Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Hmmm...sounds fairly familiar. We too are a 1:4 ratio. However, I started off with a patient in septic shock today - had that patient from 11am to 3pm and did not get another patient until about...
  2. Lev

    Nursing Supervisor is Inappropriate

    Any update
  3. Lev

    Was this a blood transfusion reaction?

    Just be open to feedback and share your thoughts about what happened openly. These meetings are not
  4. Lev

    Was this a blood transfusion reaction?

    Or the patient
  5. Lev

    Was this a blood transfusion reaction?

    How fast were you giving the blood? This could have been volume overload and subsequent respiratory
  6. Lev

    CEN 2016!

    Thanks for posting your scores. This helps me a
  7. I once took care of a young guy in DKA who when I adjusted his gown while doing an assessment noticed a large swastika tatooed on his chest. I would not be considered white by his standards and am on...
  8. Omg that is terrible! But I am not that surprised. Those psych patients - when they are in crisis their guard is way down. See it all the time with our African American security
  9. Lev

    Nursing Supervisor is Inappropriate

    Speak with your manager. She may be able to work something out with the weekends. I would tell her everything so if you do go to HR she won't be surprised. Getting her guidance on this is important...
  10. Lev

    Nursing Supervisor is Inappropriate

    This...^^^^
  11. Lev

    Acute care rehab vs hospital

    Wouldn't do it if I were you especially not for that
  12. I'm saving my money for a house and grad school. I do spend money but it is only on items of quality that I like and will use for a long
  13. Lev

    No more rudeness!

    To the OP, people have many high expectations of how nurses should act, but at the end of the day we are just regular people who have the job of nurses. In every profession you find there will be...
  14. I also have a very multicultural background: German, Russian, and Iranian. So I get this often and it is rude and makes me
  15. I think we excuse too much behavior because the patient is sick, in pain, stressed out, etc. It is never acceptable to yell out, scream, threaten, assault, or cuss out one's nurse. However, as...
  16. Oh it's everywhere. And it's worse with the riff raff I see in my
  17. I've heard many rude comments but one that is on the top of the list is "I hope that you will be run over [by a
  18. Lev

    Best one sentence handoff report

    "Geripsych placement, on
  19. Lev

    Best one sentence handoff report

    "They're all
  20. Does it seem like everything's broken in your ER? Do your rooms have a full set of functioning monitor cables? What do you do about temp sensing Foley chords and art/cvp chords? How do you report...
  21. Lev

    Blood Transfusions Question??

    Unless that women went into full blown pulmonary edema and was on the verge of arresting, it was not TRALI. Sounds like fluid overload or allergic
  22. Even if it may be a less than ideal workplace and that is why it has a huge sign on bonus (I don't know - just speculating), 5 minute vs 75 minute commute would seal the deal for
  23. Lev

    Blood Transfusions Question??

    It really depends on the need and also if they have heart failure or kidney failure etc. The fastest I've run blood in was wide open on a level one pressure infuser (trauma arrest patient). Blood must...
  24. Lev

    What's your triage protocol?

    Patients who walk in are triaged by the triage RN and then sent to the waiting room, sit in triage, or sent back to a room. We have 46 beds in the main ER and 7 fast track rooms which can be more if...
  25. Lev

    Will I ever be good at this?

    Finally feel like I am no longer a fish out of water after 1.5 years. I too was a "star" on the floor (Post