Tolle_lege

Latest Activity

1. Stable Vent Patients in LTC

   Tolle_lege replied to TheCommuter's topic in General Nursing

   We have vent patients where I work at an LTAC, but we are still 5-1 and the nurses don't touch the vent settings AT ALL! We record numbers and hit 100% oxygen before doing inline suctioning. I don't know how they expect you to have vents without RT...

2. Isolation Rooms and Organizing

   Tolle_lege replied to Tolle_lege's topic in General Nursing

   I've given up on the full assessment by 8! I try to get as much info in report as possible (have a great cheat sheet) confirm things as I go in and out. I try to listen to lungs and heart while doing vitals and check radial and pedal pulses, look a...

3. Isolation Rooms and Organizing

   Tolle_lege posted a topic in General Nursing

   I have recently started working at an LTAC hospital and I am still considered a new grad because I have worked for just under a year. I love the hospital and in fact my preceptor is a great nurse who is very balanced about helping me out and letting...

4. Homebirth Gone Awry

   Tolle_lege replied to mamafeliz's topic in Ob/Gyn

   I feel like I had the best "between both worlds" experience with my labor/birth experiences. I have had four children in a small community hospital owned by a large corporation CHW. I had a midwife who delivered the last three. These three were wa...

5. Child Care and RN Hours - help!

   Tolle_lege replied to TarheelRN's topic in General Nursing

   When I was a teenager I babysat for all the nurses my mom worked with. I was very responsible for my age (I see that as I look for babysitters!) I had regular work and got paid well for being a teenager. When I was seventeen I also worked for a lad...

6. Simply Dehydration

   Tolle_lege replied to Tolle_lege's topic in General Nursing

   When my client came back from the hospital there was Chronic Kidney disease listed on the problem list, and her eGFR was around 40-44 for several days. I did not get a copy of the labs done on the day that she was discharged, however the notes said ...

7. Simply Dehydration

   Tolle_lege replied to Tolle_lege's topic in General Nursing

   Thanks for the input everyone... This client has been in this same facility for several years, which has a 3:1 ratio with caregivers and a nurse at each house. I have only worked here two weeks. When at our facility she uses a brief so no exact I an...

8. Simply Dehydration

   Tolle_lege replied to Tolle_lege's topic in General Nursing

   Any idea why this would change when there was no apparent change in her day fluid intake level over the last year? I mean she was getting about 1500 ml a day. Just seems strange. I don't think that I drink 1500 ml a day!

9. Simply Dehydration

   Tolle_lege replied to Tolle_lege's topic in General Nursing

   No HF although she did have kidney stones last year per report of another nurse in my facility..

10. Simply Dehydration

    Tolle_lege replied to Tolle_lege's topic in General Nursing

    yeah, I wondered about that too.

11. Simply Dehydration

    Tolle_lege posted a topic in General Nursing

    I have a client that was recently hospitalized from our DDN-ICF facility. The labs showed a critically high sodium level of 169, and some other labs off a little. Serum Creatinine is 1.09, BUN is 22 (not really high, but more than her usual of 8-10 ...

12. NCLEX PN Test date coming up

    Tolle_lege replied to LVNfairy's topic in NCLEX

    I received My ATT letter on November 12th, saying I could test after the 15th. I scheduled it for November 17th, received my results December 5th (and that is with a Thanksgiving holiday in between, not sure how much time the office takes off for th...

13. Can't find dorsal pedal pulses

    Tolle_lege replied to Tolle_lege's topic in New Nurse

    Thank you for all the tips! I do find it most of the time, but when I can't find it, I really can't find it. I will have to ask when I get to my first job if they have the doppler. I don't remember the nurses at my preceptorship ever mentioning it...

14. Can't find dorsal pedal pulses

    Tolle_lege posted a topic in New Nurse

    I have had many patients that I simply couldn't find a dorsal pedal pulse on them. I have just graduated and am looking for a job, but this part of assessment bothers me. Is it just me, does anyone else have this problem. I have asked other nurses...

15. Just over 1 month into school, some observations

    Tolle_lege replied to Tony1790's topic in LPN/LVN Students

    I felt really competitive in theory class at the beginning of the year. My observation now is that theory is important but nursing is hands on and being a good nurse is about getting in there and communicating with your patient, not sticking your no...