Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Want to swap to ICU but I cry during codes

    Keep in mind that ED gets many patients who come in coding and don't make it so you have to count those in the numbers of "patients who code" in addition to those who make it and go up to the unit...
  2. Lev

    CEN 2016!

    Hey everyone! Just wanted to share the great news that I PASSED the CEN exam today!!!! If anyone has any specific questions, please post them
  3. Lev

    Beyond stressed at the bedside

    To answer your question about the BP meds...you are supposed to call the provider and let them decide. To say that I haven't been guilty of practicing medicine - i.e. giving some meds and holding...
  4. So sorry to hear
  5. Interesting to see how many INTJs there are here. We are supposed to be around 3% of the
  6. Hey, I am also an INTJ! Boarderline on the N
  7. Lev

    this drug is confusing me, is it just me

    I think you have to look up how Alteplase works in order to figure out how Amicar is the
  8. I think you have to get off your high horse and keep an open mind. If you can't do that then you don't belong in the nursing profession. Cocky ER nurse or
  9. Lev

    Very confused at this point!

    And does this boyfriend of yours
  10. Lev

    Question about Heparin

    I have only ever seen lovenox given subcutaneously. It is much longer acting than Heparin. Lovenox is frequently used prophylactically after orthopedic surgery to prevent clots. Patients go home on...
  11. Lev

    Sinus Tachy related to Hypothyroidism?

    I don't think hypothyroidism would cause tachycardia. It's usually hyperthyroidism (everything is sped up) which causes the tachycardia. This sounds very much like a hypoxic response to the low...
  12. Lev

    Being undermined in front of patient

    If this is a one time situation then your response is adequate. Let it go OP. However, if this type of undermining continues, have a face to face chat with
  13. I'm an introvert. I dont talk much with my coworkers, I prefer to work. I do talk with my patients because it breaks the ice and most people need to express themselves (including me - but not 24/7). I...
  14. In the ER I have random family member walk up to me (who I have never seem before) saying that their "mom" or "dad" needs something or they want an update. My next question is usually "and what room...
  15. Lev

    Nursing Supervisor is Inappropriate

    OP, update please. How are you doing? Did you talk to husband and
  16. Lev

    Who needs a bigger pat on the back?

    Troll
  17. Lev

    Alaris Pump Roller Clamp

    The pump tells the user to verify that the clamp is
  18. Lev

    What is your Nursing Kryptonite?

    That reminds me of when I took off a female patients diaper and I inhaled some of her powder....eewwww gross. I immediately rinsed out my mouth with some
  19. Lev

    What is your Nursing Kryptonite?

    Kryptonite - Very smelly poop is the one thing that makes me
  20. Lev

    Question about fent OD?

    Hows much narcan did she get? Sometimes 4-5 doses are needed to get a response. Fentanyl is short acting so the dose doesnt seem too exorbitant. Did they scan her chest and her head for a
  21. Lev

    "My Nurses"

    Many of docs in the ER refer to the PA they are working on a particual day as "my
  22. Lev

    Working in crisis mode all the time!

    In cases like these, your priority should be making sure that your patient's meds are passed safely, their vital signs are stable, and that abnormal labs are
  23. This story doesn't sound typical. No ER that cares about lawsuits would send a patient with a significantly elevated troponin home to LTC. Keep in mind that some patients "leak" troponin, which means...
  24. Work there for 6 months and then start putting out those applications to pediatric units. No one will blame your for leaving a poorly staffed unit with all those