Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Nursing Morale

    We have "kudos" emails sent to management by staff or vice versa which are displayed on a bulletin
  2. Lev

    Leaving ICU for PACU

    My dream job! One day I will "retire" in PACU hopefully as a COB, unless I do this NP
  3. Lev

    Breaking a New Grad Contract?

    STAY! This will be a learning experience/ growth opportunity on so many
  4. Lev

    I am the worst person ever.

    I just blame it on my gut flora. They never argue
  5. Lev

    Help! STACH Med-Surg or LTACH

    If your goal is hospital based ICU, your best bet would be the hospital based med surg floor. However, weigh the pros and cons of each offer before deciding. Look at things such as length of...
  6. Lev

    Stroke protocol in ER

    We get the labs while the doctor is assessing the patient. We have a kit with a butterfly angiocath, not an IV to not delay treatment trying to get an IV. We are an AHA get with the guidelines gold...
  7. Lev

    ER or Trauma Nurse

    I don't work in a trauma center, so when we do get a trauma they are usually bad i.e. in cardiac arrest and it's all hands on
  8. Lev

    Stroke protocol in ER

    If a patient with stroke symptoms comes in they go right back and if strongly suspicious, the stroke alert is activated which calls a whole bunch of people including CT to clear the table. The patient...
  9. Lev

    Very, Very Bad Week

    So sorry for your loss
  10. Lev

    Deadly medication errors!

    We've had the pharmacy load the wrong med into the pyxis more than a couple times. Always look at what you take out of
  11. I think your work experience is not that much to talk up..well you did get off orientation...that's an accomplishment. I think you should focus on the fact that you were motivated to advance your...
  12. Lev

    Should I call the director or no?

    I would be careful about the move to full time. Why are there 7 full time open positions? Did a bunch of people just up and leave? I say take the job as PRN and scout out the unit yourself for 2-3...
  13. Lev

    Returning to Nursing After Depression

    Do you own a car? Your walls may be thin, but you can cry and yell at the top of your lungs in your car. Especially at night and when driving, but not to the point where your driving is impaired...
  14. Lev

    Help!! New grad ER or L&D?

    Take the L&D since you may not get the ER position, but get back to them late Wednesday afternoon and hopefully you will hear back from ER before Wednesday. Don't call the ER job and let them...
  15. Do you work at my old hospital?
  16. Lev

    ER ADVICE

    ACLS, practice with rhythm strips, critical care course, and self study of meds/conditions from my nursing school text books. Learn, Ask, and
  17. Lev

    Diabetes Mellitus

    Yeah that geez at the end gave it all
  18. Lev

    Diabetes Mellitus

    Thank you for taking care of
  19. Lev

    New job and I am happy = WIN!

    Congratulations!
  20. Also be careful about discussing your experiences with patients in general. I would not discuss my specific experiences and if I did I would say it as a general statement I.e. some people find.....or...
  21. Lev

    Charting Systems

    I've used Meditech (hate it with a passion), PowerChart, FirstNet, and Epic. I like some things about PowerChart (such as how labs are displayed) better than Epic, but I like Epic too. Right now, I'm...
  22. Thready and faint pulse are essentially the same thing. With dehydration, there may be some tachycardia to compensate initially. However, as the intravascular fluid deficit increases, the decreased...
  23. Lev

    Drug seekers

    My ER is "dilaudid free." This is what we tell patients. It is available, but only from pharmacy and providers rarely order it. Even if they do order it, it may be a little while before your nurse...
  24. I think that as an English teacher who is probably unfamiliar with medical terminology, you have an almost impossible task on your hands. My best advice to you would be to ask the hospital to hire a...