Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Venipuncture questions!

    1) Aren't we supposed to go in at an angle of 10-15 degrees and STOP when we see flashback? Not necessarily. There is no one way to draw blood. Depends on how superficial or deep the vein is. When I...
  2. Lev

    Septic patient with liver failure

    Yes. Because I don't mind correction (where it is
  3. Lev

    Septic patient with liver failure

    Was that a
  4. Lev

    Septic patient with liver failure

    The way any septic and hypotensive patient is managed..abx, fluid resucitation, volume expanders, and pressors.
  5. Lev

    Should I take a job in Nursing home

    Or someone stole your identity and reported you
  6. Lev

    Daily Huddle

    Huddle works well at the beginning of the shift. Not 1 hr into it. Make everyone sign in and held accountable if not
  7. Just happened tonight Me: the doctor said you can eat now...can i get you a sandwich? Patient's daughter: starts talking abt the food in the cafeteria Me: do you want anything to drink? Patient: ill...
  8. Lev

    What does STS stand for?

    States?
  9. Lev

    at loss........

    Give yourself 6 months. Your experience does count. Once you get the hang of everything, your time management and people skills will
  10. Lev

    advice between 2 job offers

    I heard Florida's nurse patient ratios aren't great. Look into
  11. Lev

    New Nurse

    How would you have liked it to be
  12. Lev

    I give in, I'm a COB

    So...allnurses t shirt designs...."Batling - In Training" and one that says "Crusty Old Bat" on the front and "Got your back" on the
  13. Lev

    I Hate People (my rant)

    Whaaat? You just said that you hate
  14. Lev

    I give in, I'm a COB

    Not a COB...yet...but I aspire to be one...one day. Under 3 years of experience is about 15 years too
  15. Lev

    What I learned this week (7/11/15)

    I learned that patients in four point restraints become very creative if given enough range of motion...tie those things tight! *glances at laceration on wrist* Patient in 4 points bit out her IV and...
  16. Lev

    First Patient Death Experience

    For a young patient...15 minutes is short amount of time to code her...especially given that CPR was started right
  17. My EP psych patient tonight made up a little diddy...it went something like this "earth fire air water please answer my request...earth fire air water take this b**** away
  18. Makes me uncomfortable, especially when they are waay older than me. I usually explain that I'm your nurse so no you can't have my number etc. How should I interact in a way that is neutral and gives...
  19. Post your NCLEX related questions on this thread. NCLEX-RN test plan: lite https://www.ncsbn.org/2013_NCLEX_RN_Test_Plan.pdf longer https://www.ncsbn.org/2013_NCLEX_RN_Detailed_Test_Plan_Candidate.pdf...
  20. Lev

    Med/Surg too much, what now?

    I don't know. 7-8 patients is a lot for M/S. I think the high ratios are doing you in..follow Commuters advice. See if your manager will let you transfer to a different unit at the same...
  21. Lev

    Family issue..Thoughts?

    Ever read the book "A child called
  22. Lev

    EKG

    It's not an invasive procedure....however EKGs generally do require MD orders at some point. Is it difficult to obtain an order after the fact? Can you get a standing MD order per protocol for chest...
  23. Anybody can exhibit narcissistic traits from time to time but that does not make them a narcissist or give us the liberty to diagnose them with narcissistic personality
  24. Um...only thoughts are...that I wouldn't want to work for that manager and always always have a copy of your resume at the interview. A general rule in nursing is that you can only depend on yourself...
  25. In my ER, we are not required to call report to the tele or the med surg units. We are required to put a quick note in the computer with a call back number for questions. All patients going up to the...