PeakRN

PeakRN specializes in Adult and pediatric emergency and critical care.

Latest Activity

1. Blood pressure in peds patients

   PeakRN replied to Georgia Weasley's topic in Emergency

   Just for perspective I have found essential hypertension in otherwise healthy 2 and 3 year olds several times in the ED. While the ED is not the kid's primary care, that may be the only medical...

2. What unit/floor is best to work on prior to getting into the PICU?

   PeakRN replied to SillyFever's topic in PICU, Pediatric

   When we hire in my center we typically favor critical care over floor pediatric experience. Unfortunately adult med/surg is unlikely to give you either experience, but you also have to start with the...

3. What are some good resources to read up on as a new graduate in the ICU?

   PeakRN replied to newgradICUnurse's topic in Critical Care

   The ICU book. The Ventilator

4. Paramedics in the ED

   PeakRN replied to EDMEDIC's topic in Emergency

   Query:

5. What is your "favorite" procedure?

   PeakRN replied to NewRN'16's topic in General Nursing

   One of our PICU intensivists loves giving haircuts to the long term

6. What is your "favorite" procedure?

   PeakRN replied to NewRN'16's topic in General Nursing

   Reducing dislocations. Instantaneous

7. Paramedics in the ED

   PeakRN replied to EDMEDIC's topic in Emergency

   While I agee with some of this I would like to clarify a bit. I was a messy medic. The floor and bench of my bus were a disaster by the end of my call. That was because we thoroughly cleaned the back...

8. Paramedics in the ED

   PeakRN replied to EDMEDIC's topic in Emergency

   You seem to have a bit of a chip on your shoulder. Why did EDs start hiring paramedics? Simply put they are cheaper labor than registered nurses. Paramedic and nursing education is not the same,...

9. Critical care classes during ED orientation - is this really a thing?

   PeakRN replied to raindrop's topic in Emergency

   In my opinion your ED has not provided adequate training. All of our new grads must have ACLS, PALS, TNCC, ENPC, NIHSS as well as complete their online ED modules and all of their staged orientation...

10. Peds Nurse Furloughed During Pandemic

    PeakRN replied to Mickey9700's topic in Pediatric

    We never furloughed anyone, but we did cancel every traveler and PRNs have been removed from the schedule. We did rotate a lot of nurses with adult experience back to the adult world. PICU nurses back...

11. Famous person as patient?

    PeakRN replied to MarkMyWords's topic in General Nursing

    I’ve taken care of more famous people and their families than I can count. Professional athletes, national media reporters, politicians, several heirs to european monarchies, CEOs who’s names are...

12. Feeling Bored

    PeakRN replied to jellybean570's topic in General Nursing

    No offense but if you have nothing to do as a nurse on a peds unit for several hour you aren't really a peds nurse. There is always a kid that needs help with homework, another disease to be studied,...

13. Finger Stick in Arm Alert AV Fistula

    PeakRN replied to RN Questions's topic in General Nursing

    For something like a glucose check I don't understand why you would really need to use the limb alert arm. In the unit we stick patients every hour when on IV insulin, often (repeatedly) on the finger...

14. Coping with death and bad outcomes

    PeakRN replied to Taylor1432's topic in PICU, Pediatric

    I'm fortunate to have the perspective of having worked with adults and peds in EDs and the units. Life is unpredictable, it isn't fair, and not everyone gets dealt a good hand. I've had plenty of kids...

15. Scab nursing?

    PeakRN replied to Emergent's topic in Collective Bargaining, Union

    I think that it's just part of the business for hospitals that have unions. There is probably variation based on union contracts and state laws, but if your union has the right to strike then is it...