Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. "Harrumph. Why is big brother always involved, hidden in scrubs, and not on my
  2. Lev

    He/She Said What!?

    I would quit. And tell him that he is insulting your intelligence and is acting like an arrogant
  3. Lev

    So...What Kind of Nursing Task Do You LIKE?

    I just learned how to access ports. That was fun! I'm also really good at IM injections. Patients tell me all the time that they didn't even feel it. My technique is to use the thinnest possible...
  4. I actually had a GI bleed patient whose stool looked like currant jelly! I said to myself: so this is must be what current jelly looks like after hearing about it so many times in nursing
  5. Yeah, we all know which surgeons have patients who end up with nicked ureters, dvts, or needing lots of blood products. Plastic surgeons especially. When things go wrong, they don't want to take...
  6. Lev

    Emotionally tired

    Time to go out patient. Infusion center, endoscopy, out pt
  7. Lev

    Job advice

    Yes they do..If get offered the job or if brought up in interview let them know that job requires 4 weeks notice so would be available to work on x
  8. Lev

    Job advice

    I don't think it will cause you any issues to apply to this different hospital. This hospital becoming the parent hospital of your current hospital just makes it better because you are staying within...
  9. If he was using lidocaine to numb the area before inserting a chest tube he may have felt it was unnecessary because he was not injecting into a vein. Nevertheless, bad practice. Always use filter...
  10. After receiving report, which patient should the nurse see first? 1) Mr. Jones, a 57 year old man with a history of pancreatitis, going through alcohol withdrawal and has a heart rate of 107. 2) Ms....
  11. You should be contacting the New York Board of Nursing to transfer your license over. They may need official transcripts with a seal to show they are not tampered. You may need the transcript to be...
  12. Lev

    An NCLEX question for you.

    Thank you. I'm not going to violate copy write by copying questions word for word. I see nothing wrong with making up/revising questions. My goal was for people to learn. If you don't feel like you...
  13. I don't think it would be crazy. Mention your circumstances in your cover letter. Most places will keep your application on file for a year if they think there is some chance of hiring the
  14. Lev

    What does STS stand for?

    States fever and states seizure
  15. Lev

    An NCLEX question for you.

    Here's another question... In caring for a client undergoing orthopedic surgery, what is the most important post operative nursing intervention. 1) Update the client on the plan of care. 2) Monitor...
  16. Lev

    How does your ED address the Observation Unit?

    My ER currently does not have a built in obs unit. We have one floor where half the beds are dedicated obs tele or IMC beds. The tele floor takes obs patients as well as the M/S floors. There are...
  17. Lev

    An NCLEX question for you.

    It's a question I made up. I think it's a good question and fairly straightforward as are most questions on NCLEX. Most people who responded came to the right conclusion as to the answer. I learned in...
  18. Lev

    An NCLEX question for you.

    Are you an RN? Its not a pointless exchange. It helps people think through the question and see things the way NCLEX looks at these scenarios to help people make the right choices when it comes to...
  19. Lev

    An NCLEX question for you.

    This was not a trick question. Giving the sickler pain medication is not going to solve their circulation issue. Assessing your alcoholic patient with an elevated HR is priority because it is a...
  20. Potassium and magnesium have a relationship. If your k is low and mg is borderline or low, sometimes it will be hard to replete
  21. Where I used to work in med surg, the "nurse techs" inserted and discontinued IVs, did EKGs, vitals, finger sticks, drew labs, and d/c foleys. The used to be able to insert foleys til a tech at a...
  22. Lev

    An NCLEX question for you.

    While pain is a physiological sign of sickle cell crisis, giving pain medicine is not going to treat the problem. Oxygen and IV fluids will. The elevated heart rate is still priority. If the sickle...
  23. Got pulled over tonight in scrubs and got off with a
  24. Lev

    What phase am I in now?

    A little jaded and no longer a new grad! Welcome to the
  25. Lev

    An NCLEX question for you.

    Answer is patient number 1. He is having a circulation issues, actively withdrawing and there are safety concerns. Next is the sickle cell patient who is having pain, which is expected of patients...