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Tncc

Emergency   (92,075 Views 35 Comments)
by jillba jillba (New Member) New Member

879 Visitors; 10 Posts

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Hi,

I was wondering if anyone could fill me in on TNCC.....is it difficult? I am taking it for the first time in a month & I just got a huge book in the mail to study!! I tend to freak out about these things for no reason (ACLS for example). Can anyone tell me what to focus on in the book & what the test is like??? Thanks in advance!!

Jill

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bigsyis has 24 years experience and specializes in ER, Occupational Health, Cardiology.

5,039 Visitors; 519 Posts

Plan on doing your whole academic and clinical nursing education WITH Practicum and testing in two days! It was the most intense course/certification I ever took! (but it sure is thorough!);) Our ER Nurse Manager took it with four others of us, and didn't pass.

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ready4crna? has 5 years experience and specializes in ICU, currently in Anesthesia School.

2,772 Visitors; 218 Posts

In the center of the book should be some testing materials. I cant remember if they are practical or written help, but the items with stars next to them are fail points. Start to get familiar with these and review general pathophys of traumatic injury. (shock, emboli, mechanisms of injury, etc.) Good luck!

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AnnieOaklyRN specializes in ED, Pedi Vasc access, Paramedic serving 6 towns.

1 Follower; 33,940 Visitors; 2,577 Posts

ugh... I have to take the within the next couple of weeks as a new grad in the ER. You guys are scaring me :)

Sweetooth

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bigsyis has 24 years experience and specializes in ER, Occupational Health, Cardiology.

5,039 Visitors; 519 Posts

Sweetooth, from other posts of yours that I have seen, I would be VERY surprised if you did anything other than pass, and do a good job of it. For you, it is kind of like an integration of BTLS and ACLS with clinical stuff thrown in. You'll probably really like it-I did, but it WAS stressful.

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3,943 Visitors; 192 Posts

I, too, found it stressful.

However, I also discovered that I really enjoyed it. TNCC allowed me to get my assessment and prioritizing skills down pat while multi-tasking in an emergency situation.

I think you'll find it quite interesting and helpful.

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mamalle has 11 years experience and specializes in ER, Outpatient PACU and School Nursing.

2,862 Visitors; 114 Posts

It is a great course- do not be stressed. you will learn so much in those 2 days. We have great instructors at our hospital that really like to teach and it makes a difference. Mine expired but we are not required to have it- only TNC every 2 years so I think I going to pass this year on it due to my other job commitment. I was looking forward to it maybe next year.. best of luck.

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rachelgp specializes in ER, Occupational.

2,685 Visitors; 44 Posts

Don't stress too bad. Yes, you should study, but it's not a killer class or anything. I took it yesterday and today and made 100% on the written, got all the skill labs, too. And I'm a fairly new grad, too, so don't be scared. Good luck!

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stayseerrn has 7 years experience and specializes in ER, Pedi ER, Trauma, Clinical Education.

2,177 Visitors; 69 Posts

TNCC is an intense course, but that is its intent. The course material appears daunting, but can be worked through quite easily. There are study materials and scenarios in the textbook. Review those before you go to class, but especially review those before the exam. One important thing to keep in mind is ABCDEFGHI, and always stick to it in that exact order. That will get you through the skill stations without any worries and will help you better answer your exam questions. Good luck, and I look forward to reading your post about passing the course! :typing

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AnnieOaklyRN specializes in ED, Pedi Vasc access, Paramedic serving 6 towns.

1 Follower; 33,940 Visitors; 2,577 Posts

hi,

Thanks bigsyis and to the OP for posting this.

It is encouraging to read all the positive posts.

Sweetooth

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rachelgp specializes in ER, Occupational.

2,685 Visitors; 44 Posts

Sweettooth: As an EMT-P with 9 years experience, you should have no problem at all. I'm a LP turned RN (new grad) and I had no trouble at all. In fact, I LOVED the class. If you've ever taken PHTLS or anything like that, this will be more of a refresher course than anything. Just remember ABCDEFGHI (esp. abc's) and you'll do great!

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TStewartfan specializes in ICU, Trauma.

761 Visitors; 23 Posts

I am taking it as we speak. Our test and practicum is tomorrow. It's not as hard as I thought it would be... let me let you know tomorrow.... But its all common sense head to toe assessment and think about everything and anything that you could do for that particular patient. Remember ABC's thats the whole basis for TNCC. A of course is airway and you must state ways to clear and airway and cannot continue until the instructor states that your airway is patent. You cannot leave this section without a) pt is intubated or b) pt is on 100% nonrebreather. Next is breathing, look at the patient, determine if the respirations are even and unlabored, is the patient using accessory muscles or retracting if a pediatric patient, the instructor will tell you the breaths per minute and if its shallow and if the breath sounds are equal. At that time you can determine if you need a chest tube or not. After you determine all that then you go to circulation, this consists of making sure the adult patient has two large bore IVS infusing with warmed IV fluid at a rapid rate and particulary with blood tubing, you can type and cross match and do labs at this time, make sure you check for a pulses, skin temp and moisture and color, and check for signs of active bleeding and what you do to stop that bleeding. Then you do the Disability (Neuro) and do AVPU (active-verbal-pain-unresponsive) and PERRL. Then the last step of primary assessment is Environment and Expose- strip em naked but keep them warm via warm blankets, warm IV fluids, warm lights and environment. Think of what can kill your patient and those are your primary assessments and the most important.

It wasn't that hard, it was pretty interesting and you learned and should realize that assessment is the most important thing

Don't stress about it... I'll let you know tomorrow if I pass......................

Jodi

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