Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    CPR Universal Precautions

    Lev replied to ppsmi's topic in Patient Safety Issues

    I can only think of 1 instance of a really bloody CPR. This was a teenage trauma case and the patient got bilateral chest tubes during the code and he was bleeding out of the ETT. There was blood...
  2. Lev

    Haven't graduated yet, being asked to stay after I do. Need some advice

    Lev replied to FLnurseprospect's topic in General Nursing

    Perhaps ask if you can work continue to part time but now as a case manager while gaining per diem hospital experience until you feel comfortable with the hospital. If they want you, they may agree to...
  3. Lev

    What just happened?

    Lev replied to Nurse3000's topic in First Year After Licensure

    HA! I had a nightmare like that
  4. Lev

    Interview issues

    Lev replied to amiss5572's topic in Job Search, Interview, Resume

    This is probably what she was referring to when she said to "never say
  5. Lev

    School nurse delays giving epi pen

    Lev replied to kidzcare's topic in School

    I work with the adult population in the ED. (It may be different for kids). We do not jump to epi initially even if someone had a previous anaphylactic reaction. It depends on their symptoms. The...
  6. Lev

    LAB VALUES

    Lev replied to Aqua_nars's topic in General Nursing

    The patient is dehydrated so there is no reason to restrict fluids A creatinine of 2.7 does not indicate
  7. Lev

    WILTW 9/19/16: Dystonic Tasks and Masks

    Lev replied to LadyFree28's topic in General Nursing

    LadyFree, so happy to hear you are doing well! Re: the metoclopramide aka reglan - I have seen people react with extreme agitation/anxiety to reglan which is also corrected with benadryl however, I...
  8. Lev

    Interview attire

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

    Wear a suit and bring along scrubs. If the unit has a particular color bring that
  9. Lev

    Potential safety issue

    Lev replied to amzyRN's topic in Emergency

    Yes it happens and yes it is not safe but this is reality of the overpopulated ER and over-utilization of emergency services. Patients are triaged, IVs are started, and labs sent, EKGs done and...
  10. Lev

    Husband became a RN

    Lev replied to NurseLady1210's topic in General Nursing

    Wait till he is well off orientation and stable in his new career i.e. 1 year on the job and then quit your job and go back to school to do whatever you want. You want challenge? Find an NP program....
  11. Lev

    Inappropriate things patients say

    Lev posted a topic in Patient, Colleague Relations

    I never understood how patients feel it is ok to say such inappropriate things. I am your nurse, not your friend. Last night, after handing a patient a vomit bag which looked like this (just green)......
  12. Lev

    Bradycardic STEMI

    Lev replied to miamiheatrn's topic in Emergency

    Given the bradycardia, I don't think a beta blocker would be ok in this situation. If the patient was hypertensive and not bradycardic then a beta blocker would be a good choice because it would also...
  13. Lev

    Bradycardic STEMI

    Lev replied to miamiheatrn's topic in Emergency

    I agree. Given this patient's BP dopamine or levophed is probably the better choice. Dobutamine decreases the SVR and can decrease the BP. Dopamine (at doses >10mcg/kg/hr) increases the SVR. In...
  14. Lev

    Bradycardic STEMI

    Lev replied to miamiheatrn's topic in Emergency

    Fluids and pacing to start and see what that does... With a right sided MI, you don't want to fluid overload them. If they don't respond to a liter then there is no need to keep pushing fluids. They...
  15. Lev

    9-11 - Where were You? What were You Doing?

    Lev replied to traumaRUs's topic in Nursing News

    I was eleven years old and in the 6th grade. I remember being told to go outside - the entire school gathered in the parking lot. I went to school in Maryland which is relatively close to the Pentagon...
  16. Lev

    I Hope You people are never my nurses.

    Lev replied to honeyforasalteyfish's topic in General Nursing

    Ha! I say the same things
  17. Lev

    Inappropriate things patients say

    Lev replied to Lev's topic in Patient, Colleague Relations

    I guess that's true but do the "regular people" say it to strangers that way patients seem to think they
  18. Lev

    Inappropriate things patients say

    Lev replied to Lev's topic in Patient, Colleague Relations

    He did. The guy was
  19. Lev

    Transporting Patients from ER to Floor. Your Process?

    Lev replied to melmacrn's topic in Emergency

    We transport patients going to ICU and stepdown units. We transport patients on drips such as heparin even if the patient is going to med-surg. We have a patient transport team to take care of other...
  20. Lev

    Looking for some advice before making a mistake.

    Lev replied to italianlifter's topic in General Nursing

    Reported
  21. Lev

    You know the shift is gonna be a hot mess when ...

    Lev replied to CardiacDork's topic in General Nursing

    When you walk in through the ambo bay and there are 6 ambos lined up and it's only 1030 in the morning... ....you go into huddle and the charge nurse tells everybody that there's no huddle today and...
  22. Lev

    Being called an idiot

    Lev replied to historylovinglpn's topic in Patient, Colleague Relations

    That is so demeaning and condescending. Well today I decided to be a "big bad nurse" and I won't run and bring you that hydrogen
  23. Lev

    Being called an idiot

    Lev replied to historylovinglpn's topic in Patient, Colleague Relations

    Touche!
  24. Lev

    Breakroom refrigerator theft

    Lev replied to Emergent's topic in General Nursing

    LOL LOL LOL! It's a problem where I work too. And the spoiled food -
  25. Lev

    Subtle deterioration on the floor

    Lev posted a topic in General Nursing

    I am on my hospital's nurse practice counsel and recently the discussion turned to nurses failing to recognize declining patients before it is too late. Before I was an ER nurse, I was a floor nurse....