mistiffy

I graduate from TCC this May, and I felt good about the school til level 4! RUN!!!!!! Well, that said, though, ALL of my friends who graduated this past Dec have passed their NCLEX's so far....So I guess u gotta pick ur poison. =)

Just curious-You said white frothy sputum was collected but his lungs were clear? I also was unsure where you were getting the fluid volume overload from? I'm not sure if you have to do ur NDX in order of priority or not, but a Risk for should almost never be number one. And I also agree with the above poster that he's not a risk for decreeased CO, but he has it as an actual problem. I would also look at Impaired tissue perfusion, Impaired skin integrity...focus on actual problems before the risks =) Good luck!

Ok, so I think you're on the right track with that-I'm pretty sure it does put pressure on the part of the brain that controls things like vomiting and if you had asked me last week what part of the brain that was I could've told you! lol. But I think it may be more important for you to remember the nursing management of ICP pt's when it comes to ur test. And how u don't want them to vomit because it can cause a severe increase in ICP, also avoid coughing and sneezing, loud noises, etc. Maintain the HOB at 30degrees. And you want these pt's to maintain slightly hypertensive-a systolic between 140-160, but anything over 160 should be tx's with meds because that's when you start seeing a loss of cerebral autoregulation....Ok, does that help at all? Good luck on ur test!!

Hi guys, I'm about to graduate from TCC's RN program this Dec!! As far as level one and two goes, be ready to be thrown to the wolves. Level 1 kinda holds ur hand whereas level 2 ur pretty much on ur own and the content gets ALOT more complex. But, that's not to say I don't recommend the program, because I do. Level 3 is OB/Peds/QOL and it's easy and the instructors are WONDERFUL. Level 4 is well....difficult. I'm not really impressed. The majority of classes are anystreamed online and you start doing 12 hr clinicals-half the semester on a med/surg floor and half in the ICU. The clinicals have been a real learning opportunity tho and a lot of my class already has RN jobs lined up for when they graduate, including me =). What it comes down to is, is TCC going to prepare you to pass ur NCLEX? And I say yes, definitely, it has one of the highest pass rates in the state and that's what counts. So if you have any other questions, feel free to ask away, I'll try to answer them as best I can!!

Hey, this is the 1st time I've been on here in a while-Thanx for the info,DAVID! lol lol lol, See ya on the 18th when LEVEL 4 starts! =) We're almost done, WOO-HOO!

Hi, I am in TCC's ADN program right now, about to finish my 3rd semester, thank God! TCC IS a tough school, I won't argue that. However, the NCLEX pass rates speak for themselves (they're one of the highest!). While there are instructors here and there that are WORTHLESS, they were few and far between and every program has em. Overall I've been pretty impressed with TCC, I feel like they're preparing me to be a COMPETENT nurse. It's a lot of work, but who said nursing school was supposed to be easy? lol If you have any other questions, feel free to ask! :)

WOW, thank you both so much! I have been working on this careplan since I posted that first message earlier today, lol. Daytonite- I have been going back and forth on whether to use the infection dx or not (several of my professors have told me this semester I could use that, which is why I was leaning towards it in the first place), but I have to say I just looked up the delayed surgical recovery dx and I like it much better! I don't know why I had so much trouble with this careplan, so thank you all so much for the help, I REALLY REALLY appreciate it!

Well, I haven't been on here in a really long time. The last time I posted I think I was in my first semester and now I'm halfway through my third, only one and a half more to go:yeah:!!! lol I am doing a careplan for a 14yo female that developed a pelvic abcess one week after a lap appy. She was in a lot of pain, rated an 8, winced with any kind of movement, and cried when ambulating to the bathroom and moving from bed to chair. Oh, and I should mention she had a drain placed to drain the abcess, which is where all her pain was coming from. Older sib was with pt as her and pt's parents and one other sib were taking turns staying at the hospital with pt. The pt at first refused to take pain med (morphine) and didn't want to move at all, was just lying in bed, because she said as long as she remained still, she didn't hurt. The older sib then told me and the RN that their family didn't really take meds when they were in pain due to fear of making them sick and addiction. So, teaching was done regarding this by myself and the RN and the pt. requested the morphine not too long after that. Upon initial assessment, the abdomen was slightly distended. Pt also ran a temp of 99.4 at 0830 and at 1130 temp was 100.4. Pt was also NPO per dr's orders and extremely nauseated, cried to me at one point that she felt like she needed to throw up so bad, but couldn't (zofran was given IVP). Pt was also on IVF D5 with 20mEq K, Ciprofloxacin IVPB. After the morphine and zofran were given, pt stated she was feeling better and was smiling and asking questions. Also some abnormal labs: BUN-7, Creatinine-0.56, Albumin-3.3, AST-44, ALT-94, WBC-15.9, Hgb-10.3, Hct-32.6, MCV-65, MCH-20.5, RDW-16.8, neutrophils-69, lymphocytes-14 So, here is my dilemma: I have to come up with 7 problems (nursing dx), and I can only come up with 5:crying2:! We only have to work up the priority 3 with interventions, but gotta list 7 on our prob list with supporting data. I think I'm just overthinking it or something. So this is what I have so far: -Acute Pain r/t (altered tissue integrity, surgery, illness??) -Infection r/t (surgery, acute illness) -Knowledge Deficit r/t verbalization of incorrect knowledge regarding pain medication (I know there's gotta be a better way to word that, but like I said, brain fart) -Anxiety r/t administration of pain medication, pain associated with movement -Impaired Tissue Integrity r/t altered circulation, tissue disruption I also had thought about risk for deficient fluid volume r/t (decreased intake, nausea) but wasn't for sure if I could use it due to the NPO status. Any suggestions/help :twocents:would be GREATLY appreciated! Thanks!!!!!!

Hi, I go to TCC now and am currently in level 3, and while it hasn't always been peachy, I've been pretty satisfied with it. It does have one of the highest NCLEX pass rates in the Tulsa area along with OU Tulsa. I do feel like I'm being adequately prepared for NCLEX and my future career as a nurse which is the most important thing. If you have any other questions, I'd be happy to answer them! *Tiff*

CONGRATS TO YOU BOTH ON GETTING IN THE PROGRAM!! and u will be on the southeast campus the first 2 semesters, then for level 3 & 4 u'll be on metro =-) Im excited to be at metro next semester too cuz it is so much closer to me!!! well, i wish u both the best, and Im halfway through level 2 now so let me know if u have any questions, id be more than happy to help if i can!!

When first semester began I think there was something like 95 students enrolled and by the end of the semester my CI told me that over 20 won't be returning for level 2, and she also told me that this past May's graduating class graduated about 50, but that's including the LPN's that were bridging to RN through TCC. I know some that quit and some that didn't make it through the semester, but are repeating this semester. I don't really like comparing it to the science classes I took because those were 99% memorization and I learned real quick that memorizing won't get you very far in NS. Don't let that scare you, though, you'll start learning how to think like a nurse once you're in NS! I didn't necessarily think it was hard either, just different. First semester focuses on the older adult and you do your clinicals in the nursing home, learn how to do care plans, head to toe assessments, etc. Let me know if you have any more questions!

Hi! As far as the NET goes, I was told they dont have a specific score they go for, but they were looking for composite scores at least at 75 or 76ish...if I remember correctly. Also, u should definitely get the ERI NET study guide, you can order it off their website, I read it cover to cover in like 2 days and let me tell you, it helped IMMENSELY. And my GPA was BARELY at the minimum requirement when I got into the program (I was an alternate & got called the day OF orientation, lol), but nevertheless I got in and I made it through the first semester! I would advise you to take as many of your pre-reqs as you can before u start the program and you'll also have to have ur CNA certification. Good luck! Just let me know if you have anymore questions! Hope this helps!

Hey, I have a friend that just finished up her first semester of OU's ABSN program too! Small world. lol. And I start my second semester at TCC on the 18th. I'm ready too, I think I was going stir crazy after the first 2 weeks of summer! Good luck everyone!

Kim-Would you mind telling me how you went about getting a scholarship for st Johns? Do you have to be working for them in order to get one, I thought you did last time I checked, but I figured it couldnt hurt to check again! :) I am going into my second semester this fall and I definitely need all the financial help I can get and St. Johns is definitely where I plan on working after graduation, so I have no problem signing a 2 year contract with them, any info at all you could give me would be greatly appreciated! Thanks! *Tiff*

Yes, it is true you have to have your CNA completed by the time you enter the nursing program. I actually took my CNA course at Interim healthcare in Tulsa. It was a 4 week class and I went in the evenings mon-thurs 6:00 to 10:00. I know there are others in the area that are much shorter and I have heard good things about them. I recommend Interim though, I feel like they really prepared me. And Good luck in your classes this summer!