Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    How to give 2 week notice

    I would give a copy of your printed and signed resignation letter to one of the HR people and then I would visit your boss and hand the same to her directly. The letter should be addressed to your...
  2. Lev

    New ER RN- Normal to feel this way?

    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...
  3. Could any registered nurse answer these 5 simple questions for my school project please? Also if you could please state what floor/unit you work/worked on. 1. What made you choose nursing? I chose...
  4. Lev

    Precepting med-surg nurse

    Thanks for your reply. Yeah, I have been working on the ok with "good enough." I have modified her assessments (mostly the cardiac rhythm assessment because she has no tele experience and will...
  5. Lev

    I feel like I will be a bad nurse

    Anxiety is normal. Nursing school is a huge challenge for most individuals. If you are nervous about skills, practice as much as you can. Practice in the skills labs and jump at any opportunity to do...
  6. Lev

    Quitting my 1st RN job

    ****** You clearly have no respect for seasoned nurses, even those in your specialty (critical care). Ruby Vee can run circles around you, competencies completed or not. So be careful. And...
  7. Certain classes will require the level of memorization that you experienced during A&P. However, other classes will be more hands on and practical. Expect to be challenged. You will learn to...
  8. Lev

    Scary ER RNs

    I think practices vary from hospital to hospital. I can speak for my ER. I think a gram of vanc is a pretty typical dose. Sometimes I see 1.2 g but usually the patients just get a gram. I have never...
  9. NP is a good career choice. However, most nurses will strongly recommend 2+ years of solid RN experience under your belt before starting NP school and choosing a BSN-MSN or DNP program over a direct...
  10. I think that given than ICU was not a good fit, maybe telemetry would work out better for you at this point. I think you are too quick to say that telemetry won't be good "for learning." You are a new...
  11. I found this website Purdue OWL: APA Formatting and Style Guide very helpful when I was in nursing
  12. Lev

    I'll take it! $$$

    At my PRN hospital, I have been the CNA for RN pay, but not a
  13. The PH is normal but is a little higher than acidotic range which means that there may be a compensated acid-base imbalance. The PCO2 is a bit elevated which means there is respiratory problem....
  14. Lev

    how bad is 11a-11p?

    I work 11-11 now and love it. Also not much of a morning person. I've worked 3-3 and I think 11-11 is
  15. Lev

    New to ED with 3 years under belt

    You will love the ER. Any change in mental status, unexplained tachycardia or bradycardia, chest pain, seizures, overdose, etoh, or critically ill patient needs the monitor. EKGs - seizures,...
  16. No, you are just opening yourself up to trouble by telling your educator that you have poor prioritization skills. 1 week is not going to make a difference anyway. Being out there by yourself
  17. Lev

    New grad job offer conundrum

    Yes, take the sure offer before the maybe
  18. Reality is that veins do roll, even if anchored. We've all had experience with that huge rope that ran away when we tried to stick it with the 18g IV even though it looked so easy. Especially when the...
  19. 1) Supplies are not stocked 2) Management is out of touch with the bedside nurses 3) Staffing is cut (see #1) 4) Lack of consistency (see #1) 5) Lack of accountability 6) Rude patients and family...
  20. If it does not affect your performance, there is absolutely no reason to call your
  21. Lev

    Am I ill-suited to the ED?

    Some depends on the culture of the particular ER. However, psych patients (especially those in crisis) are often not very nice people to be around and interact with. The proper thing to do in this...
  22. Lev

    Hotline blood warmer tubing

    We use the same tubing for unit after
  23. Lev

    Do most nurses not like writing papers?

    I did not mind writing papers in school. They were an easy A. I have always been pretty good at writing. (Better at expressing myself through writing than speaking which many fellow introverts can nod...
  24. Lev

    Minor vent:DCAB

    Grrrrr Answer - my other patients have needs that are more important than fulfilling non stat diet order on a patient with a normal blood
  25. Lev

    Was told to consider not being a nurse?

    Never berate yourself/or your nursing abilities in front of a professor/clinical instructor/manager/other nurse etc. It will come back to haunt you. Tell your professor what happened but do not attach...