PeakRN

PeakRN

Adult and pediatric emergency and critical care

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All Content by PeakRN

  1. Non productive overtime

    PeakRN replied to Minn_RN's topic in General Nursing

    Like many of the others I can't imagine why I would show up early to look at charts before taking report. I also don't work for free, so you will never find me at the hospital working on my time off....

  2. Roll Call - Who's Been Around the Longest and Your Accomplishments

    PeakRN replied to traumaRUs's topic in General Nursing

    Being part of ED, critical care, and prehospital teams that have successfully resuscitated children and their parents, helped to bring life into the world, helped out kids to beat cancer, kept gun...

  3. Incompetent to Make Decisions

    PeakRN replied to SisterofMary's topic in General Nursing

    First and foremost I would talk to your ethics and compliance, risk management, and legal teams. Some of this varies by state, and what hospital policies you already have in place. I'll give you a few...

  4. Tylenol for fever in a patient elevated LFTs

    PeakRN replied to sweaver617's topic in General Nursing

    We often give tylenol to patients with elevated LFTs, in more extreme cases the liver team (transplant surgery and hepatology) would tell the patient that they could only have 325 BID or none at all,...

  5. Should I take this job!?

    PeakRN replied to SICURN1988's topic in General Nursing

    If you feel bad enough about it you could tell them that and see if they are still interested in hiring

  6. Page MD off work?

    PeakRN replied to Lapreea's topic in General Nursing

    I feel like there is more to the story than you are letting on. Why are you paging a doc but are okay waiting for a while? Why are you paging a provider who isn't actually on call? How did you even...

  7. Triage scenario, opinions needed.

    PeakRN replied to Jasel's topic in Emergency

    Intoxication absolutely impairs judgment and is (depending on your state) a justifiable reason for a medical hold to be placed. If patients present to our ED we can legally hold them against their...

  8. CPEN study

    PeakRN replied to Guest219794's topic in Emergency

    If you don't care for sick kids much why do you have the desire to test for CPEN? ENPC is designed for nurses who need critical skills for sick kids but in low pediatric census environments, it sounds...

  9. Central Line Placement and Masks

    PeakRN replied to applesxoranges's topic in Emergency

    Everyone in the room must have a mask and scrub cap/bouffant, the patient is has maximal barrier precautions in place including a full body drape (their face will be under the drape), and anyone...

  10. Transport Team and Incubator

    PeakRN replied to eni219's topic in Flight, Surface Transport

    Fixed wing and ground units will place little value on weight, and charging isn't as big of a deal as you might be inclined to think as there is plenty of power available in those transports. Rotor...

  11. Calling Report to ER from Urgent Care

    PeakRN replied to misdetermined's topic in General Nursing

    EMTALA is not the only law governing the need to give report. Before anybody claims that there is no need to give report on a patient who has been deemed to be sick and need a higher level of care, I...

  12. Calling Report to ER from Urgent Care

    PeakRN replied to misdetermined's topic in General Nursing

    Ideally our charge nurses take report on any patient being sent to us, I don't decide who is going to take a patient until I get the call from EMS or they arrive, the ED is far too dynamic for me to...

  13. CEN as a new grad ABSN?

    PeakRN replied to cheezbawl2003's topic in Emergency

    Your question nails the answer exactly. It would be very polarizing to apply and already have your CEN, some EDs with love it, many will hate it. I doubt there will be a whole lot in the middle. Our...

  14. Nursing student interested in oncology

    PeakRN replied to Steve627's topic in Oncology

    The Oncology Nurses Society has some great resources. Our hospital has a very large oncology and transplant program, so we have CE all of the time and welcome outside healthcare clinicians and...

  15. New Grad to Busy ER

    PeakRN replied to scott47's topic in Emergency

    I think that you have received some great advice so far. Your ED sounds like a very toxic environment, and unfortunately is not dissimilar from many urban EDs. I love my ED because we are a tertiary...

  16. % infants in Peds? Male RN in Peds?

    PeakRN replied to Lemon Bars's topic in Pediatric

    I'll let out the slightly jaded answer first. Sick patients and parents of sick children don't care about the gender of their clinical staff. I've never had a laboring mom refuse me caring for them,...

  17. ER Nurses

    PeakRN replied to Tiaconrad94's topic in General Nursing

    There are absolutely new graduate programs for EDs, but they have competitive application processes and don't expect the biggest name university affiliated programs to have the best ED new graduate...

  18. Blood specimen from iv sites.

    PeakRN replied to omotee's topic in General Nursing

    We have been drawing off of existing IVs in the ED and Peds for a long time, why it has taken the rest of the adult world so long to catch up is beyond me. There are certain tests that cannot be drawn...

  19. If you could start all over, would you choose nursing again?

    PeakRN replied to FutureMrDrNurse's topic in General Nursing

    1) Would you choose nursing as a career if you could choose again? Probably. 2) Why or why not? I don't like the way hospitals manage nurses, and I have worked for multiple for profit and non-profit...

  20. Who else uses Saline Flushes for contacts?

    PeakRN replied to Adenosine6's topic in Emergency

    When I wore contacts I used saline bullets and flushes all the time. When I got lasik my ophthalmologist asked me if I had artificial tears at home I told him a had a ton of saline bullets at home and...

  21. Misuse of the ER

    PeakRN replied to ShortFuse's topic in General Nursing

    Far from the worst I've had. I've had patients check in to ask for a bus ticket or to try to get a medicaid cab across town without any

  22. Can I please get a Parking Spot!

    PeakRN replied to ArrowRN's topic in General Nursing

    Docs and nurses park in the same garages on campus, it takes me less than a minute to walk into my unit from where I park. We don't charge for

  23. Triage Nurses: what are your favorite phrases to document?

    PeakRN replied to nerdgrl's topic in Emergency

    Let me clarify that the cellphone comment or similar documentation (eating Cheetos/Mountain Dew, laughing, et cetera) needs to be relevant to the patient's complaint. For example if the patient...

  24. Triage Nurses: what are your favorite phrases to document?

    PeakRN replied to nerdgrl's topic in Emergency

    Just write what reinforces the patient being sick or not sick. Be careful of certain phrases unless they are actually appropriate, do I care that the patient complaining of an ankle injury sends a...

  25. NICU Travel RN

    PeakRN replied to taygmeeg's topic in Travel

    If we hire travel nurses to the NICU they don't do patient care on other units, if for some reason the NICUs are really low census they may be floated as a sitter elsewhere in the hospital, but I've...