tcvnurse BSN, RN

Thoracic Cardiovasc ICU Med-Surg

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All Content by tcvnurse

  1. tcvnurse

    ORSA Transmission? Help!

    ORSA? Was this in 1998? (We call it MRSA nowadays :) ) Also, you're fine. IF you have been a nurse for a while I GUARANTEE you probably are colonized with mrsa. I try not to think about it too...
  2. tcvnurse

    CSC help

    I did not study especially for the CSC because I figured if I was working in the cardiac surgery ICU I should be able to pass. :) Anyway, you can buy for like 4 bucks from the AACN some practise...
  3. tcvnurse

    Meg surg certification and transferring to ICU

    If I had to pick between two equally qualified candidates I would chose the certified nurse. Having a certification shows that extra drive. Also, it shows that you have proved yourself by passing a...
  4. tcvnurse

    I've lost all my confidence

    Here's the thing. When you start on a floor like yours, you don't realize that the grass is a LOT greener on the other side. I could have written this post a few years ago. I ultimately transitioned...
  5. I work in the cardiac surgery ICU. We have great teamwork, and we have to because our patients are soooo sick. We have lots of emergent procedures like open chest washouts and stuff. Our manager is...
  6. tcvnurse

    I know this gets posted often...

    It is very possible that they have to hire internal applicants first. Do you have an ASN or BSN? If its an associate degree they might be bound by how many they are allowed to hire. The only addition...
  7. Wow, just reading that post was giving me anxiety! I can't imagine trying to learn from this person. Yikes. You should know that this is not how preceptors are supposed to be. Yes we have to teach...
  8. So, you may not be aware of this, but getting a BSN? Is actually hard work. Yes they will nitpick your bibliography because it's supposed to be perfect. Yes, there will be group projects (YAY, not)...
  9. tcvnurse

    A&P2 and microbiology

    Well I guess you COULD but why would you want to? I took A/P 2 in the summer, back in the day. When I took Micro, I took it with Med-surg 2 and statistics. Ha-HA-HA yeah, don't do that either. I think...
  10. tcvnurse

    10 year old died after I performed CPR

    Oh sweetheart. I am sorry. This boy was dead when you saw him. Given that he had cardiac history, that was probably a root cause of his death. You did what ANY good nurse/samaritan would do. It is...
  11. So here's the deal. We don't know you, we can't possibly if you *should* go into nursing, or what. The reality is that life is what YOU make it. If you decide to be a nurse, then BE a nurse. Own it....
  12. tcvnurse

    Treat the patient, not the monitor

    I am actually a firm believe of 'treat the patient, not the monitor.' First of all, any question, ANY question of a wacky monitor reading means you GET UP and go look at your patient. I can tell an...
  13. tcvnurse

    ICU job shadow

    I would ask the ICU to tell me about her best and worst day so you can get a feel of what to expect. Start reading up on stuff ICU related so you can ask sensible questions. --What is your typical...
  14. tcvnurse

    Struggling New Grad...

    Honestly? You have no business being in home health without at least a year of experience behind you. You are out there, all alone, with only your nursing skills to back you up. And as a new grad, you...
  15. tcvnurse

    Patient Conscious During CPR

    In our facility the ACLS instructor likes to say, "Push hard, push fast, don't stop pushing till they wake up and tell you to stop." I gave compressions one time, and every time the guys would wake...
  16. I am the daughter of a banker, and here is what I know: I will NEVER, cosign a loan for anyone, blood relation or not. Because should you default on the loan, the cosigner is held entirely...
  17. tcvnurse

    Balloon pumps and swans on a stepdown??

    Sorry-that is an ICU patient. The balloon can migrate unexpectedly and as someone said, occlude circulation to L arm, renal arteries...I've had paint with an AIBP lose pulses in feet suddenly. Run do...
  18. It's a great place to work. The folks there are ridiculously nice. Like, it creeped me out at first until I got used to it. I am from NY originally so I kinda thought they might be faking it. :) Good...
  19. tcvnurse

    RN Relocating to Virginia

    Depending on where you work your salary may be lower or higher, commensurate with your years of experience. You may be higher paid if you have a BSN, or a certification. You may be able to negotiate...
  20. tcvnurse

    Better off single?

    It's very difficult to be a nursing student AND have a life. Really, really difficult. There is a big difference between the prereqs and the actual nursing classes. You sound supportive so I hope...
  21. tcvnurse

    3/6 months... quitting the job...

    You know what? OP, you're right. Get out of hospital nursing. Maybe do some home health for awhile. Learn first hand, exactly what folks are dealing with in their own homes. You will find that that...
  22. tcvnurse

    IS MICU/SICU too much for New Grad?

    Well this is tough. I believe that getting a couple years of med surg makes you a MUCH BETTER ICU nurse than you would've been otherwise. Because then you have that much more relevant nursing type...
  23. tcvnurse

    CABG --why is IV albumin given?

    Fresh hearts of often extremely labile for the first few hours after arrival in the ICU and sometimes longer. Generally if their blood pressure is wildly flipping from high to low the patient probable...
  24. University of Virginia is
  25. I really think the doc in this case deserves waaaay more vitriol than your colleague. For one, he is the one who is married. She is presumably single? Why should she be responsible for his behavior?...