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Critique this post positively, summarize, and expand with no bullet points, include references within 5 years.There are many “sacred cows” in nursing as a whole, and when these practices have been questioned as to why, they are often met with the response of “because that’s the way we’ve always done it.” One common “sacred cow” in the pediatric emergency room setting is to perform a full workup, including a lumbar puncture (LP), for febrile infants, under 6 weeks old. While this population is susceptible to higher degrees of infection, and very serious infections including bacterial meningitis, most of the infections causing fevers in infants are due to urinary tract infections. Only about 0.6% of cases of febrile infants are due to bacterial meningitis. Unnecessary lumbar punctures can lead to unnecessary hospitalizations, increased anxiety among parents, increased repeat procedures, and increased exposure to nosocomial infections (Lee & Aronson, 2018). Another “sacred cow” in the pediatric emergency department is keeping all patients NPO, just in case they may need surgery or sedation. Oftentimes patients are kept NPO for long periods of time, due to the potential risk of aspiration, if the patient should need to be sedated or go to surgery. It has been found that increased fasting times actually offer little benefit to patients and may increase dissatisfaction. A pediatric retrospective study found that even in emergent surgery situations, pulmonary aspiration events of

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