Tolle_lege

Tolle_lege

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All Content by Tolle_lege

  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...

  2. 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...

  3. 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...

  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...

  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...

  6. 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...

  7. 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...

  8. 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...

  9. 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...

  10. 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

  11. Simply Dehydration

    Tolle_lege replied to Tolle_lege's topic in General Nursing

    yeah, I wondered about that

  12. NCLEX PN Test date coming up

    Tolle_lege replied to LVNfairy's topic in NCLEX Exam, Programs

    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

    Tolle_lege posted a topic in First Year After Licensure

    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...

  14. Can't find dorsal pedal pulses

    Tolle_lege replied to Tolle_lege's topic in First Year After Licensure

    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...

  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...

  16. 6th Week of Nursing School! Help! Failing test!!!

    Tolle_lege replied to FutureRNelizabeth's topic in LPN, LVN Students

    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...

  17. US economic crisis and Nurses???

    Tolle_lege replied to fudgeremedy's topic in General Nursing

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

  18. HELP! Husband is depressing me! NEED ADVICE!

    Tolle_lege replied to 2bNurseLove419's topic in General Nursing

    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...

  19. No respect for LVN's/LPN's

    Tolle_lege replied to Jen01tx's topic in LPN, LVN Corner

    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

  20. What's the best gift from a patient?

    Tolle_lege posted a topic in Ob/Gyn

    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...

  21. First Day.. Nervous

    Tolle_lege replied to MomInTraining's topic in LPN, LVN Students

    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

  22. Freaking Out

    Tolle_lege replied to sweetmya's topic in NCLEX Exam, Programs

    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...

  23. What's the best gift from a patient?

    Tolle_lege replied to Tolle_lege's topic in Ob/Gyn

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

  24. Question regarding LPN Scope of Practice

    Tolle_lege replied to pattylpn54's topic in LPN, LVN Corner

    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...

  25. failed my boards because i couldnt find mans apical pulse neither could the observer!

    Tolle_lege replied to bradycakesmom's topic in General Nursing

    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