Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    NICU or L&D?? HELP!

    Sounds like your heart is with
  2. Some links to jobs in your area which seem to be open to new grads (None of them have required minimum experience. Some say new grads can apply). Apply to anything and everything. REGISTERED NURSE/...
  3. Lev

    All staff matter :)

    Chest pain plus high BP can also be a sign of hypertensive crisis. You did the right thing by calling
  4. Lev

    NICU or L&D?? HELP!

    If you don't have a preference and already accepted one, go with the one that you already accepted. If that doesn't sit well with you, then take the other position, since that must be the one you...
  5. Lev

    heparin drips

    Heparin is compatible with some medications and IVF, however, many hospitals policies say that heparin should have it's own line. I have run antibiotics with heparin when I had two to run and didn't...
  6. Lev

    questioning IV fluids

    What were the patient's vital signs and urine output through this process? I have given fluid boluses of 1/2 NS to a patient who was severely hypernatremic and septic with low
  7. Lev

    should I let go of a sure thing

    I would take hospital A's offer. Double the pay? Sold. Every ER will have urgent care patients. I don't work in a trauma center and we have plenty of critical patients. How does staffing and length...
  8. If NY gets mandatory ratios - and I think they will given how this woman is fighting - maybe I will move there. (Considering it anyway, but this would be a deal breaker for
  9. I think this is a question to direct to your
  10. You sound like you need some counseling to A. Help you get through the grief process over your aunts and B. Help you get organized with school and figure out what you want to major
  11. Lev

    Different hospital units

    IR - Interventional Radiology OHSD - Open Heart Step Down CCU - Coronary Care Unit/Critical Care Unit/Cardiac Care Unit CICU - Cardiovascular Intensive Care Unit MSICU - Medical Surgical Intensive...
  12. Lev

    Upcoming Graduate Concern

    You should absolutely request shadowing experiences in each of the aformentioned specialties. Have you been hired by this hospital and have a choice of floors to work on? Med surg is transferable to...
  13. Lev

    Comparing ERs

    Forgot to mention that there is a separate psych ER. The psych patients sometimes have to come to us first to be medically cleared. PAEMT - care to share which state you are from? I have heard of...
  14. Lev

    MD to RN?

    I think you are depressed and that is holding you back from moving on in your career. You want to "settle" with being an RN instead of doing everything possible to get into a residency. You keep...
  15. Lev

    What to do?

    Settle down you two. Nobody is infallible. Quit jumping at the throat of somebody you have never met and probably never
  16. Have not seen CheesePotato post in a while, but I really really loved this article of
  17. Lev

    What to do?

    While you will strengthen your critical thinking skills at any nursing job you obtain, nothing compares to the critical thinking skills obtained in acute care, particularly critical care where...
  18. Lev

    Patient Nurse Ratio

    Which is why I will not accept an acute care job with anything more than the 1:5
  19. Lev

    Advice with a difficult pt!!!

    Sounds drug induced. Is this patient on any psych meds? Is the family poisoning him? Ok sort of joking about that one. Have they checked his carotids? Sounds like he needs a hospital
  20. Maybe by "criticize" they meant to critically study it. Perhaps you have to look at the process of a thoracotomy and figure out what type of pain a patient would have. Any surgery is trauma, so you...
  21. Lev

    ER staff to patient ratio and acuity

    We have separate adult and peds sides, and I only work adult. We are not a trauma center. However, we have a lot of codes and high acuity patients and any nurse can get those patients. Usually once...
  22. Lev

    Which ICU?

    If you precepted in the CVICU and liked what you saw, go for it. You will have plenty of critical patients and codes on that unit too. You will probably float to the CCU either
  23. Lev

    A "neuro yawn" ?

    This might help...
  24. Sometimes they just dont show up consistenty. Any way to trouble shoot this/ position the
  25. Every so often, I have a patient who signs out AMA for the dumbest reason when they really really should stay in the hospital. Example: We just shot your thighs with epi about 30 minutes ago for the...