Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    ICU stuff

    Lev replied to amzyRN's topic in Emergency

    CPR, when to call respiratory, understanding of ABGs, how to mix and titrate drips, when to give fluids and when to hold off, neuro assessments (different levels of consciousness), the intubation...
  2. Lev

    Need advice re: Reporting suspected drug diversion

    Lev replied to CloverPark's topic in Nursing Professionalism

    First off, I would not discuss this case with anyone unless you are ready to accuse this nurse of diverting. You don't want to be caught in the middle of the situation where someone else reported her...
  3. Lev

    RNs treat me like I'm not a nurse

    Lev replied to happyspn's topic in LPN, LVN Corner

    I worked on a subacute rehab floor for about 8 months as a new nurse. This unit had RNs and LPNs and only the RN could be charge nurse. So after 4 months on the job I was charge nurse. (It was not a...
  4. Lev

    Insulin for type 2?

    Lev replied to jessimee's topic in Diabetes, Endocrine Nursing

    Look up The Ominous Octet Every diabetic is a wee different. Hence all the different meds and
  5. Lev

    Difference between pulse and HR

    Lev replied to romantic's topic in CCU, Coronary, Cardiac

    The pulse can never be higher than the heart rate. The peripheral pulse rate can be lower than the HR. I will make sure to chart both if there is a discrepency. Sometimes when a patient is in a...
  6. Lev

    Worst/Best thing a nursing instructor ever said to you?

    Lev replied to CryandNurseOn's topic in General Nursing

    "Stop talking and listen!" Or something along those lines... I've heard: "You remind me of myself at your age" more than once...took that as a complement...I
  7. Lev

    6/4 WILTW: Oui jete' du Nursing???

    Lev replied to LadyFree28's topic in General Nursing

    I learned that I have to start standing up for myself more when they want to send me a new patient after 10. (I work 1030-11 - and give report at 1030). After a couple late nights at work I am ready...
  8. Lev

    List of tips compiled during Kaplan classroom course

    Lev posted a topic in NCLEX Exam, Programs

    These are some tips I compiled from my NCLEX class before I became an RN. File is attached (word document) nclex tips from kaplan
  9. Lev

    Struggling

    Lev replied to russianbear's topic in Emergency

    Wow...That goes to
  10. Lev

    Struggling

    Lev replied to russianbear's topic in Emergency

    That's great
  11. Lev

    Am I supposed to hate my first nursing job??

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

    Wait til you have a year of experience and then reassess. The first year of nursing is
  12. Lev

    Overdose or tbi? What would you do?

    Lev replied to BAP16's topic in Emergency

    We would treat both. Head CT to rule out bleed. Urine tox screen, tylenol and salicylate levels, etoh level, contact with poison center, IV fluids, oxygen, possibly treat the bradycardia, check...
  13. Lev

    when do you chart?

    Lev replied to amzyRN's topic in Emergency

    I try very hard to get it done before moving on to the next patient. I will only not chart and see a new patient if their heart rate is 150 or they are hypotensive or coding or something. Charting...
  14. Lev

    If you had to do it over again

    Lev replied to heloooooBCRN's topic in Emergency

    I've been nursing 3.5 years, 1.5 years in the ER. I like where I am right now. Although I don't plan on being a career ER nurse, I like the daily challenges I am faced with. There is always more to...
  15. Lev

    Borderline....

    Lev replied to al-sheikhh's topic in General Students

    I have found that taking notes on paper instead of on the laptop helps a ton. Also, don't try to read
  16. Lev

    Struggling

    Lev replied to russianbear's topic in Emergency

    The feeling is terrible but you will pick yourself up and gain your confidence back. It will take time but you will get past
  17. Lev

    Struggling

    Lev replied to russianbear's topic in Emergency

    And did they offer to let you transfer to a different
  18. Lev

    Major NYC Hospital Plans To Downsize

    Lev replied to DoGoodThenGo's topic in Nursing News

    NYC is so huge that what you are seeing is an exaggerated version of what has been happening in every metropolitan area in the country which has been only been accelerated since Obamacare decided to...
  19. Lev

    Struggling

    Lev replied to russianbear's topic in Emergency

    Well...then start
  20. Lev

    Struggling

    Lev replied to russianbear's topic in Emergency

    I would not admit failure to my manager or to myself until I actually fail - meaning once you are told you have to leave. Until then, focus on improvement. You need to get an idea of specific areas...
  21. Lev

    "Cell phone" vibration in your thigh?

    Lev replied to srercg's topic in Coffee Lounge's Lounge

    I too have experienced this a couple times. I have always attributed it to some rogue nerve impulses that fired off causing the sensation. I usually feel it a little higher up at hip level. I don't...
  22. Lev

    Patient hygiene

    Lev replied to Wondersnevercease's topic in General Nursing

    Why don't you ask patient as part of daily assessment if she is having any lady partsl burning or abnormal discharge or any urinary complaints? Explain that you are concerned because you noticed that...
  23. Lev

    Good questions to ask my preceptor before orientation is over (cardiac stepdown unit)

    Lev replied to boston.nurse's topic in General Nursing

    Why do you ask her if you think there is anything else that you need to know or review before going off
  24. Lev

    ER - How to stay calm

    Lev posted a topic in Emergency

    I'm a relatively new ER nurse and I'm approaching the 1 year mark. I previously worked for 2 years on the floor. I went from a high intensity med-surg floor to the ER. I still work at my PRN job on a...
  25. Lev

    Going Back at 40 years old...

    Lev replied to kjkolesar's topic in Pre-Nursing Students

    You all are so inspiring and I am so excited that you will be part of the nursing