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  1. PeakRN

    Most Burned Out Nursing Specialties?

    Burned out as in jaded? Emergency. Burned out as in uninvested in nursing? That's going to be a bit more difficult, although I think med/surg has a good chance of being the winner.
  2. PeakRN

    Nurse Charged With Homicide

    From my understanding this nurse made several deviations from the standard of care that placed the patient at risk and the patient resulting died. While I sympathize with her, it doesn't change the level of neglect that occurred and that her actions killed the patient. I also think that we should remember that she has not yet been convicted, and is legally innocent until proven guilty in criminal court. She hasn't just been thrown in the prison, she will have her day in court to defend herself and a jury will make a decision based on her and the prosecutors evidence. I don't think that given the apparent circumstances that their be a criminal investigation or a trial.
  3. PeakRN

    hyponatremic seizure

    It doesn't, but if a patient comes in seizing and we don't know why, we aren't going to get saline. We wouldn't know that they are hyponatremic until we have their lytes back.
  4. PeakRN

    hyponatremic seizure

    Yes, several times. It looks like a seizure. You treat with hypertonic saline, but if you give too much you can cause demyelination. Often these patients get a bandaid fix by a benzo or other classic antiseizure med, but this neither corrects the problem nor is the most appropriate treatment. That being said upon initial presentation we often will not know their etiology and we aren't going to give 4% saline to every seizure we see. Good luck on your homework assignment.
  5. PeakRN

    Air Force Reserves flight nursing Vs. Navy active duty

    To get a direct commission with a flight nurse billet is essentially unheard of, and there are very few for ED nurses. Without experience in that specialty you won't get a direct commission. Even then there is no guarantee that after a few years you won't be put into a different care area, and you don't really get a choice in that. Don't trust a promise that a recruiter makes unless you have it in writing. They have recruitment numbers to maintain so they will often say anything to get you hooked. The fact that they had you taking to a chief says enough about their empty promise, enlisted staff cannot commission officers. The military is also downsizing a fair number of the healthcare staff, so keep that in mind when you consider your pursuit of a commission.
  6. PeakRN

    On call pay

    Our ICUs, PICU, NICUs, critical care and pediatric float pools, as well as services like the OR all have call lists. Most of our floors don't have call. Depending on the season the EDs sometimes have a call list (when we are short staffed but our census supports us running lean), but we haven't had to in a while. As a referral center it is very hard to predict how many transfers we will see in a shift, and most of our staff would prefer to be at home than at work bored and underutilized.