akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Do Nurses Earn Big Money? You Decide.

    Exactly.
  2. akulahawkRN

    Do Nurses Earn Big Money? You Decide.

    Public perception of what a nurse makes is something that can vary from region to region. I suspect that people believe that nurses make a lot of money because a lot of people don't make as much as...
  3. akulahawkRN

    RN with BSN and feeling stupid

    There are those of us that have already earned their first Bachelor's who are/were essentially locked-out of any second Bacherlor's program. If I had been able to even apply to the BSN program in my...
  4. If your ultimate goal is nursing, I would recommend getting a CNA certificate because the basic skills you learn in CNA school will give you a better handle on the basic skills you learn in nursing...
  5. akulahawkRN

    In Over My Head?

    Many times you can find that you've been given an insurmountable amount of material to study from. The key thing as has been said before, prioritize. That is a big thing for you to do. And it is a...
  6. akulahawkRN

    Cheating in the Classroom

    I am glad that you do not plan to cheat. That would look bad on you and everyone else. As far as how that other student is somehow managing to do well on exams, I could not even begin to guess....
  7. akulahawkRN

    Help with assessing lungs

    You can listen to the lungs, including the bases of the lungs, from the anterior side. I don't do it like that. If I'm doing a quick evaluation of the lungs, I will listen to the top of the lungs from...
  8. akulahawkRN

    Cheating in the Classroom

    I truly cannot see how this is going to end well for anyone. If these allegations are true and the student has somehow got to the instructor to get 100% grades on exams, then that speaks very poorly...
  9. akulahawkRN

    Overtime

    I would expect that most of the opportunities for overtime would be driven primarily by the type of facility, the size of the facility, specific units within that facility (staffing needs), and so on....
  10. akulahawkRN

    Intraosseous Access - Have You Used It?

    I have taken ACLS in the past, I have also been specifically educated on how to do IO access. At the time, IO access was geared primarily towards the pediatric patient. It was up-and-coming in the...
  11. Back yourself up to when you first entered Nursing School. There's this set of core courses... called "prerequisites" that had to be taken for entry. While many Paramedics might not have taken the...
  12. akulahawkRN

    Permanent documentation... "Please advise"?

    In terms of charting, that's about how I'd chart the refusal, by adding that kind of information into the note. I would have also sent a note to (or personally advised) the physician who was covering...
  13. akulahawkRN

    What is a microbiology lab practical like?

    It has been a few years now, but as I recall why microbiology lab practical was something along the lines of identifying an unknown organism using standardized testing. This lab practical took a few...
  14. akulahawkRN

    Giving iv meds through running line

    This. I would only add that if you're using a pump, consider it the same as if it were gravity fed. I would also do the IV Push at the port closest to the patient so that there's minimal drug in the...
  15. While I can't speak for Creighton specifically, I can speak to EMT and Paramedic training in general. EMT is basically glorified First Aid, with some extra stuff thrown in. It's relatively easy to...
  16. akulahawkRN

    So what is a Hipaa violation, anyway?

    It is a HIPAA violation to discuss or disclose enough information about patient that another person not related to their care would be able to figure out who it was. The 2nd example, the patient with...
  17. akulahawkRN

    I hate clinicals!

    You need to be nice to everyone that you come into contact with at the hospital. You never know if the person you are talking to is an administrator, hiring manager, nurse manager, or will eventually...
  18. akulahawkRN

    Anyone seen any all-white shoes?

    I found a pair of all white shoes at Walmart one day. I forget the brand, but they were pretty inexpensive and they have held up well for the past 3 semesters. I don't think they're a WM store brand...
  19. akulahawkRN

    Pretty bad at starting IV's

    Remember, slow is smooth, smooth is fast. Do it the same way every time. You can't miss the vein fast enough to make a difference other than causing your patient to feel like they're on the receiving...
  20. The kind of relationship I try to have my clinical instructors is one of a collegial nature. I would personally not dream of having a romantic type relationship with any instructor of mine. Anything...
  21. akulahawkRN

    Pretty bad at starting IV's

    As many have said, perfect practice makes perfect. What also helps could be a visualization technique were you visualize yourself doing the task perfectly. This way you prime yourself for doing...
  22. akulahawkRN

    D5w KCl IV fluid in hyperkalemic infant

    You might want to take a look at what happens to potassium levels during sepsis, specifically, what happens when the body becomes a little bit acidotic. There is a shift of potassium levels in the...
  23. akulahawkRN

    Nursing Authority

    I have not bumped against this particular problem myself, however, it makes sense that a nurse can ask pharmacy for a different form of a medication that would be delivered via the same route. To me,...
  24. akulahawkRN

    Help with newborn assessment please

    This sounds a little bit like a homework question. When you meet a patient for the first time, as you would with a newborn, what four things do you check first? Remember, you are looking for whether...
  25. akulahawkRN

    This chick is insane! (Lvn& rn together)!!!

    While it seems insane, it all boils down to whether or not your friend/classmate is going to be able to manage time well. Those extra courses can be difficult and time-consuming, but with a good time...