tcvnurse BSN, RN

Thoracic Cardiovasc ICU Med-Surg

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All Content by tcvnurse

  1. tcvnurse

    Albumin and DKA

    tcvnurse replied to JVerne07's topic in Critical Care

    Ok, well think about what is being metabolized during DKA. If you understand the pathophys, you will understand why the wonky lab values. In other words, do your
  2. tcvnurse

    To run infusion with CVP or not... That tis the question..

    tcvnurse replied to kmarieCCRN's topic in Critical Care

    Ha ha ha yeah I work at one. Didn't know tip someone came from Mayo to our place that it was done any
  3. tcvnurse

    Made mistakes

    tcvnurse replied to Sith_Nurse's topic in General Nursing

    How do you not know how to hang a tube feeding after 6 weeks off
  4. tcvnurse

    Why do Critical Care nurses look down their noses at Med-Surg nurses?

    tcvnurse replied to marisatheresa's topic in Critical Care

    What healthcare assistants? I do my acuuchecks, empty my foleys, mark off my chest tubes, document my I/O's, my own oral care, my own temps. I ask for help from techs with turns and clean ups and...
  5. tcvnurse

    Can they do this?

    tcvnurse replied to jkadel's topic in General Students

    As many others have said, I do not believe you were 'unaware' you had failed three classes. Perhaps consider an alternative career. Because if you can't pass the classes, how in the world do you think...
  6. tcvnurse

    Managing Type 1 Diabetes

    tcvnurse replied to HyzenthlayLPN's topic in Diabetes, Endocrine Nursing

    My daughter has type 1 for the last seven years and her A1C is currently 7 so I feel reasonably competent to answer your questions. Having a physician plan of care is not optional. It is mandatory. If...
  7. tcvnurse

    Forced to get flu shot or wear a mask

    tcvnurse replied to nurse0614's topic in General Nursing

    OMG there is a RISK of GB! OH NOES! People life is full of risk. Have you read the side effects of Tylenol lately? Guess what there is a risk for? Liver failure!! Or Ibuprofen? Kidney failure!...
  8. tcvnurse

    I feel like going to class is a waste of time

    tcvnurse replied to LibaSkelova's topic in General Students

    Understanding pathophysiology is absolutely essential to functioning as a safe nurse. Some tips- do the reading before you go to class. Record your lecture. Listen to it in the car, or when you have...
  9. tcvnurse

    Forced to get flu shot or wear a mask

    tcvnurse replied to nurse0614's topic in General Nursing

    I don't know if you guys remember but a few years ago the flu was bad. I mean, really REALLY bad. Our ED and med surge floors were overflowing with flu patients. A lot of them died. Many many people...
  10. tcvnurse

    New grad, do not feel challenged at all. Help?

    tcvnurse replied to RNinCali15's topic in First Year After Licensure

    Sorry, I'm still chuckling over how a very casual kiddo that I didn't even think about is being dissected on multiple levels. LOL!!! My bad--I should not have assumed the OP is a young nurse,...
  11. tcvnurse

    Diabetes

    tcvnurse replied to jjone106's topic in General Students

    Does Google not work on your inter webs?
  12. tcvnurse

    New nurse: I get no respect

    tcvnurse replied to Nurse326's topic in Emergency

    I feel like every new nurse should get to attend a Crucial Conversations workshop. I got to go via a program at my hospital and it has really helped me with communication. For example, you could say,...
  13. tcvnurse

    CTICU for Beginners

    tcvnurse replied to nckcb's topic in CCU, Coronary, Cardiac

    Expect a steep learning curve. Even experienced nurses who transfer into the CTICU have some adjusting to do. It is an intense fast paced environment where any patient at any time could have a sudden...
  14. tcvnurse

    LVAD patients in travel position

    tcvnurse replied to sarena33's topic in CCU, Coronary, Cardiac

    Try the Thoratec website- they do the heart mate 2 and 3, and maybe the centrimag? Heartware is the other main VAD we see a lot, you could try their website also. We have a dedicated VAD day about 4...
  15. tcvnurse

    PCCN certification help

    tcvnurse replied to MercedesBaseyScottRN's topic in CCU, Coronary, Cardiac

    There are NO questions on VENTS in the PCCN exam. However about half the test is cardiac/pulmonary so expect a LOT of questions about ST elevation, which leads indicate infarcts in what area of the...
  16. tcvnurse

    Bed Baths Washing Post Op Heart Patients

    tcvnurse replied to AllisonMcTigue's topic in CCU, Coronary, Cardiac

    In my unit if the patient is stable we will give them a chlorhexidine bed bath before extubation. That's when we turn and change the sheets and admin an asa suppository. It is our protocol to get...
  17. tcvnurse

    Weed and Nursing School! Help!!!

    tcvnurse replied to Sldimuccio12086's topic in Nurses Recovery

    Nurses are considered the most trustworthy profession for a reason. I am not sure what you thought was going to happen, knowingly doing drugs while in nursing school, and then, making matters worse,...
  18. tcvnurse

    Advice for a new graduate

    tcvnurse replied to thebdon's topic in General Students

    If you're going through hell keep
  19. tcvnurse

    HELP! I hate tubes!

    tcvnurse replied to nervousSRN's topic in General Students

    Please consider seeing a therapist to get some hep managing your
  20. tcvnurse

    New grad, do not feel challenged at all. Help?

    tcvnurse replied to RNinCali15's topic in First Year After Licensure

    This is also known as 'paying your dues'. In my cardiac surgery ICU, you don't get a VA ECMO patient fresh off orientation, sorry. You start with stable doubles, move on to sickish patients and then...
  21. tcvnurse

    Getting into NP school

    tcvnurse replied to jcruz981's topic in Student Nurse Practitioner

    For the school I got to, a competitive student had a GPA of 3.7 You had to have at LEAST a 3.5 to apply. I am not sure you'd get in with that low of a GPA. Maybe take a few fluff classes try to beef...
  22. tcvnurse

    Insulin and phenylepherine

    tcvnurse replied to offlabel's topic in Critical Care

    Why not just run the insulin through a peripheral line? Or, in our ICU for our cardiac surgery patient's once we get them settled we put the propel through the peripheral run the pressers through the...
  23. tcvnurse

    ORSA Transmission? Help!

    tcvnurse replied to Nurse804's topic in General Nursing

    NO I don't think I have spread MRSA to my patients. I gel in and out religiously as well as wearing gloves and iso gear when called for. I am saying they have it when they come in the hospital, but...
  24. tcvnurse

    Job abandonment-CNA

    tcvnurse replied to Vzuniga627's topic in General Nursing

    I would really like to know what this 'disrespect' was. Did someone give you the side eye? Or did you assign motives to other peoples behavior ? Regardless, the ADULT thing to do would have been to...
  25. tcvnurse

    CRNA/SRNAs : Did/does your school have a strong clinical component?

    tcvnurse replied to chocolateistheanswer's topic in Student Registered Nurse Anesthetist

    You may want more experience. A year really isn't long enough. Do you have your CCRN? Hope your grades were good. The nurses I work with that applied and got in all had 3+ years of ICU experience, had...