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

    Oh this
  2. Lev

    One Liner to Diffuse Escalating Situation With Patient

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

    @Ashley I think in this case it was the former. They were just jerks. I am not denying that she was having pain, but compared to my other patient I got later on who was also in severe pain and crying,...
  3. Lev

    One Liner to Diffuse Escalating Situation With Patient

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

    I also need general advice on how to maintain my composure. One of my coworkers told me that if I start feeling like I can't handle the patient and that my patience has run out I should have another...
  4. Lev

    One Liner to Diffuse Escalating Situation With Patient

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

    @Ashley That can work if the doctor is available but if the doctor really is busy, it is going to be more than a few minutes. Then I will hear a rant about how I said it would be a few minutes and...
  5. Lev

    One Liner to Diffuse Escalating Situation With Patient

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

    What non verbal messages do you
  6. Lev

    Typical peds ratio

    Lev replied to BeachsideRN's topic in General Nursing

    When I did my peds clinical at a large well known hospital on the east coast, the ratio was
  7. Lev

    "VIPs" in the ER

    Lev replied to innercityedrn's topic in Emergency

    Yep, we had 6 patients waiting on obs tele beds some of them had been waiting overnight. And who did the first open bed go to? The
  8. Lev

    "I would never want you as my nurse!"

    Lev replied to Emergent's topic in General Nursing

    My response: "And I probably wouldn't want you as my patient." So
  9. Lev

    ET tube questions

    Lev replied to Thedevinestman's topic in Critical Care

    Before moving an intubated patient make sure that it is even safe to move the patient especially independantly -ask the RN. Pretty much give the tube some slack with the tubing. The tube shouldn't...
  10. Lev

    On Call Schedules

    Lev replied to Squaw's topic in General Nursing

    I take call in the ER. It is not cool. LOL. Each staff member is required to be on call for 2 eight hour shifts every 6 weeks. If you work 630-1900 you take call from 630-1430 If you work 1030-2300...
  11. Lev

    Post PEG tube removal dressing

    Lev replied to Cristina_Bambina's topic in General Nursing

    Steristrips with a piece of gauze and tape over
  12. Lev

    Pay grade: experienced nurse vs new grad

    Lev replied to rehric00's topic in General Nursing

    I left my first job (which I took as a new grad) after about two years. I was in a "Registered Nurse I" position and was therefore paid on that level. Before I gave my two weeks notice they asked me...
  13. Lev

    Esme Needs Your Prayers

    Lev replied to ixchel's topic in General Nursing

    Welcome back! I noticed that you were posting more frequently in the past week or so. Glad that you are home
  14. Lev

    New grad need advice

    Lev replied to Mil04's topic in General Nursing

    Are you hired full time at the agency? I would still keep the job. Even while working a full time schedule at the rehab hospital you can still work PRN at the agency. It is always good to have another...
  15. Lev

    Unsure About Current Job

    Lev replied to CMR1993's topic in First Year After Licensure

    You are still a very new nurse. I would definitely stick it out for a year and preferably two years to fill your contract and gain more experience and then switch to any specialty you desire. With two...
  16. Lev

    Accepted a job offer, now offered the job of my dreams! Can I back out of the first job?

    Lev replied to Jasminarely's topic in First Year After Licensure

    You are scheduled to start in 2 weeks, so backing out is not terrible. I would ask to shadow for a couple hours on the maternity unit to get a feel for the unit and be sure this is your dream unit...
  17. Lev

    New Grad- Choices - Med/Surg, Renal dialysis or PDN

    Lev replied to priyaremi's topic in First Year After Licensure

    Sounds like dialysis is your best offer.
  18. Lev

    New to med surg

    Lev replied to JenParrish's topic in Medical-Surgical

    You are used to 1-2 patients at a time and now have to take care of 5-7!? Good luck! You will be fine as a nurse, but time management will be a huge
  19. Lev

    Finally got an acute care position

    Lev replied to Sammyxann's topic in Medical-Surgical

    Congrats! I would focus on pain medications, antibiotics, ambulation/transferring patients, post op care, GI, Ortho,
  20. Lev

    How do you deal with untherapeutic situations on the unit?

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

    Yes, because the solution to problems is to run away from them. And pull out some whippit while you're at it. If I didn't think you were a troll before, I definitely think you are one
  21. Lev

    ECG interpretation help

    Lev replied to Rew3n's topic in Nursing Student Assistance

    Is the rhythm regular? (r to r) Is every p wave followed by a qrs? Is the qrs wide or narrow? What's the rate? Are there any ectopic/early/late beats? Are there regular p waves? These are some...
  22. Lev

    About to start in ED

    Lev replied to russianbear's topic in Emergency

    Esme - thanks for that resource on
  23. Lev

    Improving wait times in high volume ERs

    Lev replied to Lev's topic in Emergency

    The problem is that many of these patients are tele patients who cant be monitored in the hall. We could put them on tele boxes but the monitor is set up that only one/four sections of the ed can see...
  24. Lev

    Improving wait times in high volume ERs

    Lev posted a topic in Emergency

    What has your ER done to improve wait times? I work in a ~400 bed community teaching hospital with an ER that sees over 100K patients a year. I work on the adult side. We have 46 main ER rooms, 10 ED...
  25. Lev

    Must we "pay our dues" by working night shift?

    Lev replied to Cola89's topic in General Nursing

    LOL - I clicked on this thread because I saw RNDynamic was the last to