PeakRN

PeakRN

Adult and pediatric emergency and critical care

Member

  • Content

    547

  • Visitors

    7,495

  • Followers

    1

  • Likes

    400

All Content by PeakRN

  1. Is the future of ER Nursing I-stats?

    PeakRN replied to gcupid's topic in General Nursing

    Sensationalism is not professional, and has no place in evidence based practice. Since you don't seem to like my thoughts and experience on sepsis management tell me yours. What is your facilities...

  2. Is the future of ER Nursing I-stats?

    PeakRN replied to gcupid's topic in General Nursing

    We are just as accountable for cost management as the next hospital. We just happen to see a lot of very sick, very high risk sepsis patients and have become well practiced in their management. The...

  3. Is the future of ER Nursing I-stats?

    PeakRN replied to gcupid's topic in General Nursing

    Patients had poorer outcomes. Sepsis deaths were higher, we had more cardiac cripples, worse trauma outcomes, and the list goes on. As a regional leader in sepsis, severe sepsis, and septic shock...

  4. Is the future of ER Nursing I-stats?

    PeakRN replied to gcupid's topic in General Nursing

    Point of care testing has been the standard of care in the ED for a long time, and honestly any ED that isn't using them is at least a decade behind modern practice. Istats are used in EDs, ORs, ICUs,...

  5. Plant-based (vegan) mandate for NY hospitals

    PeakRN replied to Emergent's topic in General Nursing

    Do you think that the hospitals will serving healthy vegetarian

  6. Plant-based (vegan) mandate for NY hospitals

    PeakRN replied to Emergent's topic in General Nursing

    Did I every say that there shouldn't be vegetarian or vegan options? I just think we should be realistic. It isn't necessarily providing any healthier options. We are still providing limited options...

  7. Plant-based (vegan) mandate for NY hospitals

    PeakRN replied to Emergent's topic in General Nursing

    Telling someone that their meal is halal since it is vegetarian is about the same as saying you have vegetarian options and only having mac and cheese and an apple. Same for other popular diets. If we...

  8. Plant-based (vegan) mandate for NY hospitals

    PeakRN replied to Emergent's topic in General Nursing

    And yet they aren't mandating a variety of other popular diets. There is clearly some secondary

  9. Plant-based (vegan) mandate for NY hospitals

    PeakRN replied to Emergent's topic in General Nursing

    I have no problem with offering vegetarian options. For traditional and religious reasons there are several times of the year that I end up eating vegetarian as it is easier that trying to figure out...

  10. Plant-based (vegan) mandate for NY hospitals

    PeakRN replied to Emergent's topic in General Nursing

    I don't think it's some kind of conspiracy. I think it's probably legislators who have a inadequate understanding of nutrition mandating changes that they don't actually fully

  11. Plant-based (vegan) mandate for NY hospitals

    PeakRN replied to Emergent's topic in General Nursing

    I have no problem with vegetarians, I have several of them in my family. I wouldn't automatically assume that a vegetarian diet is a healthy one, there are plenty of vegetarians and even vegans who...

  12. PICC Lines And Air Bubble

    PeakRN replied to NewNurseDee's topic in General Nursing

    The consequences and risks of air embolism depends more on the individual patient and less on the access type. If a patient has no shunt between the left and right sides of the heart then the air will...

  13. Code Blue: Just Trying Figure Out What Happened?

    PeakRN replied to Binz's topic in General Nursing

    If the patient was hypotensive from their cardiac history then norepi is the wrong choice. If the patient was hypotensive from septic shock then norepi is the wrong choice. If a patient is in cardiac...

  14. Code Blue: Just Trying Figure Out What Happened?

    PeakRN replied to Binz's topic in General Nursing

    Yes, I read the history of CHF and Afib. One of the questions is why is the patient hypotensive and requiring pressors. If we believe that the patient is hypotensive not as a result of sepsis but...

  15. Code Blue: Just Trying Figure Out What Happened?

    PeakRN replied to Binz's topic in General Nursing

    Patients in early spesis/severe sepsis/septic shock do not need to be diuesed in the ED. They need volume resuscitation, the pathophysiology of sepsis results in 3rd spacing (which includes the...

  16. Does the level of trauma center matter?

    PeakRN replied to SR8811's topic in Emergency

    Trauma level is one of my pet peeves when it comes to EDs and medical centers as a whole. I've worked in Level Is and undesignated centers, and currently work in a level IV. The higher the trauma...

  17. Code Blue: Just Trying Figure Out What Happened?

    PeakRN replied to Binz's topic in General Nursing

    As a ED and adult/pediatric congenital cardiac intensive care nurse I'll give you a few thoughts. Patients on pressors/inotropes should not be eating. When patients have limited perfusion your body is...

  18. Job offers! Small ER or big ER?

    PeakRN replied to allmurses's topic in Emergency

    This isn't necessarily true. In our system our Level 1 hospital has a smaller ED than our level 2

  19. Potentially Hypochondriac Sister

    PeakRN replied to keepitsimplesilly's topic in General Nursing

    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...

  20. 2 years med/surg means nothing in job hunt

    PeakRN replied to stren003's topic in General Nursing

    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...

  21. IV Tube organizer

    PeakRN replied to Gampopa's topic in Critical Care

    Why not just use 3 way

  22. Do male nurses face gender bias in nursing education?

    PeakRN replied to SafetyNurse1968's topic in General Nursing

    I'm only responding to your

  23. Do male nurses face gender bias in nursing education?

    PeakRN replied to SafetyNurse1968's topic in General Nursing

    Your posts are marginalizing women traumatized by

  24. Do male nurses face gender bias in nursing education?

    PeakRN replied to SafetyNurse1968's topic in General Nursing

    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

  25. Do male nurses face gender bias in nursing education?

    PeakRN replied to SafetyNurse1968's topic in General Nursing

    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,...