akulahawkRN ASN, RN, EMT-P

Emergency Department

Wee bit about me!

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All Content by akulahawkRN

  1. akulahawkRN

    School Shootings

    akulahawkRN replied to Farawyn's topic in School

    For those of you wondering why this statement was made, it's because the SRO didn't even attempt to engage the shooter. The SRO was suspended and has resigned. Here's something I haven't seen much of...
  2. akulahawkRN

    ER Orientation question

    akulahawkRN replied to HannahMarine30's topic in Emergency

    My ED does not have many standing orders/protocols and like an above poster, it is quite aggravating at times. The previous ED where I worked had fairly extensive nursing protocols that were fairly...
  3. akulahawkRN

    Paramedic Vs. Nurse

    akulahawkRN replied to Crass1017's topic in General Students

    Generally speaking, you should have your course completion certificate for Paramedic and your NREMT-P card. You contact the other state's EMS authority (whomever that is that licenses Paramedics) and...
  4. akulahawkRN

    Blood Pressure -Can't hear-

    akulahawkRN replied to WhitneyClark's topic in General Students

    Here's a tip that NOBODY here has posted yet: palpate the brachial artery first. Seriously. Find the darned thing. If you don't know where it is, you very well could be putting the stethoscope in the...
  5. akulahawkRN

    Sac city Nursing Statistics

    akulahawkRN replied to DeltaRn's topic in School, College Programs

    It is possible that they attach a TEAS and GPA "weight" to your name once you're in the lottery but I am not 100% certain of this. It's been a few years since I graduated and they were starting the...
  6. akulahawkRN

    ACLS skills session - any insight

    akulahawkRN replied to GimletMinnesota's topic in General Nursing

    In ACLS, the skills session and the megacode is the same thing. The best way you can be sure of passing the megacode is knowing how to do CPR effectively and to AHA standard, know the rhythms and the...
  7. akulahawkRN

    Sac city Nursing Statistics

    akulahawkRN replied to DeltaRn's topic in School, College Programs

    Sac City is very similar to ARC. Their application process is a little different, but in terms of numbers of applicants, seats available, etc... very similar to ARC. In other other words, it's...
  8. akulahawkRN

    Pain management

    akulahawkRN replied to Matt8700's topic in Emergency

    First off, remember that documentation is key. If the patient states they're in pain and would like medication, ask the physician. Do whatever non-pharm stuff you can for the patient. In both cases,...
  9. akulahawkRN

    How many can you get wrong?

    akulahawkRN replied to MamaBeaRN's topic in NCLEX Exam, Programs

    The NCLEX isn't likely to be like any exam you'll have ever taken in the past. There is no pass/fail percentage. You could take 75 questions, you could take 265, or you could take any number of...
  10. akulahawkRN

    This is not what I thought it was

    akulahawkRN replied to OrganizedChaos's topic in General Nursing

    A lot of knee pain comes from improper foot/ankle alignment. It's not just ensuring that your ankle and feet are put into neutral alignment, it's also ensuring that you have an effectively equal leg...
  11. akulahawkRN

    BMI Screenings totally depress me

    akulahawkRN replied to MHDNURSE's topic in School

    Body Mass Index is flawed in a very particular way. For most people, that aren't particularly athletic, it is generally useful. That being said, people that are fairly athletic can be significantly...
  12. akulahawkRN

    School Shootings

    akulahawkRN replied to Farawyn's topic in School

    Here's an update on that. They're now saying that the shooting was accidental. The girl is being basically being charged with negligent discharge of a firearm on school grounds. She claims the pistol...
  13. akulahawkRN

    ADN or BSN?

    akulahawkRN replied to sis93lisa's topic in California Nursing

    With all the prerequisites, both ADN and BSN programs are essentially the same length, when you actually start from day one of your first prerequisite course to graduation. This is because once you...
  14. akulahawkRN

    EMS talking down to Nurse

    akulahawkRN replied to heynurse1996's topic in School

    While I'm not a school nurse (I'm an ED RN), I am also a Paramedic and have been for some time. I can see how this could very easily happen. What I suspect is that the Paramedic that you were working...
  15. akulahawkRN

    Starting out in ER?

    akulahawkRN replied to YoursNursingly's topic in Emergency

    Starting out in the ED can be a great place to learn! I did and I've only worked in the ED and I wouldn't have it any other way right now. Here's the caveat to the whole thing and it can make you or...
  16. akulahawkRN

    Best experience before ER nursing?

    akulahawkRN replied to ChicagoRN3's topic in Emergency

    I think I would tend to agree with some of the above posters. While either will give you a good starting point, the fact that you wish to do ED work down the road does make a difference. While the...
  17. akulahawkRN

    ER right for me? Not an adrenaline junkie

    akulahawkRN replied to gypsierose's topic in Emergency

    I would say for new nurses that are contemplating starting out in the ED, you will learn a LOT about there. That being said, you need to be certain that you're getting a longer orientation than other...
  18. akulahawkRN

    Interim permit active after nclex

    akulahawkRN replied to whywait's topic in NCLEX Exam, Programs

    The fact that your IP is still active only means that they haven't actually updated your file. They have likely received your NCLEX results and those results are in the queue for actual processing...
  19. akulahawkRN

    I Think I my CPR Instructor Didn't Know What She Was Talking About

    akulahawkRN replied to darobow's topic in General Nursing

    Every basic first aid course I have ever attended has addressed the use of tourniquets. In short, if direct pressure does not stop bleeding in a limb (and the vast majority of the time it does), then...
  20. akulahawkRN

    Question about priming tubing

    akulahawkRN replied to aship's topic in General Nursing

    It depends upon how I'm going to run the medication. If I'm just using the IV intermittently, I'll just prime a primary line and not worry about running the drip chamber dry. If I have a maintenance...
  21. akulahawkRN

    NCLEX and SATA questions

    akulahawkRN replied to Alexx_xox's topic in NCLEX Exam, Programs

    For the NCLEX, it's all or nothing. That being said, in theory, the "wrong" answer could provide a clue as to your knowledge level and probably more so than an entirely "correct" SATA answer. What I...
  22. akulahawkRN

    Drawing up liquid medication

    akulahawkRN replied to staceywilliams's topic in General Specialties

    Preferably you should be using oral syringes that have the 0.1 mL marks for more precise dosing. If you do not and your patient is going to be getting sufficient volume that you need a 10 mL syringe,...
  23. akulahawkRN

    IV Bolus

    akulahawkRN replied to mariok's topic in General Nursing

    I work in the ED and for us, when a provider orders a fluid bolus, we run it wide open, whatever the volume is. If I need the fluid to infuse as fast as it'll go, I do two things: increase the height...
  24. akulahawkRN

    How many patients do you have on each shift?

    akulahawkRN replied to LStgo's topic in General Nursing

    At any one time or total per shift? As an ED RN, my ratio varies from 1:1 though 1:6, depending upon the the patient population I'm assigned to. Most of the time it's 1:4. Where things get fun is when...
  25. akulahawkRN

    Correct way to draw blood?

    akulahawkRN replied to Flames9_RN's topic in Patient Safety Issues

    As an ED RN, I do this all the time. What helps this happen is our phlebotomists from the lab usually show up in the patient's room at about the time I'm about to start a line. If I'm successful with...