Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    Thank you for this. There is NO excuse for this type of behavior. Pain or no pain. Nobody deserves to be spoken to the way this couple spoke to
  2. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    I would never withhold pain medication from a patient! There was no order for more pain medication. This doctor does not do PRNs. The doctor and I were busy with a critical patient, hence I could not...
  3. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    For people who replied to me that these three things psych or not, I would like you to look back at what I wrote at the end of the post which was a reply to canigraduate. To translate what...
  4. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    --> Honest communication, boundary setting, and consistency are the way to go. Notice these three things you mentioned are ways to deal with psych patients. Just sayin' Everybody needs #1 and #3,...
  5. Lev

    It's just a ******* straight cath!!!

    Lev replied to %D#2's topic in General Nursing

    The day shift nurse got it cancelled I
  6. Lev

    It's just a ******* straight cath!!!

    Lev replied to %D#2's topic in General Nursing

    AL is Assisted Living I
  7. Lev

    It's just a ******* straight cath!!!

    Lev replied to %D#2's topic in General Nursing

    Sounds like that nurse hasn't had to use critical thinking much in her lifetime. Advocating for your confused patient is not called diagnosing a UTI. It's called critical thinking and good nursing...
  8. Lev

    A big thumbs up and a big thumbs down

    Lev replied to smartassmommy's topic in General Nursing

    One more reason not to vote for
  9. Lev

    In what setting does an RN do the most thorough physical assessments and health histories?

    Lev replied to Lemon Bars's topic in General Nursing

    We were taught some advanced assessment technique such as percussion, deep palpation, and assessment of reflexes in school but these are skills I have probably never used as an RN. They are more...
  10. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    Presumably the stone passed because I saw the same patient last night screaming about something else and not writhing in pain like the first time. The patient was spotting, if that. She did not wear a...
  11. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    For the umpteenth time I never said she had borderline personality disorder. She was however manipulative, attention seeking, staff splitting, lying, and guilt
  12. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    Same patient back tonight. I heard her yelling, just as agitated as the other night. The police officer was just shaking his head saying he was tired of dealing with her. I think the oxycodone script...
  13. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    I dont think I have ever said a patient had borderline traits until this instance. You had to be there to see where I am coming from. I understand what you are saying about not labeling patients. And...
  14. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    There was a critical patient who I went to tend to with the MD after giving the patient another 4mg of morphine. If the critical patient wasnt there this patient would have been the doctors priority....
  15. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    Describing a personality disorder is a lot more complex that describing a physical syndrome such as measles. Similarly, someone can be described as depressed without being diagnosed with major...
  16. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    It's not a predictable recurrent issue. Most people actually do not behave like these two. Calling police and security is not a usual reaction to someone being upset over pain medication. 98% of the...
  17. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    She got toradol as soon as her urine pregnancy came back
  18. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    I never did say she had borderline personality disorder. I said that she was exhibiting borderline traits so people had a better idea of how she was acting. I was using it purely as a clinical term...
  19. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    She is exhibiting some borderline traits. Having one or two borderline trait does not give you a diagnosis. Look at the
  20. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    The answer to your second liner probably would havr been "F*** breathing. GET HER SOME PAIN MEDICINE NOW.
  21. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    Unless there are large volumes of blood which there wasnt we usually dont offer a pad. Patients have their own. Of course if someone asks we will get them what they need. This patient didnt even ask....
  22. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    @canigraduate and everyone Another thing Id like to point out is that these patients often come with zero pain meds in their systems. The cummulative effect of pain medication is not working in our...
  23. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    If you read what I wrote carefully, you wouldnt have written this. I did not say she was Borderline. I was identifying some of the ways she was acting as borderline traits which does not mean she has...
  24. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    Yelling that we didnt even draw labs or check urine to get attention from husband when we clearly did is exhibiting a borderline trait. Making a hissy fit over the fact that we didnt offer a tampon or...
  25. Lev

    One Liner to Diffuse Escalating Situation With Patient

    Lev replied to Lev's topic in Patient, Colleague Relations

    We have a couple doctors who will order morphine 4mg IV q15 PRN. And then we have doctors who are super safe to the extreme that they want to be in control of every dose. This is the same doctor who...