of care if you can get this cert. Be aware, it is difficult to get and requires lots of studying.
As far as questions for potential canidates? One important one is, Why do you want to be in the ICU? A lame answer is the typical "because I want fewer patients and i like the idea of concentrating my care on one or two patients" We hear this answer time and time again...it does not usually provide a good outcome for the canidate.
As far as the hemodynamics go....even though your hospital does not use certain equipment does not mean you should not be aware of it and what numbers mean....a good ICU nurse has the basics of ICU equipment down. Know what a low CVP means in Truma's, know what a high CVP means. A what point do you stop giving fluids and start using vasopressors?
hope this helps....I'll be glad to give you more advice if you need it...good luck
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