Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    ESI practice thread

    Lev replied to Lev's topic in Emergency

    Here's one. 57 year old female, getting chemo for breast CA. Comes in with fever of 101.5. C/o cough. Vital signs stable
  2. Lev

    ESI practice thread

    Lev replied to Lev's topic in Emergency

    Either 2 or 3. The more high risk ones (attempted suicide, violent, suicidal ideation with a plan, absolutely hysterical - they are triaged as ESI
  3. Lev

    ESI practice thread

    Lev replied to Lev's topic in Emergency

    He would be a 2. Sounds like he is out of the window for
  4. Lev

    ESI practice thread

    Lev replied to Lev's topic in Emergency

    My first thought was an ESI 2 for angioedema. Any potential allergic reaction should be at least a 3 but if it involves the face that makes it airway and potentially high
  5. Lev

    Psych pts protocol

    Lev replied to joyful_wanderer's topic in Emergency

    Paper scrubs. Wanded in triage and again when they change into scrubs in the rooms and their belongings are secured. They are only allowed to keep underwear and sometimes glasses. We take all the...
  6. Lev

    What makes a good manager?

    Lev posted a topic in General Nursing

    Over the past almost 6 years that I've worked in the hospital, I've had 9 managers. Some good, some bad, and some ugly. In your opinion, what makes a good
  7. Lev

    ESI question

    Lev replied to peaches88's topic in Emergency

    One of our usual drunks at my old ER coded (and
  8. Lev

    What makes a good manager?

    Lev replied to Lev's topic in General Nursing

    I think "will come in scrubs to help out" is a common denominator. Spend some time away from the
  9. Lev

    What makes a good manager?

    Lev replied to Lev's topic in General Nursing

    Ruby Vee, I love your
  10. Lev

    ESI question

    Lev replied to peaches88's topic in Emergency

    Saying "she's here all the time" is the type of triage language/tunnel vision that gets people killed. I agree with your ESI 1 designation. If she wasnt symptomatic (diaphoretic and tachypnic) then...
  11. Lev

    Is your ED organized?

    Lev posted a topic in Emergency

    I've worked in 2 EDs, the new one is more organized than the last. However, it is also a smaller ED with much lower volumes. How organized is your ED? Have working conditions gotten better or worse...
  12. Lev

    Kaplan Vs. NCLEX

    Lev replied to jcs27516's topic in NCLEX Exam, Programs

    Your Q-trainer scores should be going up as you get better at answering the questions. Perhaps you need some more content review. Did your review come with a way to access the Kaplan RN course...
  13. Lev

    What makes a good manager?

    Lev replied to Lev's topic in General Nursing

    You are right. When a good manager leaves, staff often follow if they can or leave themselves. Usually the person who replaced them cannot fill the big shoes left
  14. Lev

    What makes a good manager?

    Lev replied to Lev's topic in General Nursing

    I had a great manager who was willing to let me grow. When she hired me into the ED, I expressed that I wasn't sure the ED was for me. But she was ok with that and said that I would see many different...
  15. Lev

    What makes a good manager?

    Lev replied to Lev's topic in General Nursing

    I think this is an often overlooked quality but in my opinion very important. Policies are good, but there are certain situations where rules can actually make things
  16. Lev

    Is your ED organized?

    Lev replied to Lev's topic in Emergency

    Efficiency, flow of patients, supplies, workloads, you name
  17. Lev

    Question about Septic Shock

    Lev replied to caleggitt's topic in Emergency

    The first treatment for hypotension in septic shock is fluids. (30ml/kg given as a bolus over 0.5-1 hour). The main hemodynamic factor which causes decreased BP is profound arterial vasodilation....
  18. Lev

    Why is Keppra and Dilantin given 1 hour apart?

    Lev replied to LPNwithBIGdreams's topic in General Nursing

    Possibly risk of
  19. Lev

    Religious accommodation means no Saturdays....ever?

    Lev replied to momto6msn's topic in General Nursing

    The job may have been posted as full time, but she told management at the interview (maybe something came up from the time she applied to when the interview took place) that she could only commit to...
  20. Lev

    Religious accommodation means no Saturdays....ever?

    Lev replied to momto6msn's topic in General Nursing

    The job may have been posted as full time, but she told management at the interview (maybe something came up from the time she applied to when the interview took place) that she could only commit to...
  21. Lev

    Religious accommodation means no Saturdays....ever?

    Lev replied to momto6msn's topic in General Nursing

    The job may have been posted as full time, but she told management at the interview (maybe something came up from the time she applied to when the interview took place) that she could only commit to...
  22. Lev

    Religious accommodation means no Saturdays....ever?

    Lev replied to momto6msn's topic in General Nursing

    The job may have been posted as full time, but she told management at the interview (maybe something came up from the time she applied to when the interview took place) that she could only commit to...
  23. Lev

    On to bigger and better things.

    Lev replied to Joanie49's topic in General Nursing

    When I started working in the ED I started feeling like I made a difference as a nurse because I was using many of my skills often. Saving lives puts things into perspective. There is also less of a...
  24. Lev

    On to bigger and better things.

    Lev replied to Joanie49's topic in General Nursing

    I would say that my biggest challenge was to be able to quickly shift priorities to attend to an emergent situation and to be less task oriented. I really learned to speed up quickly. I also learned...
  25. Lev

    Nursing Intuition, Part 1: The Visitor is . . . Dying!

    Lev replied to RobbiRN's topic in General Nursing

    I once had a young patient in the ER who was triaged as an ESI 3 for abdominal pain. "I think he's a bit drug seeking" I was told in report. The patient had gotten multiple doses of narcotics. I went...