Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. That must have been so hard. I can't even imagine...Hugs to
  2. Lev

    lying about clinical hours

    I think his actions are bordering on
  3. Lev

    Alternative to shouting a name

    My old ED- Very busy, >100k visits/year, frequently 50+ people waiting - we had a microphone on the wall and a number
  4. Initial Response: Oh no! Your patient has gone unresponsive on you. First thing to do is a quick pulse check of their carotid artery. If you do not detect a pulse within five to ten seconds...
  5. Lev

    ED staffing ratios

    I just switched jobs and haven't actually started on the floor at my new one, but I can speak to my old job. Fast track opened at 630am and stayed open no later than 130pm. Sometimes closed at 11pm,...
  6. I have dealt with many "Jakes" and I will dilute their pain medicine and push it over the recommended
  7. Lev

    Blood Draws??

    A nursing only class may focus on PICCs, ports, and central lines because only nurses can draw from those
  8. Lev

    Propofol Dosing in ER

    What was her BP before intubation? Most patients do fine with just Propofol for sedation. If they have PRN agitation, an extra bolus of Propofol or some Fentanyl can fix that as the Propofol is being...
  9. Lev

    New to ED, not a new nurse though...

    You are still on orientation presumably? Save your judgments for when you are a year in. Meanwhile, keep up the respect and
  10. Lev

    Cardiac or Neuro ICU

    Sounds like you made your choice. Neuro patients can be frustrating and it is slow progress (if any). However, there are other variables to consider such as the unit environment, staffing, and...
  11. Lev

    Finally Leaving Nursing...For Good!

    Wow! Is Masters in Biomedical Science a biomedical engineering major? Was just looking that up last night as something I was interested in pursuing over NP (no doctorate degree required). (NP does not...
  12. Lev

    Lost stethoscopes

    LOL, I will be on the lookout, thousands of miles away from Texas! Consider attaching a colorful patient wristband to the stethoscope in the future. I favor "elopement" bands for my
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    Possible needle prick?

    The same thing happened to me and I treated it as a
  14. Lev

    Gave PO contrast too early?

    Whoops! Generally PO contrast should be finished at least 45 minutes before CT and longer (2 hours) if highly suspicious of something like
  15. Thanks for this
  16. Lev

    ER vs Trauma Nurse

    Triage generally requires some ED experience (usually about 2 years, unless the hospital is so short staffed that they let just about anyone do triage) as well as some pediatric knowledge (cross...
  17. Lev

    Love the job, hate the logistics

    Unfortunately, this is the case in many hospitals. Find a new one with either A. More $ and/or B. Care about spending resources for things that matter like the things you described
  18. OP, I commend your for being so conscientious. This is a mistake that most of us have made, even as RNs. Of course, it would have been better to catch this mistake much earlier than 6 hours. As a...
  19. It was probably piggy-backed to IV
  20. Medical errors are the 3rd leading cause of death. Medical error—the third leading cause of death in the US | The BMJ There are good hospitals and bad ones out there. Find a good one to work at....
  21. When does your license expire? I would look for some online CEUs now and renew
  22. Lev

    Is my hospital trying to push me out?

    Yes, I think what you are thinking is
  23. Thanks for that
  24. Hi everyone, Thinking about NP yet again. The local program I was interested in switched over to a DNP. Anyone have experience with University of Cincinnati or University of Ohio online FNP? Is...