Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Asked to Move to Another Floor?

    They value you as an employee. Good thing you are not being fired because many new grads would be if their employer did not like them. They want you in your company but not on your current unit at...
  2. Lev

    Barcode scanning in ED?

    We have computers in every room and also there are cows floating around. Each nurse has a mobile which scans as well - but these tend to be very slow and drain the battery very quickly. Our scanning...
  3. Lev

    Manual Blood Pressure HELP

    Any sound you hear can be systole. It starts off loud and then softens. Just listen for when the sound starts. You should feel for when the pulse disappears before taking the blood pressure like I...
  4. Lev

    Manual Blood Pressure HELP

    Blood Pressure Assessment: Overview, Indications,
  5. Lev

    Giving report to the next RN?

    Name Age Gender (if not obvious from 1st name) Code Status Allergies Diet Isolation Relevant medical and surgical history Orientation level Reason for coming to hospital Hospital course Psych/social...
  6. Lev

    Sepsis in your facility/ED

    For anyone who uses the I-STAT, how is competency
  7. Lev

    WILTW 10/8: Flexed to Tenacity

    I too am looking around (for a new job). I am tired of all these changes. Now the new manager is trying to get rid of midshift. If my midshift goes, I
  8. Ditch this case, do not notify BON, leave this job if further trouble from your
  9. I think there will more time to learn on nights - more time to sit down and talk about things, time to document, etc, and you may get to do AM labs. However, in general during the day time there are...
  10. Is there a particular cardiac surgery or procedure that you have in
  11. Lev

    Manual Blood Pressure HELP

    Maybe their systolic blood pressure really is at 160. Many people do walk around with a high blood pressure even if they seem ok. Next time you take a blood pressure, palpate for a radial pulse while...
  12. Lev

    Precepting Med-Surg Nurse to ED

    Thanks for the tips. I came from the floor to the ED and it was not an easy transition, even with telemetry
  13. Lev

    How much training to ask for

    At least 6-8 weeks. Up to 12
  14. Lev

    How is your ER these days?

    Does it feel like it's been winter since the end of August? Lots of critical patients and high volumes? It feels like we are in the throws of winter but it's still only September! Yesterday was the...
  15. Lev

    So, what's it like?

    I have worked at two non teaching facilities (one of whom is associated with a large university teaching hospital and one of the best hospitals in the state) and I currently work for a teaching...
  16. You can do both. Many ex ICU nurses in ED and vice versa. Both give you critical care experience. I think some floor nursing experience is good for any ED nurse. Fills in the
  17. The nurse has ultimate responsibility regardless of what the CNA reported or not. This is why it is sometimes hard to be dependent on CNAs to tell you certain things or fulfill tasks because they...
  18. 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...
  19. Lev

    Sepsis in your facility/ED

    Curious to know if your facility has done a study of the effects of your sepsis protocol...If so, I would like to know how to access
  20. Drs. Angel, Devil, and Death are ready to
  21. Lev

    New Nurse, AHHH!!!

    In that case I would leave a written note on the front of the paper chart for the doctor to see in the
  22. Lev

    Sepsis in your facility/ED

    Thank you so much for your detailed response. I have never heard of an I-STAT. Checking lactates at triage is a great
  23. Lev

    Diabetic Patient

    Type 1 Diabetes Mellitus: Practice Essentials, Background, Pathophysiology Medscape: Medscape Access You may need to make a Medscape account to sign in to view the
  24. Lev

    BP meds

    Yeah the patients BP is 127/72 but the BP med is keeping it that
  25. Thanks for the