Lev MSN, RN, NP

Family Nurse Practitioner

Member

All Content by Lev

  1. Lev

    ER to ER transition

    Lev replied to mickeyrose912's topic in Emergency

    No two community ER's are the same. The ER I worked at for 2 years, while not a trauma center had high volumes and high accuity patients. There was at least 1 cardiac arrest, sometimes as many as 5-6...
  2. Lev

    orthopedics clinicals

    Lev replied to Nursingbsn2b91's topic in General Students

    Most likely of they are post op ortho patients you won't be doing dressing changess because typically they have hydrogel/hydrocolloid dressing that can stay on for several
  3. Lev

    Low cost, online, quality MSN NP programs

    Lev replied to Lev's topic in Student Nurse Practitioner

    My state allows some school's brick and mortar programs but not their online programs. Every program needs to be approved
  4. Lev

    how much experience prior to CEN?

    Lev replied to amzyRN's topic in Emergency

    I took it after about 1.5 years or so of ED
  5. Lev

    Priority dx. for patient?

    Lev replied to ital91's topic in Nursing Student Assistance

    Perhaps a risk for fall? Also this patient would need anticoagulation to prevent a future stroke. Think along those
  6. Lev

    Sedatives and Stroke

    Lev replied to mmallien's topic in Nursing Student Assistance

    Without any background information regarding the patient's BP you can't answer the question. On NCLEX a question like this would have the BP. My first instinct was sedative as you thought for the...
  7. Lev

    bp drop during paracentesis

    Lev replied to yelworc123's topic in Nursing Student Assistance

    Any time fluid is removed from the body, even if not taken directly from the bloodstream, there is risk of decreased BP. As another poster correctly stated, all that fluid in the abdomen (4, 5 +...
  8. Lev

    Understanding different gtts for sedation: Propofol vs Precedex vs Versed vs Fentanyl, etc

    Lev replied to Catticus11's topic in Critical Care

    Precedex doesn't work on all patients. Also to avoid the hypotension/bradycardia, titrate
  9. Lev

    IV medication that can not run fast

    Lev replied to kinmei's topic in Medical-Surgical

    Reglan too fast can cause severe anxiety. I routine mix in
  10. Lev

    Do you huddle?

    Lev replied to SerenaBeana's topic in Emergency

    huddle at every shift - 630, 1030, 1430,
  11. Lev

    Pseudoseizures in the ED

    Lev replied to bear14's topic in Emergency

    we do the hand face test or if really mean a whiff of
  12. Lev

    Switch Shifts?

    Lev replied to ThePrincessBride's topic in General Nursing

    Days but weekend option? Better parking, no
  13. Lev

    Combined use of nicardapine and esmolol drips for aortic dissection

    Lev replied to R8T3D_RN's topic in Emergency

    IMHO, you should have started nicardipine first if you were only starting one. The goal is to control BP which is what nicardipine is best
  14. Lev

    Combined use of nicardapine and esmolol drips for aortic dissection

    Lev replied to R8T3D_RN's topic in Emergency

    I have seen the combo for dissection, but the deal was give bolus of esmolol and start esmolol drip if the HR starts going up from the
  15. Lev

    Last stage

    Lev replied to louann39's topic in General Nursing

    Yes, a dying person can have some or all normal vital signs. There is no 100% fool proof way to predict when death will occur . Some go in a matter of hours and some linger on for days.I'm sorry for...
  16. Lev

    What am I doing wrong?

    Lev replied to TwinkTwink92's topic in LPN, LVN Students

    Do you type or write out notes? I have discovered that writing notes in class vs typing on the laptop helps me
  17. Lev

    Making 100k salary/ income as a nurse?

    Lev replied to workingot's topic in Nursing Career

    A little job hopping every few years has not hurt my bank
  18. Lev

    ED Triage Role

    Lev replied to lucypear's topic in Emergency

    Unvaccinated, immature immune systems, easily
  19. Lev

    Should ED put in lines before sending up arrest patients?

    Lev replied to Paris01's topic in MICU, SICU

    The answer is yes. 2 peripheral lines (one large bore in the AC) is appropriate even if starting most pressors. Sure a central line is lovely but not always ED priority.The answer re: central line for...
  20. Lev

    ED Triage Role

    Lev replied to lucypear's topic in Emergency

    What type of triage scale/system does your facility
  21. Lev

    Question on liver disease pt, MAP, and lactate level

    Lev replied to zacarias's topic in General Nursing

    Our standard for septic patients is a lactate drawn every 2 hours. Presumed source of infection + 2+ SIRS criteria = sepsis. A great article for those interested...Etiology and therapeutic approach to...
  22. Lev

    Question on liver disease pt, MAP, and lactate level

    Lev replied to zacarias's topic in General Nursing

    It may be because albumin/proteins are larger molecules, like glucose. Hard on the kidneys. Some dialysis/renal patients have protein restricted diets. As a liver nurse, you give the albumin for renal...
  23. Lev

    WILTW 1/1/17 New Onset Workflow

    Lev replied to LadyFree28's topic in General Nursing

    There's a story here. Tell us
  24. Lev

    ER rushing patients to the floor

    Lev replied to freckles23's topic in General Nursing

    The first thing that jumped out at me was your insane and unsafe ratio of 9 patients to one nurse. Then I remembered the past couple shifts I have worked in the ED. Last shift - 5 cardiac arrests,...
  25. Lev

    Supplies you cannot live without

    Lev posted a topic in Emergency

    I am working with our supply people to get certain things stocked in the ED which we have a need for. Which supplies can you not live without? Which supplies have you found useful in the ED which are...