Tolle_lege

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...

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...

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...

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...

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...

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 ...

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 ...

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...

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!

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

yeah, I wondered about that too.

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...

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...

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...

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...

It also helps to know what your learning style is. Do you remember things you see, or things you hear, do you need to touch and feels things for it to sink in? I often make questions out of the text while I am reading. Like what nutrients are rest...

I think the economy will affect everyone, there will probably still be staffing shortages, but less money to hire new nurses.

I would just add that the best of marriages can be stressed out when work, school and small children all demand your time, marriage is not easy and divorce isn't always an easy solution! Imagine what it would be like trying to support yourself, whil...

I am precepting at a facility that is sub acute and uses a lot of LVN's ratio is about 50-50. I think that a lot does come from the administration and the feeling that they give about using LVNs.

Hi, I have been lurking for a while. I am a nursing student and I just recently had a baby. I wanted to get a gift for the nurses the were involved in my care, but I want to be creative. Anybody had some really creative gifts given by patients tha...

Depending on how your instructors are, I would say, be careful not to stand out at first and don't latch onto anyone right in the beginning. First impressions aren't always accurate.

I have heard so many nurses tell me that they left the exam "sure" that they had failed only to find out that they passed. Don't let your feelings get the better of you. You are as prepared as you are going to be, take a hot bath the night before, ...

Thanks for all the replies, I am defintely going to send some thank you cards and a letter the administration.

I don't know about florida, but in California LVNs can "collect date" which really involves doing an assessment, but can't form the "care plan" because that is considered synthesis of the data and involves true assessment. It's a fine line, but defi...

Is there any way to protest with the school you went to? I does seem odd that they would pick a patient that has difficult heart rate to use as an "actor". I would definitely fight it!