iluvnoodles

iluvnoodles

oncology

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About iluvnoodles

iluvnoodles specializes in oncology.


Latest Activity

  1. Hello everyone! I am looking into going for a doctoral program in nursing. Originally, I was going to go for ARNP, however one of my colleagues at work is advising me to do doctorates. I am not really sure what the difference is in doctoral vs ARNP. ...
  2. Causes of undermining/tunneling

    Thank you for responding back. My wound book didn't say how it was caused. Much appreciated!
  3. Stressed please give me some insight

    I just had a recent experience where I questioned the care that I have in providing to my patients has done nothing but bite me in the ass. I have been caring for a patient on hospice who was transferred over to our unit because the nursing staff wer...
  4. Causes of undermining/tunneling

    Does anybody know what causes tunneling or undermining in a wound?
  5. Insulin-Resistance??

    Hello everyone, I need some help in understanding something.A patient who has diabetes and has glucose levels in the that range from 200's for breakfast and 300-400s during the day with Lantus BID + sliding scale AC/HS. The MD ordered for a controlle...
  6. 97% O2 with NRM

    I tried to put him back on the nasal cannula, & he would desat once again. Lungs were clear, no changes in mental status. Only issue was that off of the NRM he would desat. He does have COPD, CXR ordered, already on Xanax.
  7. 97% O2 with NRM

    There has been a couple of cases where I have had to use a non-Rebreather mask. So here is a question for the more experienced nurses. I have a patient who is a frequent flyer to the ER. Within 24 hours he starts de-sating in the 80s on 2L. I come an...
  8. New trend in admission medalist??

    Yes, cuz this is the first time seeing it in long term. If I see it again, Im just gonna ask the doc if they want to continue with 30 days or change to daily.
  9. New trend in admission medalist??

    Hi guys there's is a concern that I have that I wanted to share with everyone. I would appreciate your input. Hospital discharge med lists are noted to have some meds for 30 days. What I am being told is that hospital medlists will sometimes indicat...
  10. Working night shift, difficulty sleeping during the day!

    I love doing the night shift. It's so much less stress than days. Inrecentlynchanged from 8 hours to 12 hours to have more days off. I'm finding thatbitsnhardermto adjust and I'm feeling even more exhausted. I'm actually looking for a more normal sch...
  11. ostomy care advice

    Hello everyone, I need advice on one of my residents. His ostomy continuously keeps on leaking. I started this position of wound care nurse at a LTC facility for about 9 months and am completely new to wounds. I dont really know much about ostomys e...
  12. Struggeling New Grad working in the med surg floor.

    That's how I felt to but I left after 3 months. I really hated waking up in the morning. I just found a job in a SNF and it's a different stress level. Instead of 5-6 patients you have 20 or more patients and all your doing is pushing the cart of med...
  13. I work from 3-11pm shift and the evening nurse told me that the blood sugar has dropped
  14. Starting new at SNF

    Is it H*LL like the hospital? I almost thought I was hearing wrong, when the patient ration was 30:1. I still dont know if I heard right. But if training is 3 days to 5 days max...I figured it would just be passing meds. But than, I wanted to those t...
  15. Question from Exam

    remember safety is always first. patient can be alert but unable to take oral meds safely. Always assess if they have any problems with swallowing.