Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Deep breath... I wouldn't do anything different from what you are already doing other than talk to your preceptor (if she's the receptive type) about your struggles. You've only been on the floor 2...
  2. Yes it is possible to develop an allergy or intolerance to medication even after years of use. Thank you for your warning about brand vs generic metformin. Please make sure to consult with your...
  3. Lev

    Do you talk to yourself?

    I talk to myself all day long. I even answer myself at times. It helps me organize my thoughts, work through problems, and plan what I want to say. I've always said that I am my own therapist because...
  4. I truly hope this is a troll thread. Your example is not bullying. Hospital staff has priority to chairs, computers, and space. My clinical instructors used to say that we were "guests" at the...
  5. Lev

    New Nurse

    What is the unit culture like on each unit? Does the neuro unit have tele beds? What's the nurse patient ratio? How well staffed are the units? Is there a good skill mix? How long is orientation?...
  6. God! you should work in the ER. I'd be happy to have
  7. I work in the ER and a sprained ankle can be taken care of at a clinic or your primary care doctor's office. (If you don't have one get one.) Therefore, the actual ER patients in cardiac arrest, with...
  8. It depends on hospital policy. Where I worked last, doing so would put you in overtime, so they did not allow it. However, if you got a prn job at the sister hospital it was OK. As far as picking up...
  9. Lev

    New ED job 2:30p-3a! Advice..

    I'm going to revive my old thread and ask people for their advice on time management. What tricks have you learned to help you keep
  10. Hi Everyone! I just accepted an offer to work evening shift (2:30p-3a) at a very busy, huge ED. I will be orienting on days (because that's when preceptors are available). I heard (from reading around...
  11. Lev

    Advice on creepy doctors?

    You can still press charges against Dr. Creepy. I'm glad your hospital seems to be on your
  12. Lev

    Medical or cardiac?

    Are the units both good environments for a new grad that is fully staffed with friendly people and a supportive and flexible manager? That should be the first think you look for. That being said, a...
  13. Be careful with backs. Some docs want the Foley out on POD 2. You may see more PCAs with the back patients. They get good blocks and usually do well. The incisions are so tiny. Just do good...
  14. Lev

    hate being a LVN

    Fast way to burn out. Put in your 36 hours and call it a week. Especially in your first
  15. Lev

    I'm being investigated by the BON!

    You get a lawyer and ask him or her how to respond. Do not respond without legal assistance. Find a pro bono lawyer. Best of
  16. I emphasized the things I learned in nursing school and how I was interested in their hospital in particular. If you have a specialty in mind or at least know you want to work with adults, specify...
  17. Lev

    Pulses Assessment

    I think this may refer to normal radial pulses (2+) and thready pedal pulses
  18. Lev

    Please help! Job decision!

    So you already accepted offer at second hospital? Didn't realize
  19. Lev

    Please help! Job decision!

    If you have your BSN, magnet should not make a big difference. If a hospital is trying to get magnet, there can be stress ahead. There are plenty of good hospitals without magnet status. As far as...
  20. Lev

    Please help! Job decision!

    What is the nurse patient ratio for each unit and what is the charting like? Which shift are you being offered? I would not be hung up on 74 cents more or less an hour. Be really sure that everything...
  21. Lev

    Telemetry/ IMCU Advice please!

    You will get all sorts of patients, not just cardiac patients and stroke patients. GI bleeds, respiratory distress, you may get post op patients (if the unit takes surgical patients), electrolyte...
  22. Lev

    How Important Is Money

    If you are less stressed on the IMC unit, you'll have enough energy to pick up overtime shifts or get a PRN job in a year and make more $. Stepdown experience is more marketable than med-surg. You can...
  23. Congrats! What types of patients will you be working
  24. Lev

    How can I improve my reputation?

    It's natural to want to be liked. It's important for our self esteem. It's hard to do this but try to not care as much what your coworkers think of you. I think you may be putting in waaay to much...
  25. I think you should take the offer that you have. You've met the manager, staff, and seen the unit. It all looks good to you, but it's not the first choice of specialty. Ok. Compare that with a...