tcvnurse BSN, RN

Thoracic Cardiovasc ICU Med-Surg

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All Content by tcvnurse

  1. tcvnurse

    Job Offer Dilemma

    I just transitioned from a PCU to the CVICU. I am so glad I had the step down experience first! It made it sooo much easier already being very familiar with art lines, and drips and untangling wires,...
  2. Switching areas might do you a world of good. I also got very depressed while working oncology. My sister, in comparison, worked oncology/palliative for 7 years and LOVED it. People are different....
  3. Congrats on achieving your RN. Very strong
  4. I think it's extremely frightening that so many folks here think it's A-OK to have three days/nights of orientation for a new grad! and then expect that to be a safe, critical thinking nurse. OP do...
  5. tcvnurse

    Marijuana and Nursing School

    "When things are unfamiliar to me, to a nervous point, I become more anxious than the average individual." How in the WORLD do you think you will make it as a nurse? Everything will be new and...
  6. tcvnurse

    Quitting my home health job...

    Yes that sounds like home health. I did it for six years. It was only until I got back into hospital nursing that I realized how much I had been burned out on home care. I now work on an insanely busy...
  7. tcvnurse

    Dating former patient

    The fact that you are considering it concerns me. This is a no
  8. You also may want to take a long hard look at yourself and your practice. Were you fired for the same thing both times? Mistakes are OK, we are all human. Making the same mistakes over and over again...
  9. tcvnurse

    Orientee Horror Stories?

    In the last year I have oriented about 6 new hires to our TCV stepdown unit. (3 new grads, 3 RNs with about 1yr each) All were wonderful, thank goodness. This story is about my friends oriented. While...
  10. tcvnurse

    If You Can't Handle the Heat, Get Out of the Kitchen!

    I gotta tell you, OP, that I find your assertion "Floor nursing is a dead end" to be both short sighted and insulting. You have six months of experience under your belt. Your job is a dead end if all...
  11. tcvnurse

    I just can't do this anymore...

    You know what? I know many a nurse who works two jobs to support a dude/husband/BF on disability. I am sorry but your husband is a
  12. tcvnurse

    PCCN vs CCRN

    I can't imagine why an ICU nurse would WANT to take the PCCN exam. In our facility before the Progressive Care Cert was invented (its still rather new you know) the IMU nurses who wanted to be...
  13. tcvnurse

    Are you certified in your specialty?

    I am certified in my specialty, progressive care. I sought it out for personal reasons, mostly to challenge myself and learn more about the type of patients I was now taking care of. It's a good thing...
  14. You didn't miss anything. Something this stuff just
  15. YES. If you work on a tele floor, it is absolutely important to know your rhythms. I work in cardiothoracic stepdown and we are expected to pull and read strips on all patients.You pull them first...
  16. I have to be honest. The fact that you were fired from two jobs in a row is sending up HUGE warning flags. If I saw your application I would round file it immediately. What stupid things could you...
  17. tcvnurse

    Chest tube care

    Agree that clamping a chest tube is a good way to get reamed, especially if done without an order. Keep the pleurevac BELOW the level of the insertion site and you wont have a problem with backflow....
  18. Believe me, it is MUCH easier to do three 12 hr shifts in a row, than to work 5 11-7 shifts/week. The extra day off is way better for your life/sleep schedule. At my hospital .9 IS a full time
  19. tcvnurse

    Entrance drug test

    I don't think you will have a problem. Believe me, a LOT of nurses take anti depression meds just to be able to function as a person, and they are fantastic nurses. It won't show on a narcotic screen...
  20. When I worked in NYC I gave K Riders. Here in Va I give Potassium Boluses. :) That's the main difference in lingo I've come across. I've always had charge nurses and given
  21. tcvnurse

    Difficult seals in VAC therapy

    Ashley has given you excellent advice. My helpful tip is: After you get all the transparent drape covering the wound and the suction device on, run skin prep OVER the drape in its entirety! It WILL...
  22. Almost certainly has to do with the patient NOT the male
  23. tcvnurse

    Worst night ever

    I am sorry you had such a terrible night. When it comes to calling the RRT, I really believe it's better to ask forgiveness than permission. When I am the primary nurse, I feel that I know the patient...
  24. I have seen some neat youtube videos demonstrating this procedure. Pretty cool. Probably the wave of the future. Right now, our surgeons feel this is still experimental. Our docs may tend to go for...
  25. tcvnurse

    8 hrs night shift, x5/week

    You WILL ALWAYS be tired, and won't be able to do anything on your days off except sleep. Been there, hated