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Discussion

TNCC what is it good for?

If this forum isn't the correct place please admits have this question more ta more appropriate area.

RN from Canada.

So I'm enrolled in the Critical care nursing program at Durham college. I enrolled in the TNCC (trauma nursing core course) and passed both exam and sim lab. What does a TNCC provider card do?

I see this course just as that education hours and theory with sim lab. But this provider card has me confused. What is TNCC provider card good for besides being on a CV (resume)?

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    • Featured Replies

    Resume purposes only.

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    TNCC is not just for the purpose of your resume. Honestly a person having TNCC on their resume compared to one doesn't really would mean very little to management because they usually give you 6 months to obtain it. It is a great course for those who will be managing trauma patients. Most emergency departments that are trauma centers require it. It teaches the ABCs of assessing and treating trauma patients if you working in an area with limited resources. The courses teaches some valuable information about different kinds of shock and treatment as well. For ER nurses it's one of your standard certs you need to work just like BLS, ACLS and PALS.

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    • Moderator

    In my ED, you don't care for trauma patients without TNCC. It is often used as a basis of our trauma nursing care because it teaches an ordered, systematic approach, the beauty of which is that if you apply it consistently, injuries and complications don't get missed. I am a fan. Lol.

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    Been a while for me...Does TNCC still teach slamming in 2 liters of NS for hypotension from blood loss?

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    • Moderator
    Been a while for me...Does TNCC still teach slamming in 2 liters of NS for hypotension from blood loss?

    I think they discuss permissive hypotension in the latest version, but I can't remember for certain. My book is at work. I can look tomorrow. :) I think it's not so much slamming them with fluids as considering the use of fluid boluses. But I will look.

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    • Moderator

    Just as a follow-up: permissive hypotension is discussed in the current edition, and it also discusses the hemodilution issues with previous approaches of multiple isotonic crystalloid boluses. The current teaching is to give 1 to 2 L of warmed fluid, and this includes prehospital fluids. The pt's response to the initial bolus should guide further resuscitation. It's on page 80, for any of you following along at home. :D

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    • Author

    Thank you everyone for the feedback. It's good to know it serves more then just resume space.

    The two day course did help with lab and applications with my CCN program so the money wasn't a total lost.

    Thanks again.

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    In my ED, you don't care for trauma patients without TNCC. It is often used as a basis of our trauma nursing care because it teaches an ordered, systematic approach, the beauty of which is that if you apply it consistently, injuries and complications don't get missed. I am a fan. Lol.

    And lest we forget, a great way to bulk-up the ENA's bottom line!

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