Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. That's what I feel like too. Very angry would never be my response, unless it was very
  2. Also see the other question. It's even more confusing, because I don't know what they're getting at.
  3. Oh...It just showed up in the
  4. Lev

    Surgical Sub-Specialties Unit

    It sounds like a cardiovascular step-down unit. Wow! You will learn a lot. I don't have any particular advice, but you may want to repost your question in the cardiac critical care
  5. Lev

    checking residuals for tube feeds

    The basic method is to turn the stopcock to close off the tube feed. Aspirate gastric contents. Depending on policy/order reinstall residual. Flush according to policy. Tube feeds will be held at a...
  6. Lev

    My job

    Ask him if he wants to
  7. Lev

    Student nurse looking for info

    I work on a mixed surgical unit that takes many Ortho patients. Our ratio is 1:5. We used to get 6 patients pretty often but our new manager got our ratios down. Now it's not uncommon to have 4...
  8. Lev

    PCA Patients

    I see them commonly with the spinal surgery patients. Less common with the joint replacement
  9. Sadly, the patients don't even notice we're
  10. Uhh doctor, doctor...the robot you are looking for is
  11. I find it very draining. My patients drain me and make me feel uncomfortable sometimes because I really want to get away and not listen. I like making them feel better and I don't mind being...
  12. I work med-surg and it is mostly crazy. Constant movement, running up and down the hall, a mix of high acuity and patients who are "just fine." Lots of surgical patients, pain medications, and blood...
  13. A patient with an NG tube generally cannot have oral intake, which means they are being fed by IV fluids and if it stays in long enough, maybe TPN. Someone with an NG tube is pretty much like someone...
  14. Lev

    I Desperately Need ADVICE!!!

    I think you should take the job, and continue to actively look for a new one. Psych is a specialty, and sometimes when you tie yourself down in a specialty, it's hard to switch. Psych experience will...
  15. Lev

    Not a nurse

    It's nice to feel appreciated. We appreciate you too, although we call you every second to send the STAT med up or verify orders. Or for "stupid" questions like "the label doesn't scan, can you send...
  16. This is the one sentence in your entire post that stuck out at me. I think this holds your answer. I think you need to tweak your attitude about interviews and relax. Do you like nursing? Do you? For...
  17. I do feel comfortable. I just started feeling comfortable in the last couple months. I do have a little bit of tele experience. I am familiar enough with rhythms, but not enough that I wouldn't be...
  18. You were "voluntold." I wish that would happen to me. Why didn't you think you could do ICU with five years of med-surg? And I have even less experience than you did. Do you think that a year of...
  19. I am actually pretty good with manipulative patients. I have no patience for them and I usually catch on pretty quickly that they are manipulating me and I just don't put up with
  20. I like that...the peaceful
  21. Thanks, that was very
  22. Lev

    Leaving nursing after 2 years

    Have you ever worked OR or PACU? I had my senior practicum in the PACU and it was pretty relaxed. The patients are mostly sleeping and/or intubated. Nurse patient ratios are strict. Another option...
  23. Lev

    Not What I Expected

    I didn't know nursing was for me until midway through the first clinical at a nursing home, which was over two months into the semester. It's too soon to
  24. PDA vs sex are two different conversations. It would be one thing if the patient in a private room said "I need alone time with my wife, do not disturb for 1/2 an hour" Vs you going to the room to...
  25. Yes, but not in a public building. Such as the library bathroom stall or grocery store. Especially with roommates. It's just not a regular hospital activity. Long term care folks can do their