Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Hello, I am considering moving to NY next year and applying to NP programs in 2-3 years after becoming a state resident. I'm looking for a good program that is not super expensive and will take people...
  2. Lev

    PICOT

    That being said, medication management is really a provider vs a nursing role If you want to focus on poly-pharmacy that is good, but the focus needs to be on a nursing role like safety. For example,...
  3. Lev

    PICOT

    Why don't you make it more simple? Just focus on older adults and simplifying their medication regimen. Such as 1 dose of long acting/combination insulin in the AM vs insulin a couple times a day. For...
  4. Lev

    Failed CCRN again

    Wow. That is so so frustrating. Hugs to you. Take a couple months off. Don't even study for like two months, then do a review for like a week. Maybe with a fresh mind you can calm your nerves (if...
  5. Thank you. I truly appreciate
  6. Her/him with all his/her alter egos that comes on this site to
  7. Lev

    Need some advice

    I took Kaplan too. When I saw that my q trainer scores were slipping a little I went back to the q bank to practice. Questions, questions, and more questions is what you need to do to
  8. Given those ratios, it sounds like an intermediate step down floor. Anywhere I've worked with an "IMC" or Intermediate Care Unit had 1:3-4 ratios. My current hospital has a Step-down ICU and then IMC...
  9. Lev

    NCLEX Facts to Know

    Lots of questions on this forum can be answered by this
  10. Thank you Libby. This was very
  11. It's not possible to pass the NCLEX RN in 60 questions because at a minimum the test has 75
  12. Lev

    Clinical Project on E-Cigarettes

    Do you have the proposal written up? The title will come to you as you write the proposal. I don't think the title of proposal has to match the paper and powerpoint. You can have a basic title now and...
  13. Lev

    Customer Service Surveys Have Run Amok

    I voted 1. Why? Because you didn't have my favorite cable channels, I hated the food, I didn't get all the pain medicine I wanted to feel high, my nurse didn't have a smile plastered on her face as...
  14. Aspiration is definitely something we worry about with a patient who is vomiting, especially a patient who may be not so alert from alcohol withdrawal. What can aspiration lead to? Hint: Look at your...
  15. Yes, that seems to be one of her problems. However, alcohol withdrawal alone doesn't explain some of her vitals signs. People going through withdrawal can have borderline fevers but it wouldn't be as...
  16. Lev

    Burned out and looking for job

    You are experienced and are therefore expensive. If you have ER experience and are looking to get back into ER, perhaps taking the CEN would make you more competitive. Maybe it's time to go back to...
  17. Would dehydration cause a fever and drop in pulse oximetry/increased respiratory rate? As you said before she didn't vomit that
  18. Lev

    Preparation

    Have you gotten your hands on the LaCharity prioritization book? Still got a couple days left and those questions are
  19. I don't think this is sepsis - yet. Presumably these are more sudden changes noticed during evening rounds. I think the answer to what happened to her is in the details of the scenario. Given that...
  20. Lev

    Need help

    If your textbook said fowlers, show this to your professor and you may get some points back. Ask your professor for the rationale for trendelenburg. That doesn't make any sense at all for an
  21. Lev

    I suck at nursing :(

    It is normal to feel intimidated. ICU is a very complex, stressful environment especially for a student/new nurse. It is ok to be dependent on your preceptor to an extent and you should be as a...
  22. Lev

    Trying to be therapeutic!

    "I'm happy to help in any way you
  23. I have been told that I'm a good nurse. Sometimes, it is followed by an insult to the offgoing nurse which in case I realize that they are being manipulative and staff splitting. When that happens, I...
  24. Lev

    When you're done. Just done.

    I think the charge RN felt like you were overstepping your bounds. And I think you were. You are a relatively new RN. The senior RNs decide on the flow of the patients. Maybe they didn't think you...
  25. Lev

    Inserting an NG tube post arrest

    Many times the larger tubes are easier to get in. We go for OGT first and then NGT if