Tolle_lege

Tolle_lege

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About Tolle_lege

A mom of four children and wife to a wonderful husband!

Latest Activity

  1. Stable Vent Patients in LTC

    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...
  2. Isolation Rooms and Organizing

    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...
  3. Isolation Rooms and Organizing

    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...
  4. Homebirth Gone Awry

    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...
  5. Child Care and RN Hours - help!

    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...
  6. Simply Dehydration

    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...
  7. Simply Dehydration

    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...
  8. Simply Dehydration

    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...
  9. Simply Dehydration

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

    yeah, I wondered about that
  11. Simply Dehydration

    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...
  12. NCLEX PN Test date coming up

    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,...
  13. Can't find dorsal pedal pulses

    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...
  14. 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...
  15. Just over 1 month into school, some observations

    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...