tcvnurse BSN, RN

Thoracic Cardiovasc ICU Med-Surg

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All Content by tcvnurse

  1. tcvnurse

    Dating a former patient

    For the record, I think that any nurse who married her paraplegic patient is extremely unethical, has no sense of boundaries, and deserves to lose his/her license. OP. There are sever boundary issues...
  2. tcvnurse

    Need a BSN for what again?

    I got my ASN from a community college which was affiliated with the City University of NY. It was a good program. I got my RN-BSN from a state university. In this program I took classes such as Health...
  3. tcvnurse

    Type 1 Diabetic (soon to be) Nurse

    I know a number of physicians who are type 1, and it was no big deal when they did their month in my ICU. We have plenty of graham crackers and peanut butter, and he would sometimes order lunch with...
  4. tcvnurse

    I am ashamed in myself

    Your original post is one of the most frightening things I've read on here, ever. Your lackadaisical attitude toward the most important fundamental classes for nursing is shocking. What exactly did...
  5. tcvnurse

    Might get kicked out of program...

    I am still trying to understand how a patient was both unresponsive and yet refused a
  6. tcvnurse

    Best Way to Move from LTC/Rehab to ICU

    Have you ever worked at an acute care hospital? Thats your first step. These kinds of ICUs tend to hire either new grads or experienced ICU nurses. Sometimes internal transfers. BUT. No one will hire...
  7. I would go for the CCU. Or, baring that I would try to get on an intermediate or cardiac step down unit. Does the CVICU not hire new
  8. The first six to twelve months as a nurse will most likely be the hardest in your entire career. Expect that you will feel uncomfortable. That is good! That is a sign that you are growing and...
  9. tcvnurse

    What should I do - Abusive Instructor

    When you say 'harass' what do you mean by that? Like, "What does metoprolol do when you give it to a patient?" or, "Why would I want to know the potassium before I give the lasix?" or "Have you washed...
  10. tcvnurse

    CVICU

    This is all extremely accurate. Our patients are ALL unstable, even the "stable" ones. We take care of the sickest patients in the hospital,most of whom have just had open heart surgery, up to and...
  11. tcvnurse

    Running cardizem drip?!

    Oh my god if you are thinking about running cardizem gtt as a secondary then you shouldn't be running it. Doesn't your unit have protocol or say a charge nurse who can help you out with this in the...
  12. tcvnurse

    ICU Question about central line infection control

    At my ICU, RNs change the central line dressing weekly or pen if soiled and every patient in our ICU gets a CHG bath
  13. You didn't bother to study for a nursing final? And you want to go to grad school? Wow. There is no easy way to do any of that. You have to be prepared to work your butt off, do whatever it takes to...
  14. tcvnurse

    I don't like nursing anymore. What should I do?

    BY the way-salaries in Florida are generally lower than in other
  15. University of Virginia is actively hiring ADN nurses currently. We have a RN-BSN program at UVa and a generous tuition reimbursement. Charlottesville is gorgeous
  16. A lactic acid is telling you that there is a mismatch between oxygen supply and demand, namely, not enough for what is bring required. In this case, I suspect because of the hypotension, which is why...
  17. tcvnurse

    Status Epilepticus

    Seizures are very hard on the body. They can absolutely cause hypoglycemia. Just think about all the muscles in your body working at once! Do you know how much energy that burns? A whole lot. Also...
  18. tcvnurse

    The Sight of Blood

    That's normal, and it happens sometimes, especially the first time you see something like that. I nearly fainted during my first clinical while watching a nurse put an IV in. My clinical instructor...
  19. Wow, in my unit she would not have gotten all the normal saline (too much sodium, we use plasmlite instead) and probable on flolan, milrinone and epinephrine, with a Mac and a PA cath to monitor...
  20. tcvnurse

    I need help with clinical

    I would have failed you too for that. I honestly don't understand your lack of insight here. If you know you need to do the work, come prepared, then DO THAT. Also, I can't for the life of me figure...
  21. tcvnurse

    Nursing student getting abuse from instructor

    This is not what clinical instructors are supposed to be! I just completed my first term as a clinical instructor (as well as working full time, and grad school) and one of the first things I told my...
  22. tcvnurse

    First Medication Error - Student Nurse

    As a clinical instructor- were you allowed to give meds without your instructor present? My students had to have me present as they administered medications and treatments such as dressing
  23. tcvnurse

    I need help with clinical

    Is this a joke? You say you have poor study habits. There's your problem! Did you expect to get through nursing school on thinking happy thoughts? You need to study, obviously, and put in way more...
  24. tcvnurse

    Albumin and DKA

    I read this question off to my 17 year old type one diabetic daughter. This was her answer. "Because your body is eating all your protein and fats because it can't use glucose. Duh."