akulahawkRN ASN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Charge Nurses Keep Stalling, What Can I Do?

    I see this at my own hospital. The floor managers or charge nurses sometimes drag their feet in getting admissions. Sometimes it really is them looking for appropriate inpatient orders and looking for...
  2. I know of an internal candidate (not me) who was offered a position, last week, in a Sacramento area RN residency program. I will not say who this is nor the position offered to protect anonymity, but...
  3. akulahawkRN

    Medical Emergencies in Public

    Yes, it IS a different (and litigious) world out there than it used to be (or at least than we remember). I wouldn't say a health professional shouldn't stop and render aid, more that a health...
  4. akulahawkRN

    Medical Emergencies in Public

    The vast majority of Registered Nurses that are either fresh out of school OR have just completed a new hire preceptorship do NOT know much more about First Aid measures than the lay person. Yes, they...
  5. akulahawkRN

    CCU vs ER

    I'm pretty much like FiremedicMike. I'm way too ADD for basically any ICU on a long-term basis. I also enjoy stabilizing the really sick patients. They can keep my attention for a while. 😉 Once...
  6. Sometimes the problem is that the solution is just old/bad. I definitely do taste the Bitrex but last year I ran into an issue where I could not. Neither could the tester when I stated I was unable to...
  7. akulahawkRN

    President Biden thread

    Given that androgen deprivation therapy is a 1st line treatment for aggressive metastatic prostate CA, this does come with a few potential side effects... the below is from:...
  8. akulahawkRN

    President Biden thread

    I will say only this: for someone as public as POTUS, I believe a PUBLIC "clean bill of health" about as far as I can throw it. It would not surprise me in the least if it later becomes known that Joe...
  9. akulahawkRN

    Why Succs after Etomidate?

    You sedate first then use the neuromuscular blockers. It's incredibly frightening to the patient if they're awake and are paralyzed. If you don't sedate them, they'll remember everything you do to...
  10. Are you dead? If the answer to that question is no, then the answer to the nursing question is no. Beyond that, whether you feel like you should become a nurse is entirely up to you and whether you...
  11. akulahawkRN

    Male nurses

    I have been at this nursing gig for about 10 years now, all of it in the ED. About the only change I would have made was getting into nursing sooner. Women nurses can be, shall we say, about as "bad"...
  12. akulahawkRN

    American River College (ARC) Nursing - Fall 2025

    For those of you that clicked on "accept" or "decline" from within the tracking site and before you got an email, you probably won't get a separate "congrats" email as you will have already been...
  13. akulahawkRN

    American River College (ARC) Nursing - Fall 2025

    Congrats to all whom got accepted! If you you saw the accept/decline option when you logged in, you were selected and it is up to you to determine if you take that seat or not. If by now you haven't...
  14. akulahawkRN

    American River College (ARC) Nursing - Fall 2025

    From my recollection, SCC and ARC both will give themselves 6-8 weeks to look over all the applications they receive. I also seem to recall that they begin changing status of applications at around...
  15. While I'm being both discouraging, I'm also trying to be challenging too, though probably not as well as I'd like. I think the point I'm making is, ultimately, there is no way to really balance...
  16. Going to school 10 hours/day, 5 days/week and trying to work full time is going to be basically impossible to balance. You're asking yourself to work and go to school 90 hours per week NOT including...
  17. akulahawkRN

    LPN or RN school?

    I would say that it would greatly depend upon a lot of factors as to what paths I might recommend. One of those things is money. Generally speaking, if there's an LPN-BSN pathway, that implies...
  18. akulahawkRN

    CA 1st Time RN Renewal Help Please!

    The wording is a bit odd but it just means that if you're fresh out of school, you don't need to do the 30 hours of CE for the first 2 years. If you've obtained your license elsewhere and subsequently...
  19. akulahawkRN

    Stable Vtach

    VT isn't inherently stable. Your patient might be asymptomatic but that's going to be temporary. My only real concern in this is having only a 1/2 dose of an antiarrythmic onboard before...
  20. akulahawkRN

    The Kamala Harris Thread

    Yeah, understandable. Biden isn't exactly the sharpest tool in the shed now. Kamala is younger, has more stamina, and she is a good speaker. She gave the Dems a fighting chance to retain the...
  21. akulahawkRN

    The Kamala Harris Thread

    What I find interesting is that in Kamala's pick of Walz over Shapiro is that by doing so, she is cementing herself as being, at the least, more left-leaning and not so much a moderate. Yes, I know...
  22. The public does get the idea that nurses do make a "lot of money" simply because nurses DO make a lot of money... but it's all relative to local markets. Nurses make more than most, less than many....
  23. akulahawkRN

    Can a RN legally supervise BSN's and MSN's?

    I'm going to pretty much echo the above. An RN, regardless of possession of an academic degree, is an RN. An RN may clinically supervise another RN unless that other RN possesses a higher level...
  24. akulahawkRN

    The Trump Thread

    While his injury may have been caused by debris, I haven't yet seen evidence of the teleprompter to Trump's right being shattered. It well could have been, but had it been shattered, I would further...
  25. akulahawkRN

    The Trump Thread

    Ideally scientists use the scientific process, but they can very much be swayed by politics and/or public opinion to shape their output. They're only human. However, Congress does delegate certain...