Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    New ER RN- Normal to feel this way?

    Lev replied to nursebabyxoxo's topic in Emergency

    I think she is just mean. That is beyond just a strong personality. Wow, one nurse had all those patient? Your ratio is very high and there are better places to work. Ratios tend to vary with...
  2. Lev

    New nursing student going into MedSurg. Any advice?

    Lev replied to Nursingblue's topic in General Students

    This book --> Pearson Reviews & Rationales: Medical-Surgical Nursing: 978�133�836�6: Medicine & Health Science Books @ Amazon.com And this book --> Saunders Comprehensive...
  3. Lev

    SUPER low GPA

    Lev replied to cariboulover's topic in General Students

    I think you should retake all your science classes and any nursing specific
  4. Lev

    RN wife, young child and pension collecting husband, where to live?

    Lev replied to SoccerBetty's topic in Job Search, Interview, Resume

    Howard Co, MD Harford Co,
  5. Lev

    Quick IV calc. question

    Lev replied to SaltySarcasticSally's topic in Nursing Student Assistance

    100 ml.........X ml _______ x ________ = ?? 20 min.......60
  6. Lev

    ICU vs ED

    Lev replied to medicalninja's topic in Critical Care

    Don't agree with you on the med-surg part 2 part. Yes I have dubbed fast track "med-surg on steroids" on certain days but the main ED is a whole other ballgame and type of
  7. Lev

    CEN 2016!

    Lev replied to Lev's topic in Emergency

    I was scoring high 60s-low 70s on the CEN practice tests (in the ENA book) and
  8. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev posted a topic in Patient, Colleague Relations

    I recently had a patient in the ED who did have a lot of pain from her 1mm kidney stone. Understandable. However, the drama and borderline traits exhibited by her and her husband were highly...
  9. Lev

    Order that says "Don't call MD for pain meds"?

    Lev replied to Summers3's topic in General Nursing

    We used to give IV tylenol to the post op ortho patients I worked with. The old ladies with the hip replacements who you didn't want to give narcotics to. It worked wonders. Does drop BP slightly...
  10. Lev

    Defibrillator Pads

    Lev replied to christinaaaamarie's topic in General Nursing

    The anterior-posterior (front and back - usually on left side) positioning can be used for pacing and defibrillation while the anterior-lateral (right chest and left of lower sterum) positioning can...
  11. Lev

    How much death do you see/ have you seen on the job?

    Lev replied to CaffeinePOQ4HPRN's topic in General Nursing

    A cardiac arrest is almost a daily occurrence in my high volume ED. That being said, I am able to emotionally distance myself from the dead patient. It's really the family's reaction that hurts the...
  12. Lev

    To tell or not to tell?

    Lev replied to nursingRN123's topic in General Students

    If you want to use the new email method, sign onto a public library computer to send. Make sure to make up a name like "concerned student" when creating the
  13. Lev

    New nurse. What do I need?

    Lev replied to ChiMan360's topic in General Nursing

    Penlight and pens. Clipboard with compartment for
  14. Lev

    prescription drug addiction

    Lev replied to shedevilprincss's topic in General Nursing

    Why don't you get yourself a new PCP or go to a pain management
  15. Lev

    Case Review: Patient with pulmonary hypertension with deteriorating hemodynamics

    Lev replied to Catticus11's topic in CCU, Coronary, Cardiac

    I think at around 11/27 is when things started going south. She had right sided heart failure as evidenced by that severely dilated right ventricle. The dopamine drip was maintaining her. That was...
  16. Lev

    Still feeling slow and incompetent

    Lev replied to amzyRN's topic in Emergency

    A couple things stuck out at me. I too am a floor nurse nurse who transitioned to the ED. It wasn't easy. However, I finally know what I'm doing. (I think). It is important to ask for for feedback so...
  17. Lev

    Anyone seen an MI from septic shock?

    Lev posted a topic in Emergency

    I had a guy the other week with ST depression in all leads from septic shock.. Troponin peaked in the high 20s in ICU. Young guy
  18. Lev

    Anyone seen an MI from septic shock?

    Lev replied to Lev's topic in Emergency

    Update: the patient recovered enough to go to the cath lab and they found that his existing RCA stent was 95-99% occluded so he was
  19. Lev

    Gun Owning Nurses

    Lev replied to hppygr8ful's topic in General Nursing

    Wow, I feel like the only people who walk around with guns on the east coast are police, govt security, and criminals. Sure people own guns but they aren't walking around with a gun holstered to...
  20. Lev

    What do you do with extremely mean/disrespectful patients?

    Lev replied to auson16's topic in General Nursing

    You have to play it by ear. You don't want to rile them up enough for them to get violent. That is another thing to be watchful of. Sometimes I will call them out on it, but usually I just ignore...
  21. Lev

    Passed my vital signs skill no problem... but now I can't take a BP in clinicals

    Lev replied to dumb_'s topic in General Students

    I second all of the above. In addition, do not be afraid to re-inflate the cuff, even if mid blood pressure check if you didn't hear where the tapping started
  22. Lev

    Anyone seen an MI from septic shock?

    Lev replied to Lev's topic in Emergency

    If indeed this ST depression was solely from tissue hypoxia from sepsis and tachycardia etc, wouldn't the ST depression stick around as long as the patient was hypotensive and the lactate level high?...
  23. Lev

    Triage Resources

    Lev replied to NurseHeart&Soul's topic in Emergency

    I think every ED should have a copy of the ESI implementation handbook from the AHRQ. It can be purchased on the website for $3 here or sections can be downloaded
  24. Lev

    Risk for sepsis

    Lev replied to gbrito.nj's topic in Nursing Student Assistance

    I think RISK FOR INFECTION may be approved but check it out in the latest nursing diagnosis book (copyright 2015-2016). Your school library may have some nursing diagnoses books. I checked a couple...
  25. Lev

    Does senior practicum placement matter?

    Lev replied to hopefulrngsu's topic in General Students

    Postpartum is a not a place to learn skills, however, you can practice doing patient assessments, teaching/discharge instructions, communicating with doctors, time management etc. Also, you get the...