tcvnurse BSN, RN

Thoracic Cardiovasc ICU Med-Surg

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All Content by tcvnurse

  1. tcvnurse

    A new night nurse on the cusp. Tips appreciated.

    tcvnurse replied to dudette10's topic in General Nursing

    When I was a night nurse, one of the most important things I learned to do is this: Do the hardest thing first. If one of your patients is way more work than the others, more IV antbx, meds, whatever,...
  2. tcvnurse

    How do I handle insubordinate CNAs?

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

    Write it up, send email to her supervisor and manager. Eventually the message gets across that that behaviour is not okay. After a certain amount of write ups, you can lose your merit increase....
  3. tcvnurse

    Is Home care a good choice for New Grad?

    tcvnurse replied to Infermero's topic in General Nursing

    Every home health agency I have ever worked at has required at least a year experience at a hospital. They do that for a good reason. I can't even imagine a brand new grad as a home health nurse....
  4. tcvnurse

    Feeling scared...I just need to vent a little :(

    tcvnurse replied to OreoCookie3's topic in General Nursing

    The posters above who recomend eye protection while flushing foley are giveing you good advice. I would also add that you should keep the eyewear on while you empty the syringe into the toilet. 9...
  5. tcvnurse

    Cried during lab evaluation.... now feeling horrible...

    tcvnurse replied to birdinflight's topic in General Students

    My nursing professors always kept an economy size box of tissues in their offices. I used those tissues, and I'm sure many others did too. Move forward, you're not out
  6. tcvnurse

    ? on drawing PT/INR

    tcvnurse replied to Zookeeper44's topic in General Nursing

    Ditto what previous poster said about having the blue top tube filled to the label. Otherwise the nice folks at the lab will hand you the tube back and tell you to redraw. I used to use a expired tube...
  7. tcvnurse

    Maybe bedside nursing isn't for me

    tcvnurse replied to stewiegriffin's topic in Nursing Career

    I LOL'd pretty hard at the thought that home health is routine. Um, not so much. I would think outpatient clinics or doctor offices maybe. Have to say I find it interesting that you say you dont like...
  8. tcvnurse

    ma2cna = a well rounded nurse?

    tcvnurse replied to Kaligirl02's topic in Nursing Career

    Dear OP, If this is how you react to some criticism, and it was fairly mild, good luck out on the floors when you get your RN. In answer to your original question: I do think that any experience in...
  9. tcvnurse

    Rectal Cath. Foley bag disposal?

    tcvnurse replied to MN.MelissaCNA's topic in General Nursing

    Wow that sounds
  10. tcvnurse

    Long term foley use

    tcvnurse replied to Vtachy1's topic in General Nursing

    The foley must be changed monthly. Bags can be cleaned with vinegar/water or diluted bleach solution. Sadly, every patient I have had with a long term foley has had issues with UTI's most of them...
  11. tcvnurse

    What do you want from your Unit Secretary?

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

    We have three secretaries ( but we call them HUCs here) and two of them are fantastic. The last one is absolutely clueless and only got the job cause her mom is friends with a nurse. A good...
  12. tcvnurse

    is home health good idea?

    tcvnurse replied to Ms.RN's topic in Home Health

    Well you'll never know unless you try, right? Home health is mostly about two things: Assessments and Teaching. I worked as a case manager full time doing home health for 6 years. I had lots of ortho...
  13. tcvnurse

    on the verge of failing!

    tcvnurse replied to Daisy02's topic in General Students

    Just remember studying nursing is NOT like studying A&P. Bio was straight memorization and anybody can do that. Nursing requires and understanding of A. what the question is asking B. What are...
  14. tcvnurse

    Considering returning to nursing school

    tcvnurse replied to LUVTHESUN's topic in General Students

    Well the years will go by anyway and you will still be fifty someday. If it has always been a dream to be a nurse then go for it. The only thing holding you back is
  15. tcvnurse

    If I Said on Here What I Wanted to Say.

    tcvnurse replied to DixieRedHead's topic in General Nursing

    Originally Posted by poetnyouknowit Is this the one you're talking about? https://allnurses.com/general-nursing...on-368510.html WOW! I had no idea that one had so many responses! There's a lot of...
  16. tcvnurse

    PCCN - I failed by 10 questions

    tcvnurse replied to ChineseNurse's topic in Cardiac

    There is a new book by Thomas Aherns, I think, that I used and it was really helpful. I also took the practice questions on the AACN website for 45$. I work in a cardiothoracic surgical unit and since...
  17. tcvnurse

    New Grad: Time & Management, Med Errors, & being swallowed up by old bitter bettys!

    tcvnurse replied to sarahg88's topic in First Year After Licensure

    Also, and this may be unpopular, but keep your focus on YOUR patients and YOUR duties. It's nice that you want to give prn meds to other patient's than yours, but you're not doing anyone any favors if...
  18. tcvnurse

    dumbest nurse in the industry.

    tcvnurse replied to sarahg88's topic in First Year After Licensure

    If you dont know anything about pathophys, crack open your books. I check charts for new orders every time I open the EMR. Because what if a Doc wrote a STAT order for lasix or something? Always ask...
  19. tcvnurse

    Too Slow; How to become more fast????

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

    I arrive about 20 minutes before my shift. I check labs, read the MD notes from yesterday, pull tele strips and read them and then take report. I assess my patients and chart them ASAP. AM meds mostly...
  20. tcvnurse

    CCRN Exam

    tcvnurse replied to Creamsoda's topic in Critical Care

    I just passed the PCCN which is similar in many ways to the CCRN exam. The questions on the AACN website (I coughed up for them, too) are indeed very similar to what you will see. It sounds like you...
  21. tcvnurse

    how quickly someone can go downhill.

    tcvnurse replied to locolorenzo22's topic in General Nursing

    Dear OP, I am sorry this happened. Sadly, even when we do everything right, sometimes people just die. I also work in TCV and I know firsthand how fast a patient's condition can turn on a dime. After...
  22. tcvnurse

    PCCN

    tcvnurse replied to NurseSue66's topic in Cardiac

    Yes it absolutely would count! Cardiac and PUlmonary make up over half the test and that will make it easier for you. Progressive care can also be a step down unit or even a unit with very high...
  23. tcvnurse

    Is an RN refresher course even worth it at this point?

    tcvnurse replied to I Am ReadyRN's topic in Nursing Career

    Also you have to have a certain amount of hours worked within the last year or two with a certain patient population ( critical care, med/surg etc) to even SIT for a cert exam. I would just keep...
  24. tcvnurse

    Gentiva Home Health

    tcvnurse replied to Wendy_RN's topic in Home Health

    Worked for them for 4 years in Florida. Ended up leaving after they hired a manager who was CRAZYCRAZYCRAZYCRAZY. They had me driving 100-150 miles a day sometimes doing ten visits a day and then...
  25. tcvnurse

    Does home health experience hurt chances of going back to hospital nursing?

    tcvnurse replied to tinderbox's topic in Home Health

    I found that having a background in home health made me a much better nurse overall, and when I interviewed for my current position on a step down unit, I mentioned as much to the manager. It forced...