akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. One thing to remember is that PA's are trained to be a generalist whereas a NP is trained to be more of a specialist. In order for an NP to switch to a different career area, the NP must take...
  2. akulahawkRN

    ACLS

    I completely agree, you should take at least your initial ACLS course with a live instructor. You should also go to class with at least a working knowledge of basic EKG rhythms. They're not difficult...
  3. akulahawkRN

    Obama health care law upheld.

    Don't be so sure that the Court didn't do great harm to the use of the Commerce Clause, indeed, it did... by limiting the ability of Congress to use that Clause to that of regulating interstate...
  4. akulahawkRN

    Obama health care law upheld.

    For those of you that think that Chief Justice Roberts handed a "win" to the Democratic party by upholding the ACA, he also dealt them a very significant blow or two. First off, he and the 4...
  5. First off, remember, insight... not incite... two different meanings for words that sound so very similar. (Little things like spelling can easily be a part of someone forming an impression about you,...
  6. akulahawkRN

    corpsman to cna

    If you have a year of bedside care in hospital, you may be able to challenge the LVN/LPN license and go from there. Check with the appropriate state board to determine if that is possible where you...
  7. akulahawkRN

    Accepted in Nursing school....any advice

    To the OP: you are going to be far ahead of your classmates in terms of basic nursing skills because you have experience with doing many of those basic nursing tasks. You may have to modify some of...
  8. akulahawkRN

    DNR and pacing.

    Typically, DNR means no chest compressions, defibrillation, no assisted ventilations, no intubation, no cardiotonic drugs, no pacing. Why? These things are geared toward resuscitation. I wouldn't pace...
  9. To the OP: If you haven't gotten in yet, apply to all the programs in the areas that you mentioned that are accredited through the BRN. Just check out all the programs, find out if you have met their...
  10. akulahawkRN

    MORPHINE OR OXYGEN?

    MONA is absolutely just a mnemonic to remind you what the MI patient needs, not the order that the meds must be given. From a practical standpoint: Oxygen always 1st. It's the fastest way to increase...
  11. akulahawkRN

    Bedside charting?! Is this the new norm? VENT!

    I am but a "lowly" student, but I've had recent experiences with both bedside charting and paper charting. I have to say that I prefer bedside charting via computer as long as you have other computer...
  12. You have to look at your patient's presentation. Your 1st patient who has oxygen saturation of 90% and breathing 10 times a minute with a GCS 8, could probably do well with a low flow oxygen. My guess...
  13. akulahawkRN

    So.....the infection control nurse busted me.....

    I'm constantly using the foam when I'm on the unit. About half the time that I walk by a dispenser, I reach out and get a little foam. My hands are NOT chapped, and I'm probably foaming 5-6 times an...
  14. akulahawkRN

    electronic bp cuff

    I've done probably 25,000 manual BP's over the years. Yes, that many! If you take the time to do it right, taking a manual BP can actually be faster than using an auto-cuff. When I take manual BP's, I...
  15. akulahawkRN

    Doing vital signs

    Sometimes a good way to feel the pulse is to put your hand under the patient's wrist and curl your fingers around the wrist toward the radial pulse area. This way you support the weight of the...
  16. I am currently in my 2nd semester of nursing school. I achieved nearly straight A's in all my prerequisites, and I have a very broad base of medical education. What I can say is that my education has...
  17. I would agree with some of the above. Brinng in an outside instructor that does ACLS instruction. For prep work, I'd say that you should teach the "code meds" when doing cardiovascular and EKG...
  18. akulahawkRN

    scoop method for recapping

    If there's a properly assembled sharps container right at hand, I won't recap. The main thing for me is that I do NOT want a used sharp to be unsecured where it can be a hazard to anyone. I probably...
  19. akulahawkRN

    scoop method for recapping

    While a sharps container is a good thing to use, one should always recap needles whenever possible simply because there is always the possibility that the sharps container may not have been assembled...
  20. akulahawkRN

    american river college repeat policy

    Your best bet would be to contact the Nursing Department directly. Just ask them if they have the same in-district course repeatability rules that Sac City does. I was told that if you get a Credit/...
  21. akulahawkRN

    Was pt of sound mind, ER visit needed?

    Please don't get me wrong. I think that using the pulse ox is a very easy skill to learn... and even I can teach someone how to use it in a matter of a couple minutes. The problem with EMT's using...
  22. akulahawkRN

    Was pt of sound mind, ER visit needed?

    It is because EMT's aren't educated in how the pulse-ox works and the pulse-ox isn't in their scope of practice that they can't use the device. Their medical director at the State or local level...
  23. akulahawkRN

    Was pt of sound mind, ER visit needed?

    I'm not so concerned about exact date because dates can blur together. When I'm asking about date, I want to know if you know generally what the correct date is... like what day of the week, which...
  24. akulahawkRN

    IV Push Lasix

    You can go slower... 20mg/min with a 100mg dose is IVP over 5 minutes. You can certainly go slower than that. My drug guides state to administer at
  25. akulahawkRN

    Was pt of sound mind, ER visit needed?

    EMT-Basics aren't typically authorized to take pulse-ox, interpret the results, or titrate O2 to achieve a desired response. The OP was functioning in that role, not as a Paramedic or RN, that