Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    NCLEX Facts to Know

    Bump
  2. Lev

    Nurses please give an new ER-Tech some advice

    IVs and blood draws is a big one. Also, when a patient is brought back to the room and you see I'm busy, please hook them up to the monitor and get a complete set a vitals signs. If you want to be...
  3. Lev

    Yearly volume of your ER

    Non trauma community teaching hospital Around 115K a year 46 beds in the main ER Commonly boarding 15-20 patients
  4. Ive found that taking some tylenol before bed helps improve the quality of sleep. Benadryl makes me feel drugged the next morning. I think its best to do 3 shifts in a row vs spreading them out. Can...
  5. Do you have an interview at this dream job or did you just see a job
  6. What patient care is done behind a computer screen? Just keep your cups behind the computer and call it a
  7. Lev

    ER, PACU, OR, PEDs?

    If you want peds and want to be competitive - take ER. PACU - likes ICU experience OR - very specialized Peds - specialized, but still can break out of
  8. We wouldn't be able to run without
  9. Was that doctor male or female? I will guess a
  10. Lev

    A nursing care abbrviation

    Probably F/up care Follow
  11. Lev

    Name Modifying/changing

    Your English is actually very good. Ermias Tseghay Teklemariam I like the sound of Teklemariam as your last name and it is easier to pronounce than Tseghay. If you'd like you can add the name Jeremiah...
  12. Lev

    Vtach

    3 PVCs in a row is Vtach. It really depends on the patient scenario. Is this patient throwing a lot of PVCs and then has a 3 beat run of vtach? Is this new onset? Was the patient symptomatic? It's...
  13. I have dealt with 2 anaphylactic reactions. One was just this evening. That patient ended up intubated. She was not yet in shock since her BP was not tanking. Most people having anaphylactic reactions...
  14. Lev

    Please share orientation ideas!

    These are my dream orientation skills. We have validation for some, but not all. Validations in general have a checklist with steps written and you are signed off when you successfully perform each...
  15. In NCLEX, the first sets of vitals would have to be done by an RN. Our techs also do vitals when a patient is first triaged but when a patient comes back to a room we often repeat them. BPs and HRs...
  16. Here.I.Stand gave great answers to your questions. I can see that you are nervous about clinicals and that is alright. Make sure to keep the lines of communication open and you will be
  17. It is not a no no in the real world, but on NCLEX it
  18. Lev

    Please share orientation ideas!

    Our new hires and nurses new to critical care go to a statewide 2 week critical care course which is held a couple times each year at different hosting hospitals. In addition, the earlier the new...
  19. Lev

    Interview for first RN job

    Whenever I interview for a job, I go over the company's website and look at their youtube channel and watch a couple general videos to get an idea about the institution (such as a nurses' week video)....
  20. Lev

    Question about Medication

    The patient is probably dehydrated hence the decreased sodium level. The potassium level is probably usually lower which is why he is on supplementation, but now it is normal because he is not...
  21. You can delegate vitals signs whenever you want. You are the nurse. However, you have to know who you can trust to inform you if something is abnormal. For NCLEX purposes, the first set of vitals...
  22. I only read the first half of your post. This is an elderly larger woman still under the effects of anesthesia, a real cause for delirium. Plus, she is being given oxycodone on top of that. I think...
  23. Lev

    NCLEX Facts to Know

    Every person will tell you that different things worked for them. In general, you need a solid content base, a study plan, and lots of practice with NCLEX style questions (especially the select all...
  24. Lev

    NCLEX Facts to Know

    Bumpety
  25. Lev

    The troll thread

    I think we need a thread where we can call out those losers who have nothing better to do than try to get under our skin. What they dont realize is that our trollmeter is very high and we will figure...