Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. What happens when in your ER? We have a two step process where one nurse assigns an ESI and the other nurse finishes up the triage process and can upgrade the ESI depending on the situation....
  2. Lev

    Pain management

    These people shouldnt be in the ER to begin with. I have little pity for people who don't use their primary physicians or go to the
  3. Lev

    Best experience before ER nursing?

    I would go for the ICU job. You will have oncology patients in the ICU and all ICU patients are on telemetry. I think offer two sounds good, but those ratios are high for a tele/onc floor. Oncology...
  4. I got an email from a recruiter about 45 minutes ago (around 445pm) from an out of state hospital I applied to. She wants to have a 5-10 minute conversation with me to get some additional information...
  5. Just something funny my siblings and I used to do. When the "gas man" came to the door growing up he would knock and say "gaass maaan" in a singsong. My siblings and I would then make loud fart noises...
  6. Lev

    Finding my specialty

    If you had an option between ICU and OR as a new grad and your goal is ED, take the ICU job. Much easier to go from ICU to the ED than from other
  7. Lev

    What would you do

    You have to be very careful with benzos in the elderly population. This concerns me. This could be the meds...or something else. Is she breathing effectively? What's her pulse ox once the meds kick...
  8. Lev

    Jack of all trades nurse

    I would say...start off in ICU/Stepdown, preferably surgical (because you will get medical cases too and if the surgical ICU takes cardiac surgery cases too, even better) and then work in the
  9. Lev

    Depressed with only one semester left

    I'm glad you have figured out a solution. Just make sure you actually get back to school this summer. Don't let your anxiety prevent you from going back to
  10. She was asking for her service dog. Don't worry he's
  11. Lev

    Uhhhh, That's Kinda Personal

    In all the hospitals I have worked at (4 total), ER and psych only have first names on their
  12. There really isn't such thing as high SpO2. There is only abnormal which is below
  13. I would think the opposite. If a patient is bleeding excessively and has a low hemoglobin because of that you can see
  14. Lev

    Emergency Department Triage Policy

    It's very long because there is a separate policy on each coming presenting issue and what should be
  15. Lev

    Kings County ER

    I have an interview coming up at Kings County for an ER position. I hear it is the only level one trauma center in Brooklyn and real city hospital. My question for those who work there or have worked...
  16. Lev

    Kings County ER

    I currently work at community ER in a very cushy area. City is city. Those who work in urban hospitals know what that means. According to this there are only two level 1 trauma centers in Brooklyn. I...
  17. Lev

    Kings County ER

    I currently work at community ER in a very cushy area. City is city. Those who work in urban hospitals know what that
  18. Lev

    ER RN NYC /Pt:RN Ratio

    I am moving to NY in the next 6 months. I am planning to switch specialties to ICU. I do not want to work in a NY ER because of the ratios even though I love the ER and it is my
  19. Welcome to the world of team nursing, where two nurses and a nursing assistant share the burden of a larger assignment but have the advantage of teamwork. As a nursing student and new nurse, I heard...
  20. Here's an article I wrote earlier this year.
  21. I had a patient wake right up after being in cardiac arrest for 2 minutes til he got
  22. Lev

    Forcibly removing piercings in psych patients

    They could remove them and swallow
  23. Lev

    What is your Nursing Super Power?

    I'm also good at
  24. Lev

    What is your Nursing Super Power?

    I'm pretty good with the psych patients/demented patients. I have A LOT of
  25. Lev

    ESI practice thread

    I am starting this tread for people to post scenarios (easy or hard) and for others to say how they would triage this patient according to ESI and their rationale for doing so. I think we can learn a...