tcvnurse BSN, RN

Thoracic Cardiovasc ICU Med-Surg

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All Content by tcvnurse

  1. tcvnurse

    PCCN

    You have to have about a year of working with progressive care patients, have a license in good standing and pay up to take the test. Seriously, i think that's it. I just took the PCCN exam in August...
  2. tcvnurse

    Why are ICU nurses so rude?

    For God's sake. Can't we just say some PEOPLE are rude and let that be the end? Every person is different. Every unit is different. When I was a brand new nurse working nights, taking care of 10-12...
  3. tcvnurse

    written up

    Nerdtonurse, that is exactly how we give report at my hospital. Apparently, we really want to know everything!
  4. tcvnurse

    PCU orientation..enough?

    My unit is essentially a PCU, though not officially, and we give our new grads 12-16 weeks of orientation. Once a week 8 hour classes for the Heart Center Core curriculum--stuff like Cardiac Surgery...
  5. tcvnurse

    post-pyloric

    If they're not barfing they are
  6. Well, I work surgery. We fix there hearts, valves, aneurysm, remove the lung cancer. They get better. They go home. Home health...you see the truth of how people live. How they survive with no support...
  7. LOL. I did home health for six years and I have seen this order a lot. To me, it means the doc is saying the patient clearly needs a home health nurse, but he's letting you decide if the patient needs...
  8. tcvnurse

    I wish I could just shut up already

    Seek
  9. tcvnurse

    A New Nurse's Dilemma...

    I've been working on a medical surgical floor for almost a year now and feel like the practice that is used is not the same as the kind I learned while in school. I feel like on a daily basis I am...
  10. tcvnurse

    Hypothetical Ethical Issue

    When I have to take care of prisoners I absolutely do not ask, nor do I try to find out what offenses he/she has committed to get locked up. Frankly, I don't want to know. I do my assessment, pass...
  11. tcvnurse

    My Clinical Instructor does not trust me

    Sorry you are having a hard time. However, the HIPAA thing is a BIG deal. Nurses get fired over it everyday. It seems to me, if the clinical instructor is asking about anxiety--which you say you have,...
  12. tcvnurse

    Learning by mistakes

    Always double check the roller clamp on an IVPB before you leave the room. I was famous for getting to the doorway and having the pump alarm go off. :) Other stuff, like missing a med on a...
  13. tcvnurse

    Is there a difference between a cordis and TLC?

    We get patients with a CORDIS all the time, and I love them! We call them MAC lines for some reason. The PA part is capped off when they come over. Usually they are put in the internal jugular vein....
  14. I graduated from there in 02.
  15. tcvnurse

    Needing some advice before I get fired

    I precept a lot on a cardiac surgery step-down floor. By week 6 my orientees should be able to handle a four MAYBE five patient load on days. By that I mean doing the head to toe assessment and...
  16. tcvnurse

    IMCU Certification

    PCCN perhaps? That's what we use on my unit, which is step-down/ intermediate care. Many of the test questions are similar to corn but without the ventilator stuff or PA cath
  17. Just so you know, job hopping--especially 5 jobs in 6 months, would get your resume round filed at my unit. It is absolutely a sign that one has problems at work, and frankly shows no respect for the...
  18. tcvnurse

    My Patient Coded Yesterday

    The first one is always hard. Probably did throw a clot before the MI. I hear what you're saying, that you're afraid something like this will happen again. It will. It doesn't get easier exactly,...
  19. Oh, yeah. Thing is, we're not there to be friends with patients. We're there to help them become able to manage their conditions and stay out of the hospital! Sometimes, you have to be very firm with...
  20. tcvnurse

    PCCN Certification

    I just passed this test today. :w00t: My unit got the review DVDs from the aacn website for PCCN, and I also used a new book Progressive Care Nursing Certification by Ahrens, Prentice, and...
  21. tcvnurse

    How can nurses avoid burnout?

    Make time for yourself, because nobody else will do it for you. Be good to you-- you deserve it. When working make sure that you both eat and pee! This goes a long way to making an unbearable shift...
  22. tcvnurse

    Male nurse in L&D

    I was simply stating my opinion which has no effect on whether the OP gets hired or not. It's nice that it wouldn't bother YOU. However it would bug a good number of women. I have nothing against...
  23. tcvnurse

    Male nurse in L&D

    It's bad enough to have a male doctor poking around in places that he has no idea what it feels like, I absolutely would have refused a male nurse during my L and D. I actually feel it would be...
  24. Quit leaving pills at the bedside. It's not good practice, and I think you are lazy. if your life stinks, CHANGE IT. You are such a nice lady, but PLEASE wear deodorant. Can't you see the pca's are...
  25. This would be unacceptable where I work. This person should absolutely not be orienting new grads. I had an orientation like that when I was a new nurse a long time ago, and it made me determined to...