tcvnurse BSN, RN

Thoracic Cardiovasc ICU Med-Surg

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All Content by tcvnurse

  1. tcvnurse

    progressive care to CVICU?

    I dont know, but you would get snapped up in a heartbeat at our TCVICU. Progressive care is a very good background for a future CVICU
  2. tcvnurse

    Pain management post open heart surgery?

    An awful lot of elderly folks are very hesitant to take narcotic pain meds even when their nurse is STRONGLY encouraging them to take it! *Ahem* We are very agressive with pain management post CABG....
  3. Sounds like those tele nurses dont know a whole lot if they've never seen flutter before. Or how to silence/lower the alarm on the bedside monitor. Sheesh. I would have been extremely ticked about...
  4. In my facility: Cardiac medicine = preop CABG, MI, ACS, chest pain, VADs, CHRers. They can do lots of drips like dopamine and stuff on the floor. Post cath, prepare for cath, and PCI's TCV...
  5. tcvnurse

    What makes a bad nurse?

    Indifference.
  6. tcvnurse

    Should i go over my manager's head

    The new manager is doing exactly what should be done. Talking to the patients is a good thing. Making sure staff comply with handwashing is a GOOD thing. As a poster said above, both of those write up...
  7. tcvnurse

    Pneumothorax vs. hypovolemia.

    *Shrug* On our unit there is no mistaking one for the other. The guy with the dropped lung often has trouble breathing, and chest/lung pain. The hypovolemia folks have low bps, tachy, othostatic,...
  8. tcvnurse

    Can appropriate boundaries be rebuilt?

    She should be terminated. Unbelieveable she hasn't been canned
  9. tcvnurse

    IM Injections

    Our hospital doesnt even have phenergan as IV/IM anymore. Risk of complications way to high. I know a lady who got injections of phenergan and developed blood clots at the sites. Very bad
  10. tcvnurse

    Is giving meds early common??

    Heck yes! I give my 8 9 and 10 o'clock mess at the same time unless it's contraindicated. I get there early and check vitals and look over the chart. I do quick assessments on everyone and then MEDS....
  11. Yes, absolutely. Especially if she/he puts in a good work for you with the NM. Good
  12. tcvnurse

    Sorry Nurse Recruiters/Nurse Managers!

    Really? The home health agencies I worked for would never hire anyone without at least one year, and preferred two years of med-surg but at least hospital background. A new grad is not prepared for...
  13. tcvnurse

    Sorry Nurse Recruiters/Nurse Managers!

    Please, no home health without experience. That would be a
  14. tcvnurse

    Gifts for preceptor

    Agree with comments suggesting handwritten note. Those things mean a lot, and I take mine out when I bad days to remind me that I do a good job! Something tells me you were a very good student,
  15. I can't believe how many people think anatamy is more important than physio. The opposite is true IMO. That being said, you can't change the teachers actions, only yours. Study, study, study...
  16. tcvnurse

    Fainting with venipunctures

    I almost fainted the first time I saw a nurse put an IV in. I left the room and told my instructor I was about to throw up or faint. She looked me up and down before asking "What happened." I was...
  17. tcvnurse

    I was yelled at by my nurse yesterday

    Too many questions? I don't know about that. I'd much rather have students/new orientees asking me questions all day than just nodding at random intervals. If they are asking questions I can figure...
  18. Of all the new grads hired into my unit (cardiothoracic surgery) all but one prospered. Maybe 12 total over the past two years went on the be very good, well liked and respected nurses. One of them...
  19. tcvnurse

    Do nurses get fired often?

    To the nurse having an affair with a doctor--Yes that will probably bite you in the butt at some point in the future. Sleeping with a married person often does. Someone will find out, and then every...
  20. tcvnurse

    Think im in big trouble!

    They taught us in my nursing school "Never put your scissors near a PICC line!" Frankly, your home health agency was grossly negligent hiring a new grad that had never been trained in a hospital. You...
  21. tcvnurse

    Chest tube, flush and aspirate?

    We have to do this sometimes. We use a lopez valve (or stop cock as you may know it) to do the flush aspirate thing. It's because the pigtails are so small that they get clogged up easily. We have...
  22. tcvnurse

    Just trying to survive

    Okay, both of you take a couple deep breaths. It's ok, I will wait while you do. Breathing? Good. Keep that up, it'll be on the exam later. Some reality: Nursing is mostly common sense. If you do...
  23. Wait did you say 6 weeks of orientation...for the ICU? Dang you are getting shortchanged. At my hospital the new grads in ICU get like six MONTHS orientation. Have you talked to the nurse educator or...
  24. Nursing has made me more thankful. Thankful I can walk, talk, pee, poop, feed myself just to name a
  25. LOL. I chart my assessments and do morning meds and THEN I go down for breakfast. I consider that my reward for getting everything done in a timely fashion. I also do it because chances are good I...