PeakRN

PeakRN

Adult and pediatric emergency and critical care

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All Content by PeakRN

  1. Why working as an ED nurse so competitive?

    PeakRN replied to ScaredRN's topic in Emergency

    I'd take that over having two traumas in the hall and a full

  2. Impella training

    PeakRN replied to icuhopeful's topic in Critical Care

    Whenever we have a new device we spend typically 2-4 hours in a course and then typically one shift at the bedside orienting (whether this is for impellas, IABP, CRRT, HFOV/JETs, and so on). We will...

  3. Need opinions on difficult code

    PeakRN replied to EDRN522's topic in Emergency

    Unless a patient is dumping potassium and has tolerated incrementally larger doses then I highly doubt that a rate faster than 20 an hour will be safe. Just because you have a policy doesn't mean you...

  4. Why working as an ED nurse so competitive?

    PeakRN replied to ScaredRN's topic in Emergency

    Tell that to the two traumas I had to work in the hall because we had no open rooms and all of the city blew up at

  5. Need opinions on difficult code

    PeakRN replied to EDRN522's topic in Emergency

    Potassium releases myocardial contraction. Low K leads to ectopy but typically not something you would ever give that aggressively. We don't replace more than 1meq/kg/hour to a max of 20meq. You noted...

  6. Why did you choose that nursing program (current or past)?

    PeakRN replied to NurseBlaq's topic in General Nursing

    But how am I supposed to live without knowing that Linda and her husband might be swingers and Susan's teenage daughter just got pregnant by a 20 year old high school

  7. Why did you choose that nursing program (current or past)?

    PeakRN replied to NurseBlaq's topic in General Nursing

    Not a reply to my post but I thought it would be relevant. My program only had acute care clinicals other than psych and community health. I knew that I wanted to work in the ED out of school, and the...

  8. Why did you choose that nursing program (current or past)?

    PeakRN replied to NurseBlaq's topic in General Nursing

    I chose my program because I got instate rates, a BSN from the get go (I already had two other degrees), good pass rates, a good reputation, and they didn't require applicants to have their CNA like...

  9. Questions about Autism Behavioral Therapy

    PeakRN replied to AlisonG's topic in PICU, Pediatric

    I can't speak to the Pennsylvania aspect, but there are many therapy modalities that can be utilized for kids with autism. Speech-Language Pathologists are one of the most underutilized in my opinion....

  10. Any pediatric pearls of wisdom?

    PeakRN replied to DinasaurRN's topic in General Nursing

    I would take that with a grain of salt. Many kids respond well to physical touch but it really depends on the situation and the individual kid. Kids on the autism spectrum, PDD, or other sensory...

  11. Any pediatric pearls of wisdom?

    PeakRN replied to DinasaurRN's topic in General Nursing

    If you look through the pediatric specialty area you will find tons of very helpful advice. I think the biggest thing that I think gets missed is to be honest and genuine with the kids, and talk to...

  12. Does the Doctor-Nurse Game Still Exist?

    PeakRN replied to Nurse Beth's topic in General Nursing

    I'm happy to say that I've never had a relationship like this with any physician. There are definitely some old school PCPs, surgeons, and hospitalists who have tried, but I've shut it down every time...

  13. Admit to discharge: integration of peds imc and ICU

    PeakRN replied to Cvedrn's topic in PICU, Pediatric

    Pediatric cardiac nurses are perfectionists. Every mL is counted, total fluids need to be precise every hour, fluid balance should be at goal every shift perfect. Especially nurses from old school...

  14. Admit to discharge: integration of peds imc and ICU

    PeakRN replied to Cvedrn's topic in PICU, Pediatric

    Quite a few PICUs will discharge directly from the unit, especially those without true stepdown units. Often our medically complex patients are too difficult to appropriately organize care or have the...

  15. What conference benefits does your hospital offer?

    PeakRN replied to sarah.b2024's topic in General Nursing

    We are given a number of elective education hours that we can use however we please in addition to mandatory education. Some staff use this for dinner presentations, some use it for various classes or...

  16. Help! ICU day shift to NICU night?

    PeakRN replied to Bjones94's topic in General Nursing

    I would see if you can shadow in the NICU before you discount it. The NICU is very different from other care areas, and in many ways is much less stressful. There are plenty of kids who will be...

  17. RNs giving patient lab results.

    PeakRN replied to Dperez201's topic in General Nursing

    From time to time I wonder if some of the posters on here really have the experience they claim, or are even nurses at

  18. RNs giving patient lab results.

    PeakRN replied to Dperez201's topic in General Nursing

    I don't think you are telling the truth. Never have I heard of someone having a TSH of 30 because they were on synthroid but otherwise had a normal thyroid. I looked in the literature and I can't find...

  19. RNs giving patient lab results.

    PeakRN replied to Dperez201's topic in General Nursing

    You really think taking extra synthroid would cause you to have an elevated TSH, do you actually understand the meaning of an elevated TSH? You know that untreated elevated TSH in pregnancy is...

  20. RNs giving patient lab results.

    PeakRN replied to Dperez201's topic in General Nursing

    You posed the question for the lowly nurses to answer. There is a difference between telling a patient that they have a specific diagnosis and telling them something like 'when thyroid stimulating...

  21. Paid for Mandatory Online Learning from Home?

    PeakRN replied to J.Adderton's topic in General Nursing

    If possible we prefer staff to do their online education during shift, however they have access to complete it at home. All staff are eligible for paid time at home. If staff are repeatedly claiming...

  22. RNs giving patient lab results.

    PeakRN replied to Dperez201's topic in General Nursing

    So when a family has a question about their plan do you come to the bed side every time? I assume you worked at the bedside at one point. Did you tell diabetic moms what their blood sugar was before...

  23. RNs giving patient lab results.

    PeakRN replied to Dperez201's topic in General Nursing

    Would you like to give a better case presentation than just a lab result? Patients are more complex than one lab. An elevated TSH could present with a myriad of conditions including endocrine,...

  24. RNs giving patient lab results.

    PeakRN replied to Dperez201's topic in General Nursing

    This is very facility and even unit dependent. At my old system anyone outside of medical staff (Docs, APRNs, PAs...) were prohibited from giving 'diagnostic results' to patients whether it was labs,...

  25. Women's Right to Choose

    PeakRN replied to River&MountainRN's topic in General Nursing

    I doubt most prolife advocates are morally okay with abortion in rape, but the chance of winning an argument or passing a law that also excludes is far less likely to happen. Let me put this into a...