Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    NEW GRAD BURN OUT

    Congrats on your new job! I hope you find your niche. Day shift will be a lot better for you - you'll
  2. Morphine, zofran, aspirin, zosyn, ceftriaxone. ER that does not give dilaudid. The first three I mentioned are definitely top three, not sure about the antibiotics. Other possible 4th and 5ths include...
  3. If you want to go with nursing, you will have to get a job in a desirable specialty and stay put for two years so you can qualify for an agency job that can move with you. If you are considering...
  4. Lev

    Thinking of being a LVN

    You will need your hand as a nurse. Any other
  5. Lev

    ED improvement committee

    We do, but they are very education focused vs process
  6. Sounds like you will be getting an adequate orientation. Congratulations on your new job! Be prepared to
  7. Lev

    Insight on Dilaudid?

    Strong narcotic analgesic- stronger than morphine but doesnt last quite as long and supposedly less respiratory depression with a big initial high/sense of euphoria. Which is why you may get requests...
  8. I really liked this post
  9. Lev

    I had a night

    Had one of those last week...left late...not
  10. Lev

    ICU RN considering moving to ER

    Yup pretty much what emtb2rn said. Cluster care to the max and anticipate orders. Practice getting out of the room quickly. There is no time to chat. Short and sweet. If you thought the floor was...
  11. Lev

    CEN 2016!

    Congrats to those who passed. I will start studying seriously this summer after I finish my advanced patho class and watch Mark Boswell's videos. By the time I take the CEN, I will have over 1.5 years...
  12. Take the ER job. The commute will kill
  13. Lev

    Nursing care plan question

    I think you can add the vomiting to the etiology but definitely address the bleeding in your interventions because that is your primary
  14. Was she on narcotics for pain from the cellulitis that made her respirations more shallow/slower? Does she have a history of smoking/copd or sleep
  15. Lev

    Hardest things we tell family

    It's normal and natural to have these feelings. I work in the ER and fortunately don't have to have these conversations too often. Hats of to the ICU nurses. One thing that's keeping me away from the...
  16. Lev

    Intake and Outtake. Custard, Cereal?

    Jello, ices, ice cream, yogurt, custard, soup etc are all considered liquids. The dietary department should have a list with mililiters based off the hospital portions because not everything comes...
  17. With your dental degree/health background have you considered going to PA
  18. Lev

    Does Level of Trauma Center matter?

    I think volume makes a huge difference. I have not worked in a trauma center, but my community ED has higher volumes than the EDs with trauma centers. With that huge volume comes many more sick...
  19. Lev

    EMTs Ever Look at You Like You're Dumb?

    As an ER nurse, I can think of a number of scenarios where EMS could have gotten a more secure airway (oral or nasal) instead of just sticking them on a nonrebreather mask. This patient is snoring -...
  20. Lev

    Johns Hopkins MSN Fall 2016

    I'm thinking of applying to JHU MSN program (either ACNP or FNP). What were your undergraduate GPAs if you don't mind me
  21. Lev

    Med Error

    Why are you worrying about a
  22. Lev

    COPD and O2 use, am I wrong?

    I would do the same as you for a COPDer with normal sats during the day that drop at night from sleep apnea. Just like any sleep apnea patient who is noncompliant with CPAP. I will give my COPDers who...
  23. Lev

    Inadequacy and Incompetence

    Did you do labs on this patient? A glucose level should have been part of the BNP. This was not just on you. This was on the lab and the provider. EMS is supposed to do a d-stick on anyone who has...
  24. Lev

    How impossible is CEN for a new grad?

    One of the new grads in my ED passed CEN after her orientation. She took a CEN review class offered by the ED, did some practice tests, and passed. She said that she passed by a few points. She does...
  25. Lev

    Something Positive: Your 5-Year Plan

    This year - sit for CEN 2 years - apply for NP school, transfer to ICU 3 years - start NP school, get CCRN, get PACU job 5 years - graduate from NP