Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    Okay, I have a dumb question.

    The nursing school I attended started requiring the TEAS exam after I
  2. Lev

    On to bigger and better things.

    It's a huge learning curve. I went from med-surg to the ED. I'm typing on my phone now but I will formulate a response when I get
  3. Lev

    New nurse picking a floor/specialty

    I would shadow on all these floors to see the general environment of the floors and which floor would be supportive for a new grad. I would also inquire (while shadowing) about staff turnover and if...
  4. Lev

    iv catheter/needle gauge selection

    I work in the emergency department and I usually start off with a 20g IV in most patients. That is what I start with unless it is an elderly person with fragile tiny veins who is not that sick, they...
  5. Lev

    Create Your Own Meme

    I didn't kill anybody and I get to leave early
  6. Lev

    NYC Emergency Rooms

    I've heard the same thing. It's
  7. Start compressions after calling for help. The bed should have a "max inflate" button or CPR foot pedal (which will lower the head of bed and firm the
  8. I work in the ED and I'm precepting a nurse who transferred from one of the med-surg units. She is doing great in most areas. Has good time management skills and is eager to learn. In the past couple...
  9. I have heard bowel sounds up in the lungs. The bowel is hollow and that tympany can travel. Lungs sounds can disappear too mind you. Ever heard of "scattered
  10. Lev

    Focused assessment

    A focused assessment is used to further investigate a patient's complaint as well as to do reassessments based off what was abnormal in previous
  11. Since the medications are "due" now he should get them and then be sent on his way. Unless this is the first time he is getting these medications, especially the antibiotic. In that case, he should...
  12. Any rib fracture creates the risk of pneumonia because it hurts to breathe and the patient may not take as deep breaths. Any fracture in the lower extremities affect mobility and decreased mobility...
  13. Lev

    abg's

    Metabolic has to do with the kidneys and digestive system and respiratory has to do with the lungs and respiratory center in the brain. Think about buffers for each of these systems. That is the...
  14. I think MONA can be performed in any order. I think that is just how the mnemonic ended up because that is how it is easiest to say. Not every patient gets every aspect of MONA. For example,...
  15. Lev

    Step-down internship advice?

    I have never worked on a step down unit but I have worked (inpatient) med-surg and I have transferred many patient from the ED to stepdown units so I am familiar with the acuity level (which varies...
  16. Lev

    Chest Tube Insertion

    At my old ED, some morphine + local was standard. At my new ED, have not seen a chest tube a month in. This is what I signed up for I
  17. Lev

    Cerner EMR? Tell me allll about it

    At my old job, I used FirstNet which is a cerner system. I found it easy to use, but I had prior PowerChart (Cerner inpatient system) experience. There is a tracking shell which organizes things for...
  18. Lev

    ER nurse rotating through observation unit

    At my old job, a obs unit was opened up (10 of the fast track rooms became obs) and ER staff had to work there at times. I looked at it as a nice break from the chaos which was my old job. The...
  19. University of Maryland School of Nursing B (public) Notre Dame of Maryland University School of Nursing B private) School of Nursing at Johns Hopkins University B (private) Salisbury University B...
  20. Lev

    PIV usage for lab draws - POLL

    Labs are routinely drawn off PIVs in the two ERs I've worked
  21. Wow! Miracles do happen! I hope this little boy continues to recover so beautifully. You did an amazing thing that night and I'm sure the family will be so excited to thank you in
  22. Sir! I said I needed to listen to your heart and lungs, not put in a
  23. Lev

    Graduating soon, feeling unprepared

    I continue to have issues opening wheelchairs, 4 years out. My program was also very light on the skills. Fortunately I did work PRN as a CNA. Hospitals don't expect new grads to know much skills wise...
  24. As others are saying, please make sure you talk this over with a professional to help you sort through the feelings. I know that doing CPR without team support and especially on a child can be very...