Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Yes, there is a way to have satisifed patients without bending backwards. Some of it has to do with setting realistic expectations up front. There are many people who will never be
  2. Lev

    Seven Hells: Vent

    Patience my dear. Give it a couple more months, if you have a contract work til you completed it, if not reevaluate once you have that year of experience. To me it sounds like your manager is just...
  3. It was the same type of person all grown up. Bullies never
  4. Libbyliberal - where do you think it
  5. Your patience or ability to ignore problems is admirable. This post is meant to be humorous. Most people (you are in the small minority) see it as
  6. I don't allow patient satisfaction scores to get in the way of the care I provide and I'm the type of nurse I would want at my bedside. Alpha Male - do you allow your patient in DKA to have all the...
  7. I think that what you are feeling is completely normal. Time is the biggest answer to your question. The more experience you have the better you will get at multitasking and seeing the bigger picture....
  8. Lev

    Distant heart sounds?

    If they are very fleshy in the front, try listening to their back. When I think of distant heart sounds I think of fluid and fat. ETA: telling patients to hold their breath helps sometimes to prevent...
  9. 1. Yes, but people choose to be manipulative, demanding, and rude. I chose this job to take care of sick people, not to be yelled at, abused, manipulated, and insulted. 2. True. I recognize this and...
  10. Lev

    Objects that represent a nurse

    A
  11. If the doctors would learn how to use the EMAR they wouldn't waste our time asking us questions like whether a patient got a med or how much output they had. It's documented in the
  12. Lev

    Drug Question

    Angina is caused by coronary vasospasm which causes decreased blood flow and oxygen to the cardiac muscle which causes chest pain. So nitro actually does help with the pain by dilating the vessels and...
  13. Lev

    Private Grumbling but NO Open Discussion!

    Theres only so much dilaudid, morphine, and oxycodone a doctor can order for a patient who continuously rates their pain at a 10/10. I think it will catch up with the patients. If you are maxed out on...
  14. Lev

    2 weeks notice.

    What is your hospital's policy? Some say 4 weeks, some say 2 weeks. When I resigned from my last job, I gave a month's notice (even though only 2 weeks was required) and worked out my scheduled...
  15. Lev

    Med surg vs LTC

    Never worked in LTC, however RNs who transitioned from LTC to my med surg unit had a big learning curve and they said it was busier in a way than LTC even with much lower ratios. Med surg ratios run...
  16. Lev

    Clinical Rotation Logbook?

    It sounds like they want a log of all your clinical rotations locations, units, dates, times, and number of hours/day/rotation probably signed by the school/clinical
  17. Lev

    CEN 2016!

    I wasn't planning to. Have you heard good things about them? Are they live
  18. Lev

    2016 Salary thread

    Happy you got that coveted L&D job
  19. Lev

    lasix not given..

    For people making comments about pushing 80mg of lasix... Lasix has 2:1 PO to IV ratio. 80mg po is like 40mg
  20. Lev

    Seven Hells: Vent

    Why wait til September of next year. You will kill yourself between now and then and be miserable. Work a couple more months and then start applying. Hospitals seem to hire a lot before the
  21. Lev

    Seven Hells: Vent

    Very very good advice. Sounds like libbyliberal has a keen understanding of nursing politics. OP, wait it out til you have that golden year of experience, and then approach the manager again. It...
  22. Lev

    Spice Spice Baby

    We had another spice case the other night. A teenager. He was unarrousable, but would wake up randomly and start screaming very loudly. My patient's daughter asked me if the staff was hurting him and...
  23. Lev

    A slower paced unit

    How much improvement have you
  24. Lev

    A slower paced unit

    How long have you been working
  25. Lev

    What Can You Say to the Family When Your Patient Dies?

    Thank you so much for posting