Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Confessions of a Hospital Administrator: I Feel Your Pain...Pill

    Lev replied to ServantLeader's topic in Emergency

    You might find this video
  2. Lev

    CEN 2016!

    Lev replied to Lev's topic in Emergency

    I have a question for anyone who has used the CEN practice tests from the ENA. I am scoring in the high 60s on those tests. I took one and got a 65% and I got a 68% on the second one. How do those...
  3. Lev

    Cardiac Cath prep & recovery

    Lev replied to Lev's topic in Cardiac

    Thanks for your reply. The manager is a 20 year veteran of the ED and also manages the cath lab. I would say my chances are good I
  4. Lev

    Nurse pt ratio in the er

    Lev replied to floridaRN38's topic in Emergency

    Wow that is crazy about the psych patients. Where do you hold them? In the hallway? Keeping them in an area with all the monitors beeping and the chaos is a perfect setup for agitation. We will get...
  5. Lev

    Nurse pt ratio in the er

    Lev replied to floridaRN38's topic in Emergency

    I'm interested to hear what level of acuity (ESI) does everyone typically deal with in the main ER and what your ratio is there. We have a 1:4 ratio in the main ER and have mainly 2s and 3s with a...
  6. Lev

    About to start in ED

    Lev replied to russianbear's topic in Emergency

    Depending on your charting system, there may be a walk through to help you pick an ESI level when triaging patients. ESI is really a basic system once you get the hang of it. The key is recognizing...
  7. Lev

    A "neuro yawn" ?

    Lev replied to BeatsPerMinute's topic in Neuro Intensive Care, ICU

    My patient who got narcan from a methadone overdose the other day woke up yawning a lot and then she began shivering
  8. Lev

    Valuable life lessons from an ER nurse....

    Lev replied to Momma1RN's topic in Emergency

    Lesson from the last few days... Don't shovel
  9. Lev

    Is it possible to bring up pay during an interview in a tactful manner?

    Lev posted a topic in Job Search, Interview, Resume

    I currently work full time in the ED in hospital A which is 30 minutes from my house. I also work PRN in med/surg/oncology at hospital B which is 20 minutes from my house. I am trying get away from...
  10. Lev

    Non-compliant Manipulative Patient

    Lev replied to cinnybug's topic in Patient Safety Issues

    This poster likes to stir up trouble
  11. Lev

    16 Ice creams

    Lev replied to Birdy2's topic in General Nursing

    Love it! Playing the "I'm just a nurse" card is the best. These types of patients tend to think nurses are stupid and just follow orders so this is
  12. Lev

    16 Ice creams

    Lev replied to Birdy2's topic in General Nursing

    Love it! Playing the "I'm just a nurse" card is the best. These types of patients tend to think nurses are stupid and just follows orders so this is
  13. Lev

    Would you tell a coworker they're going to be demoted?

    Lev replied to jschut's topic in General Nursing

    Think about what you would want if you were in her shoes. I would want to know. An anonymous note with the message: "I would start looking for a new job immediately if I were you. Please keep this...
  14. Lev

    Nurse pt ratio in the er

    Lev replied to floridaRN38's topic in Emergency

    Usually 1:4, sometimes 1:3 (only 2 lucky nurses get that assignment per shift). When a nurse gets an ICU patient, they stop sending patients until the patient is settled, or they send another patient...
  15. Lev

    The every year Snow thread

    Lev replied to BSNbeauty's topic in General Nursing

    I'm expected to get to work tomorrow afternoon, which is a 12 mile commute down the highway mostly. I parked my car at my friend's neighbor's driveway on a snow emergency route which is a normally 10...
  16. Lev

    Career choice after 1.5 yrs of MS

    Lev replied to bella14k's topic in Nursing Career

    She may have me blocked. We had a little run in when OP posed a question last year as a new grad. All I can say based on her apparent attitude is that OP hasn't
  17. Lev

    The every year Snow thread

    Lev replied to BSNbeauty's topic in General Nursing

    Assistant nurse manager emailed us a reminder to make arrangements to get to work if working Friday-Sunday. Thanks boss! (Expecting a foot of snow over the weekend and working Sunday afternoon....
  18. Lev

    Please Help, I'm new & made a huge med error, I'm devastated.

    Lev replied to MasonDixieChic's topic in Patient Medications

    For anybody who says that NETY is the norm - this thread is proof that it is not. 1 unrefined coworker vs dozens of positive responses from allnurses members + backup of management.
  19. Lev

    bored to tears

    Lev replied to KThurmond's topic in General Students

    I used them for my history class in undergrad. This was probably 2010 or
  20. Lev

    Dobutamine Drips at home

    Lev replied to ash12345's topic in Home Health

    I had an ER patient on a milrinone drip at home for CHF. He was not on a portable monitor at home and he had a portable pump which he managed and I think he changed the bags of milrinone too. What...
  21. Lev

    Got a C on my first Nursing exam!!!!!

    Lev replied to nataluya85's topic in Nursing Student Assistance

    Every test will get better as you learn to study and think like NCLEX. Consider yourself lucky that you passed. Many people fail the first nursing exam. I think I got a 66 on my first fundamentals...
  22. Lev

    Is this what nursing is about?

    Lev replied to russianbear's topic in General Nursing

    I stay out of the gossip. I find that if you stay out of the gossip, the gossip doesnt affect you. Really I could care less about the percieved failings of my coworkers. I was never a gossipy person....
  23. Lev

    What's Respiratory nursing like?

    Lev replied to bella14k's topic in General Nursing

    A lot of hospitals don't have dedicated respiratory floors. Respiratory failure/ARDS is another diagnosis that may come your way. You may also see patients with pulmonary emboli, asthma, pneumothorax,...
  24. Lev

    Interview - Cardiac Cath prep/recovery

    Lev posted a topic in General Nursing

    I have an interview for a per-diem job at the hospital I currently work at. I currently work on one of the M/S floors (not my full time job). The unit is the prep and recovery area for the cath lab...
  25. Lev

    Question about dehydration, burns, and hypo/hyper

    Lev replied to lindygirl's topic in Nursing Student Assistance

    Sodium potassium pump is your