Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. It's the most common place for an IV in the ER because it's needed for PE studies, that may be the only vein we can get a line into easily when they are so dehydrated, and we can draw labs easily from...
  2. Stay on your current supportive floor til you get your BSN, then apply to the ER. Meanwhile, if you dont have ACLS, get that. Also, look and see if your hospitals allows floor nurses to go down to the...
  3. Lev

    Comparing ERs

    I can only speak for my own ER in a community teaching hospital which sees about 110,000 patients a year. For patients who walk in, the first person they talk to is registration. Registration gets...
  4. Lev

    Overwhelmed at work :(

    Also, bringing up concerns to your manager and or HR will put a target on your
  5. Lev

    Overwhelmed at work :(

    I can understand why a lot of staff are leaving. 6 patients is 2-3 patients too many for a telemetry/step down unit. P.S. insulin and dobutamine are critical drips in most hospitals. 5 weeks training...
  6. If you have questions ask them, but try to avoid extended conversions during report. When your nurse comes in to give meds, avoid extended conversations, because most likely she has to give meds to a...
  7. Lev

    Troponin Level Increase

    They can go higher than 10, but most commonly I see troponin levels in the 1-4 range when dealing with a NSTEMI. Going from a 0.061 to a 0.072 is going from insignificant to barely elevated. An...
  8. Lev

    Hospital getting ECMO

    Thanks for the
  9. Lev

    Why are you a nurse and not a doctor?

    I was used to a high GPA and studying at a certain level (study one night before the test and not read all the chapters).When I got to nursing school I continued to study at that level except when I...
  10. Lev

    Can you talk some sense into me?

    Your current job sounds really nice. However, you have already been away from the bedside for almost 2 years so if you wait another year it may make you less marketable. In addition, starting a new...
  11. Lev

    Hospital getting ECMO

    Is it one patient to two nurses or two patients (including one ecmo patient) to one nurse. Ecmo patients are supposed to be
  12. Lev

    Why are you a nurse and not a doctor?

    I didn't want to go the medical school route because it seemed like school forever. Now that I'm a nurse I kind of regret my decision. But it's too late now and nursing school made my GPA less...
  13. Lev

    Med/Surg RN. Want ICU job. Get ACLS?

    I took ACLS while working in medsurg when I started looking around for jobs. I took it through work at a very reduced rate. My workplace required a basic rhythm course before taking ACLS. See if your...
  14. Lev

    Do you stalk anyone here?

    😉
  15. Lev

    Calling in for death of a loved one.

    Call out. You need time for yourself. Family first. The sooner you call out the more time they have to find someone. Dont let them pressure you into coming
  16. Lev

    What to study

    One other must have book is the Prioritization, Delegation, and Assignment book by Linda LaCharity. Prioritization, Delegation, and Assignment: Practice Exercises for the NCLEX Examination, 3e:...
  17. Lev

    Work decisions

    If you liked ICU and ED, go for it. They are both positions that are in demand specialties for traveling agencies. I would say that ICU is a little more in demand than ED, but that may be just where I...
  18. Lev

    KVO After Blood Transfusion

    When your patient has signs of a transfusion reaction, you first stop the infusion, run the normal saline (does not have to be at KVO, can be faster), get vital signs, and then notify the physician....
  19. Haldol blowdart halted in phase 3 clinical trial due to safety concerns” | GomerBlog Ha ha
  20. Here are some more...To My Patient -- From Your Nurse The hand that feeds you (your own) can also help you use that urinal. When you push the call bell next time, make sure to come up with something...
  21. Ok, I'm not going to engage those with (self)righteous indignition. If you want a thread about the benefits of going along with customer service expectations make one. If you want to talk about how...
  22. Exactly! And don't you worry, I will be far away from the bedside before burnout sets in. Burnout is not going to come from a patient making comments about bubbles in their IV tubing, believe
  23. Are you in
  24. 4.8 ccs is enough to cause aspiration pneumonia and kill
  25. Lev

    Interfacility position denied

    Yes, this is typical nursing politics. The way I avoided this issue is by moving to a completely new hospital. My manager was like "you didn't want to work in our ER?" And I was thinking..'Maybe I...