Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    What did you do in the ER today?

    Lev replied to Kinda Flustered's topic in Emergency

    I did that once with a dementia patient who kept asking where she was and what was going
  2. Lev

    CEN study tips

    Lev replied to arletka88's topic in Emergency

    Mark Boswell's videos were helpful. I also used the BCEN practice tests
  3. Lev

    Help! First year new grad can't pick which job to take

    Lev replied to Amae13's topic in Job Search, Interview, Resume

    What are the ER ratios
  4. Lev

    Drug

    Lev replied to hadi_zolghadri's topic in General Students

    You will find that as you prepare to give the meds in real life and look them up, you will start remembering
  5. Lev

    Got a nurse aide fired... did I do the right thing?

    Lev replied to Live.Love.Nurse.♡'s topic in General Nursing

    I think you did the right thing. People like that usually don't
  6. Lev

    Making changes

    Lev posted a topic in General Nursing

    How do you make changes in your work environment when management has a reputation for being resistant to staff input? How do you help them see the light and listen to you? What has worked for you? Any...
  7. Lev

    NP refusing to write meds?

    Lev replied to nishali78's topic in General Nursing

    Prescriptions for meds that are taken at home (unless it is a completely new med) should be written by the PCP. It is so important for patients to follow up with their PCP and get scripts from them....
  8. Lev

    NP refusing to write meds?

    Lev replied to nishali78's topic in General Nursing

    That is understandable. People need to follow up with their
  9. Lev

    NP refusing to write meds?

    Lev replied to nishali78's topic in General Nursing

    That patient should have called his
  10. Lev

    ED or ICU

    Lev replied to spence41's topic in Emergency

    It's always the ICU nurses who say that ER nursing is task based and that is the difference. ICU = brains, ER = speed. That is not ICU vs ER in a nutshell. Both are complex, overlap, and are...
  11. Lev

    Chores

    Lev replied to Junebug14's topic in General Nursing

    You can document it in the specific patient's chart. "Housekeeping called to empty the trash in patient's room (room 354)." "Housekeeping supervisor aware that staff has not showed up the clean the...
  12. Lev

    Emergency Nursing Care Outside of the Hospital

    Lev replied to sarasrr2's topic in General Nursing

    Do chest compressions, have someone else call 911 and have a 2nd person locate an AED. Call out to see if someone has naloxone/narcan if you suspect an overdose. Have the weak/pale/faint/dizzy/chest...
  13. Lev

    Chores

    Lev replied to Junebug14's topic in General Nursing

    If I was told to mop the floor, sweep, or empty the trash, I would call housekeeping to do so and document it in the medical record. Then I would not mop the floor, sweep, or empty the trash. If noone...
  14. Lev

    Age of Nurse = Level of Experience? Or Not?? The survey says...

    Lev replied to allnurses's topic in General Nursing

    56% have less than 10 years of
  15. Lev

    Being called a baby nurse

    Lev replied to NurseA1987's topic in General Nursing

    She probably did not know about your years of LPN
  16. Lev

    PLEASE HELP: New grad, 3 months into first job, want to quit and leave it off resume

    Lev replied to roseofmay's topic in General Nursing

    Your resignation letter (if this is what you decide to do) should be short and to the point. *Date* Dear *name of manager* I am writing to let you know that that I have decided to resign from my...
  17. Lev

    From Tele to CSICU - lacking the "ICU hustle"?

    Lev replied to Lulubeans's topic in CCU, Coronary, Cardiac

    Short answer, 5 weeks on the the floor is not enough
  18. Lev

    No luck with work experience

    Lev replied to RSP.SN's topic in General Students

    Make sure you have CPR certification. Also look into a phlebotomy course, if you want to be a CNA. And then reapply. Volunteering is a good
  19. Lev

    Petechiae

    Lev replied to ashleybobashley's topic in General Students

    Probably in a patient with chronic cardiac issues who has had them for
  20. Lev

    Frustrating... ED is Not Critical Care

    Lev replied to bgxyrnf's topic in Emergency

    I see more cross training of ICU nurses to work in the ER, but not the other way around. I would welcome the challenge to cross train to the
  21. Lev

    ARDS patient, dialysis

    Lev replied to zzyzx's topic in Critical Care

    What was her creatinine? You write WNL, but if the she is anuric, it is impossible that her creatinine is
  22. Lev

    ARDS patient, dialysis

    Lev replied to zzyzx's topic in Critical Care

    The kidneys produce bicarb and the patient's bicarb level was low at 18 so it was undercompensating. Perhaps by improving the function of the kidneys, they can start playing a part in acid base...
  23. Lev

    What is the grossest thing that's happened to you???

    Lev replied to PrincessAlexis's topic in General Nursing

    I was once cleaning up an obese patient with powder in her pannus and genital area, unknown to me at first. When she moved, the powder flew up into my face and I tasted it in my mouth. I was...
  24. Lev

    ESI practice thread

    Lev replied to Lev's topic in Emergency

    Also may have muffled voice with the peritonsillar
  25. Lev

    ESI practice thread

    Lev replied to Lev's topic in Emergency

    Peritonsillar abscess, ESI 2, high risk situation. Incubation period is 3-5 days. Usually one sided pain. If severe, may have respiratory distress or trouble controlling oral secretions. Can be ESI 1...