akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Bumex Drip Medication Error

    akulahawkRN replied to nurseclairebear's topic in Patient Medications

    I would say in and of itself, no. However, it causes loss of sodium, potassium, calcium, chloride, and magnesium. I would expect that those effects you observed very well could be the result of all...
  2. akulahawkRN

    Taking ACLS Class Tomorrow...

    akulahawkRN replied to westieluv's topic in General Nursing

    Good job! What you now possess is another ticket to learning! Use it wisely, and always strive to learn something new, something that you didn't know before, in your daily practice. And if you take...
  3. akulahawkRN

    EMT student: how do I vent somebody with Hypoxia Drive?

    akulahawkRN replied to Knighthonor's topic in Nursing Student Assistance

    I would not worry too much about ventilating patients that are breathing on hypoxic drive. If you have a patient that has fairly advanced COPD, and you have to give them supplemental oxygen, have a...
  4. akulahawkRN

    Taking ACLS Class Tomorrow...

    akulahawkRN replied to westieluv's topic in General Nursing

    ACLS is, as they said above, not a dysrhythmia course. There are only about 10 rhythms that you need to know. It basically boils down to: too fast, too slow, wide, narrow, or asystole. They have...
  5. akulahawkRN

    Vital Sign Failer.

    akulahawkRN replied to Hopestobe's topic in General Students

    I know that failing the skills lab, in particular taking vital signs, seems like a pretty good downer right now. Taking vital signs is a really easy thing to do, once you understand how to do it. Over...
  6. akulahawkRN

    CNA VS EMT

    akulahawkRN replied to Briana12's topic in Medical Assistant, CNA/MA

    If you're going to go into nursing generally, go CNA. You'll learn lots of basic, foundational skills that will only help you early on in RN school. If you're planning to go into transport nursing,...
  7. akulahawkRN

    Considering an ADN over a BSN but already have a bachelors

    akulahawkRN replied to heyitsryan's topic in Diploma, ADN, BSN

    I'm an ADN student, I have a Bachelor's already. While I was applying to programs, I could only apply to ADN programs because the universities that had BSN programs weren't able to take any 2nd...
  8. akulahawkRN

    Gifts vs. bribes...is there a line?

    akulahawkRN replied to AngelfireRN's topic in General Nursing

    Gift vs. Bribe pretty much comes down to intent. If it's meant as a "thank you" for what you've done, it's a gift. If it's to get you to do something "extra," then it's a bribe. I'm happy to accept...
  9. akulahawkRN

    Why would these IV meds be on my tomorrow patient's chart?

    akulahawkRN replied to Samian Q's topic in Nursing Student Assistance

    Something to look at is why is the patient on Lovenox? What does Lovenox do? I know you already answered some of that above, so what would ambulation of the patient do? What tends to happen to...
  10. akulahawkRN

    Blood Pressure Measurement.

    akulahawkRN replied to StudentOfHealing's topic in General Students

    Trust what you hear. What you are seeing is the blood pushing against the cuff, causing the oscillation, but you HEAR the blood squirting through at systole when you first start actually hearing the...
  11. akulahawkRN

    The work in nursing school

    akulahawkRN replied to amber4452's topic in Pre-Nursing Students

    I, for one, I'm glad that you are asking this question, even though people asked this before. A lot of the work involved in nursing school is reading. A lot of reading. While you are in class, you do...
  12. akulahawkRN

    Defibrillation question

    akulahawkRN replied to amoLucia's topic in General Nursing

    You can use ultrasound gel if necessary. It's supposed to be very conductive as it's also used when e-stim is combined with ultrasound for certain types of physical therapy. That being said, I much...
  13. akulahawkRN

    how much o2 is too much?

    akulahawkRN replied to unsaint77's topic in General Nursing

    I highly doubt that you hastened her death. It sounds like this patient was ready to go, and nothing that you could have done with the oxygen would've made any difference. In the non-COPD patient, you...
  14. akulahawkRN

    Has Anyone Considered Chiropractic?

    akulahawkRN replied to aboxofrain's topic in General Students

    Chiropractic care isn't for everyone. Allopathic Medicine isn't either. The point is that people will seek out what works best for them in their situations. Personally, I don't think Chiropractors are...
  15. akulahawkRN

    B/P Cuff and Stethoscope reccomendations?

    akulahawkRN replied to pnkgirl25's topic in Scrubs, Uniforms, Gear

    I have a Littman Light from many years ago. It really is a lightweight steth, but it's not light on performance. I've had a couple of Littmans over the years. My current favorite is a Cardiology III....
  16. akulahawkRN

    im terrified!!!

    akulahawkRN replied to luvmykids0810's topic in Diploma, ADN, BSN

    Pretty much this. I am no lady either, but I do have work, raise a family, and gone to school for several years. I am still in the middle of my program, but I have decided that I am going to do what...
  17. akulahawkRN

    My first code blue- CPR :(

    akulahawkRN replied to Rachelj1222's topic in Critical Care

    I've had a few codes over the years. Codes can be chaotic, especially if you don't know how they're run. For the CNA/PCT/student, know your role in them and you'll do just fine. When they happen, also...
  18. akulahawkRN

    Patient refusing Hospice

    akulahawkRN replied to jammycakesRN's topic in Hospice, Palliative

    A hospice team may have some resources for them... even if the patient doesn't accept it. They're very good at providing for comfort care and other end of life issues. The patient may never accept...
  19. akulahawkRN

    No dnr

    akulahawkRN replied to aphillipi's topic in Hospice, Palliative

    Some hospice programs may have an "understanding" that their patients are effectively DNR, even in absence of an actual DNR
  20. akulahawkRN

    No dnr

    akulahawkRN replied to aphillipi's topic in Hospice, Palliative

    If your patient is admitted to hospice, usually they have a DNR order somewhere in the paperwork that admits them to hospice. The wording may not specifically say "Do Not Resuscitate" but there should...
  21. akulahawkRN

    Paramedics rank higher than LPNs?

    akulahawkRN replied to downsouthlaff's topic in Patient, Colleague Relations

    The biggest differences between paramedics and nurses is not so much what they do, it is their educational background. They do similar tasks with different goals in mind. In many areas, in the...
  22. akulahawkRN

    RN to Paramedic questions

    akulahawkRN replied to scandpj's topic in Michigan Nursing

    Since it appears that Michigan does not appear to allow RN's to challenge the Paramedic exam, you will have to take a bridge course to do so. Check with colleges, universities, and tech schools in...
  23. akulahawkRN

    Just found out my partner's dad is a DNR

    akulahawkRN replied to ionatan's topic in General Nursing

    Without the proper paperwork, in hand, available for EMS to see, he will be considered full code, even if he says he doesn't want CPR done. It has to be done legally or his wishes will not be honored...
  24. akulahawkRN

    How do you check a pulse? Nope I'm not a student

    akulahawkRN replied to newtress's topic in General Nursing

    I usually use the radial pulse. If I can't feel it, I'll gently extend the wrist. If I still can't feel it, I'll try the other wrist. If I still can't feel it, I'll go carotid. If I still can't feel...
  25. akulahawkRN

    ACLS

    akulahawkRN replied to Missy2280's topic in LPN, LVN Corner

    If this is your first or second time taking ACLS, don't do it online. Go the traditional route and be physically in class. There is a rhythm and flow to ACLS that you won't get online but you will get...