PeakRN

PeakRN

Adult and pediatric emergency and critical care

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All Content by PeakRN

  1. Does starting in peds make it harder to transition to adult?

    PeakRN replied to wvickroy's topic in Pediatric

    Why would you want to go from peds back to adults? On a more serious note I think in general it is more difficult to go from adults to peds than vice versa from a job

  2. Exploring the Gender Pay Gap in Nursing

    PeakRN replied to Melissa Mills's topic in General Nursing

    Our nurses have a fixed pay scales and are paid the same regardless of

  3. New Grad Nurse Arrogance

    PeakRN replied to gizmojamz's topic in General Nursing

    I'm not sure how anyone feels more confident after taking the NCLEX, pass or fail, it dones't represent the real challenges of nursing. Most of us laughed about how ridiculous the questions were, it...

  4. Can nurses get their licenses revoked or suspended for fighting outside of the workplace?

    PeakRN replied to Nsco2018's topic in General Nursing

    Our BON address most of these on a case to case basis. Was it a domestic fight or mutual combat? Were there drugs/alcohol involved? Were there any minors or other vulnerable parties put at risk? Was...

  5. Open visitation in the ICU

    PeakRN replied to Mini2544's topic in Critical Care

    What are your hospitals visitation policies? Depends on the unit. Generally speaking we do not limit visiting times. We try to limit visitors to two at a time excluding end of life or other special...

  6. Macbook Air or Macbook Pro for Nursing School?

    PeakRN replied to tmccstu2018's topic in General Students

    Various manufacturers use different components in their own product lines, let alone comparing different manufacturers. Could the same foxconn component end up in a PC as a Mac product? Sure. That PC...

  7. Physiology and Nursing School

    PeakRN replied to lishamhill's topic in Pre-Nursing Students

    Nursing classes are completely different from science classes. If you follow the syllabus, complete assignments, and study what your instructor has told you there is no reason not to get an A in...

  8. Venipuncture question

    PeakRN replied to pine138's topic in General Nursing

    It is from the vein wall bouncing against the tip of the needle or angiocath as you drain the blood out. As blood refills or you reposition it will temporarily stop but if you again drain enough blood...

  9. Epic Charting

    PeakRN replied to newvillemom's topic in General Nursing

    Any editing would be tracked. I haven't used EPIC in a couple of years but I think you can only edit someone else's note if the original author shared the

  10. Ivc

    PeakRN replied to ctyrdnk12's topic in General Nursing

    It depends on your state. In my current state mental health holds can be placed by law enforcement, certain licensed mental health workers (psychologists, LPCs, LCSWs, et cetera), physicians, NPs, and...

  11. Peds (and picu/nicu) nurses- tell me about your unit!

    PeakRN replied to ML23's topic in Pediatric

    I'll give two sets of answers one for my former 'top 10' free standing children's hospital and one of my current system. Both are in the mountain/west region. Current system: 1) Do you work in a...

  12. IV infiltrate: Lessons Learned

    PeakRN replied to NeoRN11's topic in NICU, Neonatal

    Same story, we don't give TPN through a peripheral, we will only give up to D10. At a minimum we need a low line to give

  13. Clinical question?

    PeakRN replied to amzyRN's topic in Emergency

    In our system if an ambulance is coming in emergent the assigned primary nurse is expected to be in one of the trauma rooms and ready to take the patient. The EMS services that bring the majority of...

  14. What is your favorite specialty of nursing? (ER, MedSurg, ICU, Pediatrics, etc.)

    PeakRN replied to LindseyPar's topic in General Nursing

    I love the Peds ED. Adult ED, Prehospital, ICU, and PICU all come in a moderately close second. I enjoy peds in general, kids just want to be kids but the adults seem to live in their disease state....

  15. Macbook Air or Macbook Pro for Nursing School?

    PeakRN replied to tmccstu2018's topic in General Students

    I use a Macbook Pro and love it. I bought a Mac for the first time when I started nursing school because I was tired of dealing with PCs that would stop working at the most inconvenient times. I...

  16. Question about nursing, law enforcement, and HIPAA

    PeakRN replied to twinmommy+2's topic in HIPAA Challenges

    They would need a warrant signed by a judge, if so I would send them to medical records. I would have your risk management and legal departments draft your policy. Laboratory results in the hospital...

  17. Nurse Extern in the ED

    PeakRN replied to vg2481's topic in Emergency

    The point of a capstone/practicum/internship/externship is to learn. The aspect of the extended interview is not to learn about your knowledge, you are not an ED nurse and they expect that. What...

  18. BSN vs ADN + Bachelors

    PeakRN replied to ns90's topic in Pre-Nursing Students

    Have you considered an accelerated

  19. Have you ever

    PeakRN replied to Pgapple's topic in NICU, Neonatal

    I have yet to see a premie that early not require intubation, but I also don't think that was the NPs concern. We should be providing care as it is needed on an individual basis, not simply based on...

  20. Tetanus Vaccine IM - into injured or non-injured limb?

    PeakRN replied to TheEternalOptimist's topic in General Nursing

    I typically give injections in the arm a patient injured, they are going to be sore regardless and why make both arms sore if it can be just one? That being said I also give patients the option and it...

  21. ED or ICU New Grad

    PeakRN replied to abonner0905's topic in General Nursing

    If your long term goal is to work in the ED I would take that opportunity, the ED is a very unique care environment and in many ways isn't easy to transition into or out of. If your desire is to...

  22. High School Senior Looking for advice?

    PeakRN replied to inkedwords's topic in General Nursing

    I think you should spend some time shadowing docs and nurses and figure out which you would actually prefer. How much time you spend with patients and what level of relationship you build with them...

  23. Psych pts protocol

    PeakRN replied to joyful_wanderer's topic in Emergency

    We have all psych patients change into a gown that is psych specific for safety and identification, if they are on a hold they do not have a choice. CMS in well aware of our practice and doesn't have...

  24. new nurse advice. screwed up?

    PeakRN replied to introuble7's topic in First Year After Licensure

    You have a hypotensive and bradycardic patient who is pale and reports being groggy. She should have had pre-op labs performed and a pre-op EKG, I would call anesthesia and request an order for...

  25. Do you look up the push rate for IVP meds?

    PeakRN replied to Nsco2018's topic in General Nursing

    If you are not familiar with a medication you should be looking it up. Many medications have greater side effects when pushed quickly, even ones that you may not consider 'serious' medicines like...