tcvnurse BSN, RN

Thoracic Cardiovasc ICU Med-Surg

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All Content by tcvnurse

  1. tcvnurse

    Low potassium level, post CABG patient

    tcvnurse replied to lindsmith88's topic in Nursing Student Assistance

    Post op CABG patients are aggressively diuresed on my unit. We pretty much have to give them PO KCL a couple times a day and at night also. With K that low he was probably due for some IV bolus or...
  2. tcvnurse

    Nursing is slavery Period!!!

    tcvnurse replied to sonia211's topic in Patient, Colleague Relations

    Sounds like you do not work at a particularly good hospital. You would probably find better working conditions elsewhere. I am sorry you are having tough time, but it is not like that
  3. tcvnurse

    Why did/are you getting your BSN?

    tcvnurse replied to thesundowner's topic in Diploma, ADN, BSN

    I am starting a RN-BSN program this fall. I always sort of had it at the back of my mind. Now is the best time for me because my hospital gives GREAT tuition reimbursement and is assoc with a top ten...
  4. tcvnurse

    Is it worth travelling 4 hrs to work?

    tcvnurse replied to RNHURT's topic in General Nursing

    Jobs can be very hard to come by. I have friends that work nights on my unit, and they live 3.5 hours away from the hospital. They rent rooms with other nurses/ and some docs/ and stay there for the...
  5. tcvnurse

    EPIC Computer Charting

    tcvnurse replied to rebelccrn's topic in MICU, SICU

    The hospital where I am transitioned to EPIC a year ago in Feb/Mar. We did not get NEARly enough time to get trained on it, but HR does a pretty good job with the new hires these days. I don't miss...
  6. tcvnurse

    RN-BSN... Advice Appreciated! Start now or Hold Off?

    tcvnurse replied to Nurse Kyles's topic in First Year After Licensure

    Hi. I work on a similar sounding PCU and yes! the learning curve is huge. I would maybe wait a year to get your basics under your belt without having to stress about school and studying and stuff. I...
  7. tcvnurse

    I Cried At Work

    tcvnurse replied to Guest 360983's topic in First Year After Licensure

    I think crying was ABSOLUTELY REASONABLE in that circumstance. Holy cow sister! That sounds
  8. tcvnurse

    Mistakes we have made

    tcvnurse replied to LilpoRN's topic in Patient Safety Issues

    I have been a nurse for ten years and this near miss scared the you-know-what out of me. I was preparing meds at the nurses station for one of my patients. He was s/p CABG and was also a diabetic. I...
  9. tcvnurse

    Students nursing during EMR go-live

    tcvnurse replied to jappey17's topic in General Nursing

    No. That is reality. To the OP. If you really want to help your floor nurses, order some pizzas for lunch that day.Most wont have time to leave the unit to buy food. My manager had some energy drinks...
  10. tcvnurse

    Students nursing during EMR go-live

    tcvnurse replied to jappey17's topic in General Nursing

    Sounds like a good idea in theory, but in practice...When my hospital when live with EPIC last year it was a horror. Having students around underfoot and trying to deal with them too. I don't know. I...
  11. tcvnurse

    Med/Surg vs. Cardiac Stepdown?

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

    I agree on cardiac stepdown, because that's my specialty and I love it :) Patient ratios are better, straight nights are waaaay better than rotating, and you will learn loads and loads. It's also...
  12. tcvnurse

    What tips would you give a new resident?

    tcvnurse replied to Sparrow23's topic in First Year After Licensure

    Here's my advice: EAT at least every 8 hours of so. Our interns start at 0500 and they work till 1800, often not getting a chance to get food. We have a saying "Always feed the intern, because they...
  13. tcvnurse

    Someone please help.....having a nervous breakdown

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

    I have to agree--Please seek counseling. While some anxiety and tears are not uncommon as a new grad (I myself cried all the way home from work for about the first couple of months), having to go to...
  14. tcvnurse

    What exactly is PCU?

    tcvnurse replied to HURN's topic in General Nursing

    I work PCU, we do cardiothoracic surgery, take day 1 CABG, fresh thoracotomies, VATS, Nissens etc. Patients unstable, usually 1:4 ratio, but part of unit is staffed differently at 1:3 for ICU step...
  15. tcvnurse

    RN to BSN focus.

    tcvnurse replied to PennyWise's topic in General Students

    Hello! I just got accepted into an RN-BSN program. I've been a nurse for ten years a this point so I figured it was time. I am taking health assessment this summer--Ought to be fun. Hope you do well...
  16. tcvnurse

    Happy Nurses week! You Have MRSA!

    tcvnurse replied to allysun1's topic in General Nursing

    It's ok. EVERY NURSE you probably know, including me, surely has it
  17. tcvnurse

    I feel so incompetent!

    tcvnurse replied to luckynurse_1234's topic in General Nursing

    I had a social worker once document bilat BKA on a paraplegic. He couldn't move his legs but they were there! You should always always do you own assessment because the nurse in front of you could...
  18. tcvnurse

    Certification Exams .... Harder than NCLEX?

    tcvnurse replied to crbetts's topic in General Nursing

    I took and passed the PCCN last summer. I work in an acute care cardiothoracic unit/stepdown. I thought the exam was somewhat harder because it assumes you know stuff, whereas the NCLEX would ask you...
  19. tcvnurse

    New Grad Nurse Dilemma. Please help.

    tcvnurse replied to peacelives10's topic in First Year After Licensure

    OP, strong work. I wish you good things in the
  20. tcvnurse

    New Grad Nurse Dilemma. Please help.

    tcvnurse replied to peacelives10's topic in First Year After Licensure

    Listen. For whatever reason this job fell into your lap. You may end up really liking working with tele patients. I gotta tell you--once you get your orientation under your belt you will feel much...
  21. tcvnurse

    Things would be so much better if only...

    tcvnurse replied to Teacher Sue's topic in General Nursing

    Well I have the feeling these are problems found in a lot of good units. Like mine for example :) My own manager (who is currently managing TWO high acuity units) could have written than post. I am...
  22. tcvnurse

    Sex in the workplace.....what do YOU think should be done?

    tcvnurse replied to pawsomepooch47's topic in Patient, Colleague Relations

    I am really surprised at all these folks defending the right to have sex at work. The doc was getting paid to be on call, not to be LAID on call. The off duty RN was clearly not too bright. The saying...
  23. tcvnurse

    MRSA screening of staff....

    tcvnurse replied to sauconyrunner's topic in General Nursing

    A hospital in Florida back in the mid eighties got the bright idea to swab all the nursing staff in an effort to decrease MRSA infections. Well guess what they found? Every single one of the nurses...
  24. tcvnurse

    Decisions Decisions...Med-Surg or Cardiac Step Down

    tcvnurse replied to SwissMiss167's topic in Cardiac

    Take the step down position. Afterwards you can transition to ICU with ease if that is your direction. But the acuity, and the specialty will really make you into a very good nurse with lots of career...
  25. tcvnurse

    Entry-level nursing and prejudices (need advice on career change)

    tcvnurse replied to leenak's topic in General Nursing

    Sounds like you have a boatload of courage and determination. Look, if you know you can do the job then go for it full speed ahead. Bring good energy and positivity to your interviews. Good luck! (By...