Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Fellow nurses...does this make sense?

    I want to hear the other side of this story. Something is up. Somehow I don't believe that this is the only thing that this student messed up on. When I was a nursing student I wrote in my journal one...
  2. Lev

    Prioritization in the ER

    Thanks! Really helpful points. My issue is how to skip documentation til
  3. In addition to the above, if you haven't already, review the priority and delegation book by LaCharity and review all those rationales as well! Also make sure to do most of the qbank too. Scores look...
  4. Lev

    What is a Nurses Calling?

    I became a nurse since it seemed like a good, stable career, that payed decently, seemed to be in demand, and I would be able to help people and thereby develop as a person. I had no calling. Now...
  5. Welcome to allnurses and congrats on your
  6. Lev

    First Med Error... Learned Big Lesson

    I will reiterate this point with something that just happened to me. I had a patient with uncontrolled HTN 220-40s/110-20s. She got a bunch of BP meds, nothing was touching her. She stayed in those...
  7. Lev

    Leonardtown, MD

    Which county are you
  8. Preop, PACU, IR, Cath lab, occupational health, IV therapy, home/outpatient infusions, home health, clinical instructor, and RN case manager. Most require prior RN
  9. I love that you're asking this! The best thing to do is ask if there is anything you can help with. Ask the CNAs and the RNs. If it's a nurse only task, make sure to check with your clinical...
  10. Everything you've been doing is great, just make sure I&Os have been calculated before the trays are taken
  11. This seems like the right response to me. Always go up the chain of command and try to remove the patient from harm, if possible. The other issue is that it's not legal for an employer to make a...
  12. Lev

    Bullied by Clinical Instructor

    If you can get the hospital's nursing staff who have witnessed this instructor's behavior to call your school and report her - that may be the most effective thing to
  13. Lev

    Bullied by Clinical Instructor

    I think at this point just have as little chit chat with her or classmates as possible. If it's as bad as you make it out, the goal is to have low profile for next couple weeks. Also, don't...
  14. Lev

    To Be (Monitored) or Not To Be (Monitored)

    From ER as well. All ICU or stepdown patients go with RN on Zoll monitor + vitals machine. Tele patients go off monitor with patient transport, unless they are on a drip. (M/S patients on heparin drip...
  15. Management has finally decided to go back to the bedside to be more in tune with their
  16. Lev

    Blood color with IV starts

    Does being on coumadin or other blood thinners make blood brighter
  17. Oh the rooms are so small, we store all sorts of things in the
  18. Just downloaded trivia crack. Let's see if it's all it's cracked up to
  19. You are funny!
  20. Lev

    Relationships with floor nurses?

    I've moved from the floor over to the dark side (ED). It's been an eye opening experience. For once thing, a "high" BP in the ED us anything over 200. They are more concerned about HR. Also, just...
  21. Lev

    Shadowing nurse manager at dream job. Advice?

    Be open, be friendly, be real, and be passionate about the specialty that interests you. It also doesn't hurt to leave your resume with the nurse manager AND the QI person (who may have worked as a...
  22. Lev

    Urgent care vs ER???

    Things happen so quickly in thr ER that if you don't have prior experience it can be hard to learn. I have 2 years of experience and transferred to ED recently. I look around and tell myself that I...
  23. Lev

    2 Different Specialties

    I work medsurg and er. It can be done. Ask to shadow on the unit to see what its about before you decline. What you're describing happens when there's a real need on another unit because a lot of...
  24. Lev

    CEN and then CCRN

    I just got a new job in the ED, and I want to start studying for CEN. I think this will help me learn a lot of new things that I would need to know as a med-surg nurse new to the ED. I was thinking...
  25. Lev

    Do nurses eat their young?

    There is a lot of stress in nursing, especially in the hospital. Nursing is a tough job that many new nurses are not prepared for. It is usually a reality shock. No one, and I mean no one gets what...