PeakRN

PeakRN

Adult and pediatric emergency and critical care

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All Content by PeakRN

  1. MDs in house or at home

    I've known many pediatric and adult ICUs that don't have overnight intensivist coverage, including some very busy centers. I refuse to work in any critical care setting that does not have 24/7 in...
  2. Omnicell vs Pyxis

    Can those items be managed by supply stream though? Anything we have added has to be done by
  3. 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...
  4. 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...
  5. 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...
  6. Stethoscope recommendations?

    In the ICU? The one that stays in room to prevent the spread of
  7. 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...
  8. 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
  9. 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
  10. It sounds like you were probably just tasking in the ED, that isn't emergency
  11. Do male nurses face gender bias in nursing education?

    I doubt you would actually hold to that when you give birth. What about if your baby has complications? No Male NNP, RT, or NICU nurse? What if you have to go to the OR? No Male surgical techs or...
  12. 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...
  13. I disagree with most of your points. I've had had up to 9 patients at the same time in the ED more than once, and we typically have at least 5. I knew all of their code statuses, I knew all of their...
  14. going back into med surg

    Now that you have a ton of experience have you thought about something like float
  15. Probably a statement that could be applied to all of
  16. In full transparency when I wrote that ,and am still currently, dealing with a very frustrating and emotionally taxing patient care situation. I meant what I said but I could have phrased it better....
  17. Again, I don't condone the behavior. Also if the primary nurse performs CPR on their patient who has an order for no CPR, I doubt that any learning would ever happen. That is just plain
  18. The patient did not want to be resuscitated and the primary nurse who was aware of that started CPR. I don't understand the confusion as to why you don't do cardio-pulmonary resuscitation on a patient...
  19. I don't think that asking appropriate questions on a patient you are being consulted on to be
  20. Whenever we order a test we should already know what disease we are looking to find or exclude. While a sodium is a great thought depending on the patients individual presentation and medical course...
  21. What is it that you are calling rapid responses on? If I respond to something ridiculous I don't guarantee that my facial expressions are going to be polite. Calls for low blood pressures when the...
  22. We see no shortage of recreational marijuana use in the ED. The largest volume we see are adults who have not used marijuana since they were young several decades ago who are now consuming a drug that...
  23. While marijuana has been shown to be consumed in higher amounts by those with mental illness, it has not been shown to cause the development on any kind of long term mental health disease. Any...
  24. Suspended for touching a child's head and face

    I also suspect that there is more to the story than what is being shared. I also think it's a bit weird to he stroking the face of a 9 year old. I don't see how this would be therapeutically...
  25. End of CCT Nurses in California?

    The training classes from some unscrupulous companies may be marketed towards nurses and paramedics, but that doesn't make them the same test. The tests have different materials, different testing...