akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Old Dog, New Tricks

    akulahawkRN replied to Davey Do's topic in General Nursing

    DaveyDo, your cartoons have had me ROLLING!!!! You truly have a fantastic wit and a great way to express
  2. akulahawkRN

    Emergency outside of work

    akulahawkRN replied to sbtr50's topic in General Nursing

    About that code, you have to get that victim to dry ground. That means you might have to stop compressions to do so and carry the victim to shore. Lifeguards know this. Once on shore you can dry off...
  3. akulahawkRN

    Emergency outside of work

    akulahawkRN replied to sbtr50's topic in General Nursing

    I don't check pupils in my primary survey. It's not relevant data at that point. I might get to it in a secondary survey but if my patient is dead and I'm compelled to even begin CPR on a trauma...
  4. akulahawkRN

    Emergency outside of work

    akulahawkRN replied to sbtr50's topic in General Nursing

    Out of the box, so to speak, nurses generally get zero training in prehospital care. I'm not saying that nurses can't learn how to do it, it's just that there's much they don't know. I'm both a...
  5. akulahawkRN

    Why nurses don't want to talk to a ward psychologist?

    akulahawkRN replied to manjar's topic in General Nursing

    Aside from mandated CISM debriefings, I won't typically talk to a staff psychiatrist or psychologist while at work regarding issues of a personal nature. As others here have stated, we just usually do...
  6. akulahawkRN

    Posting resident info on Facebook

    akulahawkRN replied to FashionablyL8's topic in HIPAA Challenges

    Unless that resident/patient has given express consent to having his/her info posted anywhere in public (including Facebook) then that likely very much IS a HIPAA violation as it likely wouldn't be...
  7. akulahawkRN

    Inform me

    akulahawkRN replied to Kendrick2's topic in Men in Nursing

    I really enjoy what I do. Of course there are aspects of the job that I don't like (such as when the patient has diarrhea, doesn't tell you and you discover them in a pool...) but for the most part, I...
  8. akulahawkRN

    Nursing Dx

    akulahawkRN replied to arosario82's topic in General Students

    I have bolded some potential places to start. If you have a current NANDA book that defines the various Nursing Diagnoses, there are some diagnoses that may fit what I've bolded. Now what you need to...
  9. akulahawkRN

    I failed out of nursing school midway, now what?

    akulahawkRN replied to Jkliu888's topic in General Students

    OP: So, you failed out of nursing school. That happens, probably more often than you think. It happened to me too. Here's the thing about me: I'm a very good test-taker and I know what method of study...
  10. akulahawkRN

    ED nurses more educated than other specialties?

    akulahawkRN replied to trauma_lama's topic in Emergency

    While ED nurses do get many certifications, they rarely get to really become a master of none but resuscitation. They get a very wide base of education but they don't need (usually) to delve too...
  11. akulahawkRN

    No Restraint Policy

    akulahawkRN replied to khrisrk's topic in General Nursing

    Actually they are... just not medical restraints. OP: I know this is/was basically a homework assignment. First of all, I wouldn't work in an ED that had a "no restraints" policy. Such a place would...
  12. akulahawkRN

    Timeline for a bruise

    akulahawkRN replied to iamoph's topic in Geriatric, LTC

    There is no "timeline" for bruise healing. They take however long they take. Sometimes the discoloration just fades away and that can take months. The color change in bruises is due to the breakdown...
  13. akulahawkRN

    Can a nurse suggest a prescription device to a patient?

    akulahawkRN replied to mlkls13's topic in Nursing Professionalism

    To me, the way this is being suggested is very shady. Potentially bad for the company, the bedside nurse, and the OP. In short, I see this as an attempt to circumvent some rules and regulations by...
  14. akulahawkRN

    ED Nursing

    akulahawkRN replied to ksusn's topic in General Nursing

    While it's good to get experience doing IV's, blood draws, foleys, etc... those are just skills. Much depends upon the amount of time you spend in the ED during your practicum. At least for a little...
  15. akulahawkRN

    To those who see strokes, could you help me better understand?

    akulahawkRN replied to monolithwolf21's topic in Neuro Intensive Care, ICU

    All I will say is that given the description given, there's likely very little, if any, remaining function above the brainstem. As long as that still works and the body receives appropriate...
  16. akulahawkRN

    NG insertion fail..anyone else?

    akulahawkRN replied to zacarias's topic in General Nursing

    I have had reluctant patients actually thank me for inserting their NG tube... but my technique is NOT different from the the standard way of inserting the NGT. The thing I do is choose the size to...
  17. akulahawkRN

    Demoted from ICU to IMCU

    akulahawkRN replied to TiffanyB1313's topic in General Nursing

    Starting out in any "high performance" unit like ICU, IMCU/Step-Down, or the ED can be very challenging for a new grad. This is partly because they're not only having to orient you to the unit and the...
  18. akulahawkRN

    Demoted from ICU to IMCU

    akulahawkRN replied to TiffanyB1313's topic in General Nursing

    IMCU is (I think) an acronym for Intermediate Care Unit (aka ICU step-down). Its' for those patients that are too sick for Med/Surg or Med/Tele but not sick enough for an ICU bed. Because of this...
  19. akulahawkRN

    Anterior vs. Inferior MI

    akulahawkRN replied to miamiheatrn's topic in General Specialties

    Caveat: I'm no cardiology expert. Remember that anterior and inferior MI's involve different areas of the heart and are supplied by different coronary arteries. Those coronary arteries also supply...
  20. akulahawkRN

    Should I keep my Paramedic Card

    akulahawkRN replied to Molemedic's topic in General Nursing

    OP: I'm in a similar position as you. I'm an RN that's also a Paramedic. I have retained my Paramedic license for quite a while, though I have not technically "used" the license in several years. I do...
  21. akulahawkRN

    Re wrapping splints?

    akulahawkRN replied to Shellaaay10x's topic in School

    There are quite a number of elastic tapes that are used in injury and splint stabilization, many of which nurses just don't use much. Part of the education an AT receives is proper selection of tape...
  22. akulahawkRN

    Obtaining Consent and Confrontation With Physician

    akulahawkRN replied to rn21191's topic in General Nursing

    OP: you did exactly what you should have done. Your actions protected the patient's wishes, your license, the surgical teams licenses, and potentially avoided a lawsuit and potential criminal charges...
  23. akulahawkRN

    Re wrapping splints?

    akulahawkRN replied to Shellaaay10x's topic in School

    This is very much correct. My understanding is that coaches are at least encouraged to attend a basic "Care and Prevention of Athletic Injuries" course. This was required at my University of all...
  24. akulahawkRN

    Re wrapping splints?

    akulahawkRN replied to Shellaaay10x's topic in School

    This is another reason I'd re-wrap. Once you become aware of a splint or wrap that has been misapplied or has come off, if you do nothing about it, you risk being negligent by omission. This is...
  25. akulahawkRN

    ER triage assessment V full assessment

    akulahawkRN replied to boz2841's topic in General Nursing

    Triage assessment is not a full assessment. Triage assessments are done to allow you to sort the patients by severity so the ED's resources can be properly managed. The "full" patient assessment is...