Latest Likes For Lev <3

Lev <3, BSN, RN 44,496 Views

Joined Jun 3, '11 - from 'Another planet'. Lev <3 is a ED Registered Nurse. She has '4' year(s) of experience and specializes in 'Emergency - CEN, upstairs, troll bashing'. Posts: 2,726 (53% Liked) Likes: 5,045

Sorted By Last Like Received (Max 500)
  • Feb 22

    huddle at every shift - 630, 1030, 1430, 1830

  • Feb 22

    One more thing...If you can't think of a particular example, just say so. Don't make up a story. Think how you would react if faced with a dissatisfied family member, working in a group and one member is not pulling their weight, and seeing someone doing something clinically incorrect that can harm the patient (such as catheterizing the vagina and then removing foley and putting it into the urethra - I was asked that question once). Remember - follow the chain of command. If you know someone is doing something first save the patient from harm and then notify your nurse manager. If it's a doctor doing something wrong...notify your nurse manager not their boss. The nurse manager can contact their boss. It's important to use your resources.

  • Feb 22

    Quote from RNsRWe
    LOL, I think between the two of us, this new grad should be SET!
    Yes! Let's see if she gets the job

  • Feb 18

    Yes, a 6-7 ratio is very high. I don't know how I would manage with that ratio. Do your patients board for hours in the ED? Our ratio is is 1:4 in the main ED and up to 7-8 in fast track (4s-5s with occasional soft 3s). It is normal to feel completely overwhelmed and like a new grad all over again. I too was a very strong med-surg nurse who transferred to the ED. In the ED it is a whole new territory, especially in a trauma center. I don't work in a trauma center but work in a very high volume, high acuity ED, also the "busiest in the state." If any one has every watched that show Code Black - that is our waiting room on an almost daily basis - very crowded. We call the waiting room "the jungle." I have been the in the ED for almost two years and I am still not 100% comfortable. As long as your preceptor is not discussing every little mistake with management I would just put up with her. As long as she doesn't criticize you in front of patients.

  • Feb 13

    At the end of the day it is the doctor's responsibility to start a patient on a med. We can make suggestions as nurses but we are not prescribers. Don't beat yourself up about this. This is a doctor to doctor communication that needed to happen. The GI doctor should have left a note that addressed the anti-coagulation.

  • Feb 12

    I also need general advice on how to maintain my composure. One of my coworkers told me that if I start feeling like I can't handle the patient and that my patience has run out I should have another nurse take over the care of the patient. The patient ended up firing me which I was happy about. When I went in to give her pain medication after the outburst by the husband, the tech was in her trying to calm her down and she was ranting on and on, I don't remember everything she said but at one point she said the nurse was ignorant. So I responded: "So do you want your ignorant nurse to give you more pain medicine or not." Then she started ranting about how the nurse was a "smart @ss." That was probably the only thing she said that was true the entire night. I went back in there to give her ativan and then she demanded that I leave her room and not come back.

  • Feb 9

    Quote from airborneinf82
    Pausing tube feedings is one of the stupidest things that nurses do religiously... nothing like saving a patient from potentially aspirating on 4.8cc's of additional TF.
    4.8 ccs is enough to cause aspiration pneumonia and kill someone.

  • Jan 31

    The answer is yes. 2 peripheral lines (one large bore in the AC) is appropriate even if starting most pressors. Sure a central line is lovely but not always ED priority.The answer re: central line for pressors depends on institution specific policy.

  • Jan 30

    CVOR is a very coveted, in demand, and well paying specialty for nursing agencies. I would put in another year and then get an L&D job while staying PRN in the CVOR. That way, you can stay current with CVOR and if you every desired to work agency (such as if you go to school full time for CNM) you will have enough CVOR and L&D experience.

  • Jan 29

    A little job hopping every few years has not hurt my bank account.

  • Jan 28

    Quote from Farawyn
    Who is WE, Pythoninia?
    Her/him with all his/her alter egos that comes on this site to troll.

  • Jan 27

    Quote from Pythinia
    Let's hope we never go to a hospital near you.
    Thank you. I truly appreciate that.

  • Jan 27

    Quote from Pythinia
    oh and there is no dysfunctional nurses? I've seen them but I would never describe them the way one poster did towards patients - we nurses have our health - most patients do not and are vulnerable because it.. obviously many of the posters of this site don't see it that way.
    This poster likes to stir up trouble FYI.

  • Jan 26

    Days but weekend option? Better parking, no management

  • Jan 25

    we do the hand face test or if really mean a whiff of ammonia