Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Clinical site in a dangerous area?

    Lev replied to uknurse2b03's topic in General Students

    I will echo the above advice. Also don't use your phone/electronics while walking in the street. Keep bags closed. Wear your backpack with both shoulders - not one shouldered. Keep walking straight...
  2. Lev

    Risk for sepsis

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

    Is "risk for sepsis" one of the approved NANDA nursing
  3. Lev

    Potential job offer question...

    Lev posted a topic in General Nursing

    I work at a high acuity high volume ED. Other than trauma, we get it all. I have been working at this ED for two years (have two years of "other" nursing experience), just started precepting, will be...
  4. Lev

    Anyone seen an MI from septic shock?

    Lev replied to Lev's topic in Emergency

    His trop coming in was like 0.567 or something. He was pretty tachy too, rate was 130s-150s. The one drawn when the st depression noted was like 0.876 or something and the next one 3 hours later was...
  5. Lev

    Potential job offer question...

    Lev replied to Lev's topic in General Nursing

    Thanks everyone for your input! Moderators if this can be moved to the Emergency nursing forum for input from ER nurses I would appreciate
  6. Lev

    Anyone seen an MI from septic shock?

    Lev replied to Lev's topic in Emergency

    He'd had about 4 liters of fluid at this point. The ICU attending came down and ordered a fifth liter. We did another EKG and this is when the depression was seen. Then the ER doc placed a central...
  7. Lev

    impaction treatment

    Lev replied to middleagednurse's topic in Emergency

    Us too! Anything rectal (rectal exam, manual disimpaction) not the nurse's job. Unless it's a suppository or a rectal
  8. Lev

    impaction treatment

    Lev replied to middleagednurse's topic in Emergency

    When you remember what those meds are please let me know!! Want to try this. Beats manual disimpaction any
  9. Lev

    Potential job offer question...

    Lev replied to Lev's topic in General Nursing

    Can this please be moved to the emergency nursing specialty
  10. Lev

    The inevitable: Blood draws

    Lev replied to SapphireKitten's topic in General Nursing

    There is sense of resistance that can be felt when the vein is poked. I can tell when I poke the vein but it rolls. When the vein is punctured passed the puncture of the skin there is a feeling of...
  11. Lev

    Following up after interviewing - etiquette advice?

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

    I have made it a practice to send a short and sweet thank you email a couple hours after the
  12. Lev

    Inane scripting

    Lev replied to Jedrnurse's topic in General Nursing

    At the hopsital I used to work at, when we answered the call bell we were supposed to say "How can I help you? I have time."
  13. Lev

    Questions about Insulin

    Lev replied to Summers3's topic in Nursing Student Assistance

    Sometimes providers do not adequately cover their patient's hyperglycemia. This is where you as a nurse can speak up. Sometimes this happens because the patient is on a different insulin at home that...
  14. Lev

    Drug Card

    Lev replied to LorreenBempong's topic in Nursing Student Assistance

    Coumadin, Jantoven (warfarin) dosing, indications, interactions, adverse effects, and more I use this website as a
  15. Lev

    Choosing between two jobs to help me in the future

    Lev replied to Mrs.D.'s topic in General Students

    Many ICUs do not employ CNAs or techs. Nurses practice primary nursing and do everything for their patients. I would take job #1. You will learn a ton. Let the nurses know that you are in school and...
  16. Lev

    Never been in a code?

    Lev replied to maybug's topic in General Nursing

    See if you can spend a shift in the ED - just to shadow
  17. Lev

    heart failure question

    Lev replied to yelworc123's topic in Nursing Student Assistance

    What about focusing on making sure that he takes his diuretic? Many patients don't like taking their lasix because it makes them urinate a lot, so they will skip doses. Is there a nursing diagnosis...
  18. Lev

    Status Epilepticus

    Lev replied to stevosmusic's topic in Nursing Student Assistance

    Prolonged seizure activity can cause hypoglycemia and I have seen a case of hypokalemia. This patient had seized for over an hour and her potassium dropped from around 4.5 to 3.3. (Some may have been...
  19. Lev

    Nursing Interventions for Paroxysmal atrial fibrillation?

    Lev replied to mhingis's topic in Nursing Student Assistance

    I think your priority needs are spot on a for a patient with paroxysmal afib. If there is a nursing diagnosis related to effective circulation aka prevention of blood clots that is an idea as
  20. Lev

    communication with hospice patient.

    Lev replied to pooh902's topic in Nursing Student Assistance

    Part of active listening is about asking open ended questions which show that you have heard what they said and you want to know more. For example: Patient: Why is GOD punishing me? Nurse: What...
  21. Lev

    Being Ordered to Give Whiskey

    Lev replied to purplegal's topic in General Nursing

    LOL..I was about to post that just because you drink daily does not mean you will go into DTs a couple days later from
  22. Lev

    December 2016 Top 8 Captions Contest - Select $100 Winner

    Lev replied to Joe V's topic in News, Announcements

    He: So you survived the snowstorm and hospital hotel? She: Have you seen my face? I'm exhausted. Where is a normal
  23. Lev

    ED nurses: What can a volunteer do to make your life easier?

    Lev replied to petali's topic in Emergency

    One thing that I would love to see our volunteers do is to make sure that the room is stocked with enough blankets and gowns. And to make sure supplies are stocked in
  24. Lev

    What do you keep in your locker/make sure to take to work with you?

    Lev replied to Dianna11's topic in General Nursing

    My bag has motrin, pens, trauma shears, my lunch, and nursing references. My locker has an extra stethoscope and random education stuff from work. My car has a full change of scrubs including...
  25. Lev

    Has anyone had to use their malpractice insurance

    Lev posted a topic in General Nursing

    This is my third year with malpractice insurance and I am up for renewal with NSO. I would like to be sure that the malpractice insurance will actually be effective if I were to require it. Has anyone...