Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Feeling rough

    Lev replied to shedevilprincss's topic in Emergency

    ER is tough. It takes 10-12 months to feel
  2. Lev

    Crashing pt

    Lev replied to blessedrn#1's topic in Emergency

    Institution specific, but in my ER, the primary nurse generally records. We don't have a specific resuscitation room and any nurse can take any role. The primary nurse can also run the code with the...
  3. Lev

    How are you assessing alcohol withdrawal?

    Lev replied to nj3456's topic in General Nursing

    We use CIWA. If anything people undermedicate with Ativan per the CIWA protocol since 1/2 of the people who do CIWA ignore the last part of CIWA which involves asking patient for the current date, if...
  4. Lev

    How long did you work med-surg before getting an ICU job?

    Lev posted a topic in MICU, SICU

    I'm a med-surg nurse and I want to switch specialties to ICU, preferably SICU or CVICU. For those who switched into the specialty, how long did you work med-surg (or any other type of specialty)...
  5. Lev

    Teacher accusation

    Lev replied to MilieuRN's topic in General Students

    Kind of skimmed through this. Your instructor sounds a little disturbed... like she needs to create conflict...maybe whoever called upset her. She has no proof of any of this, so I dont see her...
  6. Lev

    Pacer spikes not showing up monitor

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

    Even with pace 2 turned on the pacer spikes dont always show especially with wide ventricular paced
  7. Lev

    Pacer spikes not showing up monitor

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

    Thank you! Will try these
  8. Lev

    What to study?

    Lev replied to ahosoda's topic in Emergency

    My ED is also a very busy place and we are not a trauma center but we still get plenty of codes. We are the preferred hospital for EMS providers in the area. They come to us even if we are the only...
  9. Lev

    I hate my job/career

    Lev replied to MJPN2012's topic in General Nursing

    Start looking for a new job and dont quit til you find a new one with better ratios. The grass is greener in some
  10. Lev

    Are anticoagulants used in treating SIRS

    Lev replied to fatrabbit's topic in General Students

    There is a debate whether heparin is used in treatment of DIC from severe sepsis. Is this what you are referring
  11. Lev

    New RN in crisis

    Lev replied to Keebs1125's topic in Nurses Recovery

    If you are an alcoholic and showed up to this job impaired you shouldn't start an RN job until you get help. You can kill
  12. Lev

    hypokalemia causes hypoglycemia? or other way around?

    Lev replied to seks's topic in General Nursing

    What was her Magnesium level? What was the cause of her
  13. Lev

    Surgical care nurses out there...

    Lev replied to Tjen's topic in General Nursing

    I worked on a mixed ortho/GI/everything surgical floor for a year. I work PRN on a med/surg floor that takes GI and urology patients still. Definitely a lot of JP drains, some hemovacs. PCAs. NG...
  14. Lev

    Need help understanding the treatment of SIRS

    Lev replied to fatrabbit's topic in Nursing Student Assistance

    I don't think the micro clots are dealt with so early on in the SIRS to septic shock cascade, but a steroid may be used to depending on the situation. First line treatment is antibiotics. Also will...
  15. Lev

    Fluid and Electrolytes

    Lev replied to Mfrazr's topic in Nursing Student Assistance

    Your patient is ICU level sick. They are severely hypovolemic as evidenced by the low BP and heading into a shock state. Why do you think the heart is pumping faster? Look at your sodium level to...
  16. Lev

    Acute Kidney Injury

    Lev replied to sjdg369's topic in Nursing Student Assistance

    Your textbook may have some info. Read up and then post your
  17. Lev

    ER nurses - what stethoscope do you use?

    Lev replied to turnforthenurse's topic in Emergency

    Cardiology III with my name engraved on it so hopefully someone will be deterred from stealing
  18. Lev

    Major Med Error

    Lev replied to keynurse's topic in Patient Medications

    The 1 extra mg of ativan is not what sent this patient to the ICU. Narcan is the reversal agent for opioids, not for benzodiazepines. Romazicon can be used for benzo reversals. There has to be more to...
  19. Lev

    Magnet hospitals

    Lev replied to bh93's topic in General Nursing

    My hospital is Magnet. Of the three hospitals I have worked at, it is the best place I've ever
  20. Lev

    How to survive first night shift?

    Lev replied to theRPN2b's topic in General Nursing

    Caffeine stays in your body for around 6 hours. Keep that in mind when planning your sleeping. I sleep late the day of my shift. Will sometimes have a caffeinated drink at the start of the shift and...
  21. Lev

    "On my last leg"

    Lev replied to TU RN's topic in General Nursing

    4 months in the ICU? I too, agree that it may be a little to early to judge. I've never worked ICU, but I work in a very busy ER and this has been a huge adjustment for me. I had 2 years of experience...
  22. Lev

    IVs in the breast

    Lev replied to kasekin's topic in General Nursing

    I drew blood once from somebody's breast. I've also placed an IV (obviously without a tourniquet) in someone's shoulder. There was a great vein there on the surface and he didn't have much
  23. Lev

    let go during orientation, needs advice?

    Lev replied to sheepingarden's topic in General Nursing

    Definitely go back to your old job. That journal speaks volumes (literally and figuratively) about your preceptor. Resign and if asked about it in the future say that the commute was too much for
  24. Lev

    5-year-old chooses heaven over hospital

    Lev replied to anh06005's topic in Nursing News

    My thoughts
  25. Lev

    ER - How to stay calm

    Lev replied to Lev's topic in Emergency

    I wrote this post a month ago, and I can say that things are a little better. For one, I started delegating more. The boarder situation is getting worse and worse and with all those floor orders being...