Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Working nights as a new grad?

    If you work inpatient, there are less disruptions at night (no rounds, no PT/OT wanting to work with patients, patients don't go off for tests as often) and there is little more downtime (in the wee...
  2. This is what I would do. I would put out new job applications NOW just in case. You have heard this from a coworker. Not your manager or preceptor. There may be no reason to be concerned. I would hate...
  3. Lev

    No pain meds in ER??

    My ER is also "dilaudid free" and we haven't had that much trouble from patients. We give a lot more morphine than before and we use fentanyl (stronger than dilaudid but doesn't last as long) for...
  4. Lev

    new grad RN

    Take the psych job which is full time with
  5. This is what concerns me most, other than a new grad going into a charge RN position. At the very least pretend that you do things the "right
  6. Lev

    Fast rising fever

    You shouldn't be taking Motrin at high doses like that more than often than every 6-8 hours. If Motrin doesn't work, try extra strength Tylenol. Seek medical advice if your headache is not going away....
  7. Lev

    I'm about ready to quit!!

    See if you can get a job in a clinic or doctor's
  8. Lev

    New to this

    Most places with call with the initial (unofficial) job offer. This has been my experience. They will then follow up with an offer letter usually via email. Some places will ask when they can expect...
  9. Lev

    Adensonie

    If it is not against hospital policy, I don't see where you went
  10. Lev

    Feeling defeated.. need some hope

    If you are getting 80s then you are doing very well. In nursing school, unless you are a genius or a cheater, Bs are the new As. Many people are happy to get a C. You are in an extremely condensed and...
  11. Lev

    didn't call about anticoagulation

    At the end of the day it is the doctor's responsibility to start a patient on a med. We can make suggestions as nurses but we are not prescribers. Don't beat yourself up about this. This is a doctor...
  12. I learned that the next schedule is STILL not out yet! Sorry coworkers at PRN
  13. Lev

    Peritoneal Dialysis in the ED?

    Our renal med surg nurses come down to the ED to do
  14. To me, it does sound like you can be ready in three months. Many new grads struggle with seeing the bigger picture. It comes with practice. You don't strike me as an entitled special snowflake. For...
  15. Lev

    Student doesn't eat and I'm the person to fix it!

    I think meds is part of the
  16. Lev

    How to think like and ER nurse

    The full moon phenomenon is
  17. Lev

    Never Have I Ever Done That Before

    Never have I ever inserted an IV with ultrasound. Trying to learn. One of the docs said he'd show
  18. Sounds good. If you don't have NIH stroke scale certification (free online) get that too. It will most likely be
  19. Lev

    Nurse to patient ratio

    I think 1:3 is good ratio for the main ER. My ER's ratio is generally 1:4 in the main ER, can go up to 1:5 depending on staffing. We generally see ESI 1-3 in the main ER except when fast track is...
  20. Lev

    How to think like and ER nurse

    I will second the constant re-prioritization. Also, always eyeball your patient when they first get back to the room, even if you can't attend to them at that moment. Also, try as much as you can to...
  21. Lev

    Predictable job?

    If you do any job for long enough it becomes predictable, except perhaps if you work in the ER. I worked on a surgical floor which is med surg and I felt it became very
  22. Lev

    Personality Disorders and Recovery

    Yes she
  23. Lev

    Personality Disorders and Recovery

    It's little things here and there. She is a self proclaimed loner and will shut herself out from time to time. She is also moody and can be very abrupt. Like you are having a totally normal...
  24. Lev

    Personality Disorders and Recovery

    I have a friend with a PD and I can tell you that it takes a very special person and a great level of tolerance to deal with people with PDs. My friend is older and some people grow out of their PDs...
  25. Lev

    Am I right or my teacher?!

    Oops- accidentally voted for A instead of B. Don't think I can unvote