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Adult and pediatric emergency and critical care
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PeakRN specializes in Adult and pediatric emergency and critical care.

PeakRN's Latest Activity

  1. PeakRN

    Potentially Hypochondriac Sister

    I would avoid the topic 100%. I agree with the script suggestion, but often tell people something along the line of "it sounds like you think you are having a medical emergency, you should probably seek emergency treatment." You have to set strict boundaries with her, you are not her health care provider nor would it be apropriate to fill that role. Unfortunately patients with psychiatric illness can be difficult to evaluate. She could be having variant angiospasm which may not be found on later exam. She could be having an arrhythmia that hasn't presented during prior evaluations. She could be having side effects of drugs, anxiety, a psychotic feature, attention seeking related to being borderline or some other personality disorder (which is my hunch based off your post, but again who knows), or some other cause.
  2. PeakRN

    2 years med/surg means nothing in job hunt

    In many systems there are units, med/surg floors in particular, that are perpetually understaffed or difficult to keep nurses in. Often managers of said units will pull favors when they find out someone is trying to go to another unit to keep them from getting hired there. Most systems (for profit or not) really look at money closely. If they hire you onto a specialty area without experience (unfortunately prior med/surg time does little to prepare you for areas like L&D, NICU, OR, ED, Peds, et cetera) they are essentially hiring a new grad. This is part of the reason some systems lump their new grads and new to specialty programs together. Then they also have to hire and train someone to your floor as well. I don't like that you are discouraged from talking to managers from other units. This seems pretty toxic and I'd be looking for a way out. Our nurses can easily email any of our unit directors or managers, and set up a face to face meeting with them. I think you have to weigh how much you want to stay in your system, and how much you want to change specialties. It seems to me that your chance of getting into the units you want is probably higher at an outside hospital, but I don't know if your tenure in your system gives you benefits that aren't worth leaving (401K match, PTO rate, et cetera). Ordinarily I would suggest trying to reach out to managers to shadow or cross train, but that doesn't seem to be an option in this case.
  3. PeakRN

    IV Tube organizer

    Why not just use 3 way stopcocks?
  4. PeakRN

    Do Male Nurses Face Gender Bias in Nursing Education?

    Your posts are marginalizing women traumatized by women.
  5. PeakRN

    Do Male Nurses Face Gender Bias in Nursing Education?

    So if the patient is in the statistical minority they need to speak their voice, but if they are in the statistical majority we cater to their experiences?
  6. PeakRN

    Do Male Nurses Face Gender Bias in Nursing Education?

    You're not protecting the patient any better by making it easier to say no to male students than female students. That's just being sexist. What if the patient had been the victim of physical, emotional, or sexual abuse by a female perpetrator? While the majority of sexual assault against women are by men, that doesn't make it less real for women who have sexually assaulted by women. Like wise many men have been sexually assaulted either as children or adults by men. To assume that an adult urogenital or other patient is more comfortable with a man doesn't advocate for the patient, and again is sexist.
  7. PeakRN

    Omnicell vs Pyxis

    Having used both I greatly prefer the Omnicell. I like that we can stock both medications and supplies in the same machine. From a supply management point of view it's much easier to keep staff compliant when their IV fluids, tubing, et cetera are all in the same machine.
  8. PeakRN

    While we were arguing; we disappeared

    I've known many nurses in other systems who do exactly that, or use stickers to cover their name, et cetera. It is very poor practice and no system should be allowing that. We mandate that our badge must be visible at all times, and we have badges on both sides so that if you flip it around you still get the exact same thing. Intentionally hiding your badge would not be taken lightly and result in some very serious HR related interventions.
  9. PeakRN

    While we were arguing; we disappeared

    In our hospital different care groups have different color scrubs. Nurses have a distinctly different color scrub than any other group. All infant and pediatric care areas have a different scrub top than non-pediatric/infant nurses.
  10. PeakRN

    Condescension from Critical Care Nurses Towards Med-Surg Nurses

    In reality this is the standard of practice for all of the EDs in town, and should be everywhere. Knowing your patient is safe care and should be a minimum expectation. If your ED isn't allowing you to practice safely I would recommend finding a different hospital to work in.
  11. PeakRN

    Condescension from Critical Care Nurses Towards Med-Surg Nurses

    Do you think it is good practice for an ED nurse to not know what is going on with their patient? It certainly isn't the standard of practice in our ED.
  12. PeakRN

    Condescension from Critical Care Nurses Towards Med-Surg Nurses

    If you are just doing things and don't actually know what is going on with your patient then you are acting as a technician, not a nurse.
  13. PeakRN

    Condescension from Critical Care Nurses Towards Med-Surg Nurses

    It sounds like you were probably just tasking in the ED, that isn't emergency nursing.
  14. PeakRN

    Do Male Nurses Face Gender Bias in Nursing Education?

    I absolutely faced discrimination in nursing school for being a man. None of the female students got a speech about having to watch out for sexual harrasment complaints. None of the female students ever had their Male patients asked if they were comfortable with a female nurse. Even in class some of the instructors loved to say things like florence didn't let men into her nursing schools because men had had not provided compassionate care. Many of the other Male students struggled with getting patients in L&D, often almost failing to fulfill the clinical requirements because of the way patients were asked if they would be willing to have a Male student nurse in the room. I was very lucky that the my preceptor was an amazing nurse and would introduce that I worked in EMS and would be in the ED after nursing school so I needed to know what to do if we had a laboring mom in the ED (that job was in no way a guarantee), and that I had already delivered a couple of babies in the field. In reality I rarely feel like I face discrimination as a male nurse, but I also don't think I get any special kind of privilege. I don't end up dealing with any of the high school drama type stuff that many of our female nurses seem to engage in but I also don't get invited to many of the nights out, baby showers, pool parties, et cetera. It's a trade I'm more that happy to make. Any of the times I go to L&D to help them I don't have any special requirements placed on me, although we almost exclusively do high risk OB so I think that my presence as a man are the least of their or their partners worries. The same goes for patients I care for in the NICU, PICU, ICU, or ED; I think that when patients are actually sick gender isn't on the list of things they are worried about.
  15. PeakRN

    going back into med surg

    Now that you have a ton of experience have you thought about something like float pool?
  16. PeakRN

    Condescension from Critical Care Nurses Towards Med-Surg Nurses

    Probably a statement that could be applied to all of nursing.