PeakRN

PeakRN

Adult and pediatric emergency and critical care

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All Content by PeakRN

  1. End of CCT Nurses in California?

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

    Not the same

  2. Appropriate use of AED?

    PeakRN replied to SoCal student's topic in General Nursing

    I wouldn't put any emotional investment in it, it isn't worth it. Any competent paramedic understands how an AED works, so he was either incompetent or being rude. If you are interested in the rhythm...

  3. Pediatric resp distress

    PeakRN replied to Lbu's topic in General Nursing

    For anyone following who is interested this is a phenomenon present when patients have a large communicating shunt between the pulmonary and cardiac circulation. We tend to think of this in our most...

  4. Pediatric resp distress

    PeakRN replied to Lbu's topic in General Nursing

    When you break the circuit you lose recruitment. In patients with significant interstitial disease this could cause further deterioration. It does nothing to address any cause of hypoxia other than a...

  5. Pediatric resp distress

    PeakRN replied to Lbu's topic in General Nursing

    This is very patient and situation specific. Is their pulse ox actually on or laying in the bed? How does the kid look, how is their work of breathing, airway patency, et cetera? How are their other...

  6. Frequency of codes in peds emergency?

    PeakRN replied to zubrowka1's topic in Pediatric

    It depends greatly on the specific ED and what the patient population looks like in the region. It also depends on what you consider a code, we have at least one 'soft code' a week. Soft codes...

  7. Talk me through this...ER to NICU just for NNP opportunity?

    PeakRN replied to Party_of_five's topic in NICU, Neonatal

    The NICU is a very different pace than the ED. Certainly there is a variety between NICUs, but there is generally speaking more of the high school feeling drama in the NICU than in most areas of the...

  8. capnography

    PeakRN replied to zzyzx's topic in NICU, Neonatal

    We use them on neonates in our NICU and PICU. We use them for the purpose of trending CO2 and correlate it with routine gasses throughout the day and with any changes. We don't use them for...

  9. Tele nurse wanting to transition to ED; advice?

    PeakRN replied to shakabrah's topic in Emergency

    You may have an easier time getting into the ED if you have some experience in the ICU. I'm not sure if having your CEN will really help that much if you have never cared for any emergency patients...

  10. Do I take the CFRN or the CTRN?

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

    If you don't yet have your CCRN or CEN start with that. Do you have any pediatric experience? Most flight programs won't hire nurses who don't have six months of experience in pediatric emergency or...

  11. New ER Nurse , Feel SO stupid

    PeakRN replied to jjaye's topic in Emergency

    8 patients is unsafe, I wouldn't work in any ED that thinks that even a veteran emergency nurses can provide safe care for that

  12. Question regarding overtime

    PeakRN replied to Hopefulnurse1823's topic in General Nursing

    That depends on your

  13. ICU to ED RN

    PeakRN replied to otterpop1989's topic in Emergency

    I went the opposite way, I started in the ED (and the fire service before nursing) and then went to inpatient critical care. I have seen plenty of nurses come from the units down to the ED though. I...

  14. Is Anyone NOT Going to be an APRN?

    PeakRN replied to Kooky Korky's topic in General Nursing

    I'd love to go advanced practice at some point, but I'm not sure if the financials will make sense and I love taking care of critical care patients at the bedside. At this point I make better money...

  15. Question regarding overtime

    PeakRN replied to Hopefulnurse1823's topic in General Nursing

    Depending on the shift incentives I've earned three times by base pay before on extra shifts. It just depends on what your employer is willing to

  16. Peak flow meters

    PeakRN replied to RNTadaaaa's topic in School

    In every hospital I've worked in the purchasing decision was made by respiratory therapy, and I've only used single patient ones. We send them home with the kids and I don't have to worry about...

  17. New Grad PICU nurse advice

    PeakRN replied to PICUNURSE2020's topic in Pediatric

    Know your emergency meds and drips. Make sure you have all of your emergency supplies at the bedside and functional. Know when to ask for help, know when to say

  18. HELP. 1:1 District School Nurse Caring for Two Students During Lunch Breaks

    PeakRN replied to LPNinGH's topic in School

    You have a kid that is stable enough to be at home but you don't think can be paired for 30 minutes? What type of care would these kids have in the hospital, would they even be on a unit or on a floor...

  19. Peak flow meters

    PeakRN replied to RNTadaaaa's topic in School

    You should always be using a peak flow meter unless the patient is too sick to do so (in which case you should be calling 911) in kids that can participate, and I've used them on kids as young as...

  20. ENPC

    PeakRN replied to lanaholler's topic in Emergency

    Follow the pediatric nursing process. Make sure that you hit all of the double star criteria in order. I have some mixed feelings. I do appreciate that we are no longer doing death by powerpoint. I...

  21. ENPC

    PeakRN replied to lanaholler's topic in Emergency

    I just re-verified my ENPC. There are online modules you need to take, these should be assigned by the course instructor. You will need a book for class (along with some printed supplements), some...

  22. Patients of gun violence vs others

    PeakRN replied to vetpharmtech's topic in General Nursing

    That's not the way that works. Bullet construction plays a large role, but even thinks like hollow points require a large terminal velocity. Hollow points that do have sufficient velocity don't always...

  23. Patients of gun violence vs others

    PeakRN replied to vetpharmtech's topic in General Nursing

    When I was in the fire service I only had one GSW, and it as a self inflicted by a senior citizen. As much as the ED functions as somewhat of a BS filter for the hospital, the same is true of EMS for...

  24. Patients of gun violence vs others

    PeakRN replied to vetpharmtech's topic in General Nursing

    I've worked from level 1 to level IV. Middle of downtown to the edge of the suburbs. I've worked in a freestanding pediatric hospital and combined medical centers. I've had far more stabbings than...

  25. anaphylaxis

    PeakRN replied to Dacatster's topic in Emergency

    Probably since the ACEP, AAP, ACAAI, and countless other physician groups still recognize and support the role that adjunctive medications can have and still exist in their emergency management...