akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Was pt of sound mind, ER visit needed?

    akulahawkRN replied to Caffeinated RN's topic in General Nursing

    There comes a point when a patient is unable to make their own decisions. At that point, providers take over care under "implied consent." Alert & Oriented x2 by definition is confused as...
  2. akulahawkRN

    Was pt of sound mind, ER visit needed?

    akulahawkRN replied to Caffeinated RN's topic in General Nursing

    If your patient isn't competent to make a sound, informed choice, then your patient isn't competent to refuse. Also, if your patient is speaking in 3-4 word sentences, I might consider that...
  3. akulahawkRN

    INELIGIBLE FOR CA BON DUE TO CONCURRENTLY DONE CASES... --US citizen (was born in CA)

    akulahawkRN replied to dedicated02's topic in Nurse Registration

    There's only one explaination for this kind of close scrutiny that comes to my mind... they likely want to keep RN's that were educated outside California (even overseas) from getting licensed in...
  4. akulahawkRN

    do your instructors do this?

    akulahawkRN replied to Dre2416's topic in General Students

    I would expect that you'd do some self-teaching. It's really not that difficult. They expect that you're an adult-learner and do not therefore have to be spoon-fed. A good instructor uses the power...
  5. akulahawkRN

    i cant insert an iv catheter successfully :C help

    akulahawkRN replied to justbecamearn's topic in First Year After Licensure

    I use a two-step approach to starting an IV. The first step is to simply penetrate the skin. After the skin is pierced, I'll flatten-out the cath and point the bevel right at the opposite wall of the...
  6. akulahawkRN

    New Nursing Students- Spring/Fall 2012

    akulahawkRN replied to PedsHopeful's topic in General Students

    You're going to have an interesting time... your first 5 weeks will be all classroom, and then you'll start doing your clinicals. Do your care plans on the computer, ensure that there aren't any...
  7. akulahawkRN

    Sacramento City College New Selection Criteria

    akulahawkRN replied to kcsmira's topic in California Nursing

    For future82nurse - you should look into any of those other enrollment criteria that you could use to bring your points total up to the 67 points needed to apply at SCC. Using my own background, I...
  8. akulahawkRN

    30 unit option

    akulahawkRN replied to kerrieflan5's topic in California Nursing

    I'm looking at what's basically a 30-unit option to get my BSN after I graduate from an ADN program. It's only because I already have a Bachelor's that this is even a possibility. My thinking is that...
  9. akulahawkRN

    Bored in the ER?

    akulahawkRN replied to sapphire18's topic in Emergency

    Bored in the ED? I doubt it. You won't have time to be bored. Just remember that the ED isn't the ICU and most of your patients will be of the not-so-sick variety. Accordingly, you'll have more...
  10. akulahawkRN

    How does inspirometry lower temp?

    akulahawkRN replied to Bruce_Wayne's topic in Nursing Student Assistance

    According to some sources that I've just read by doing a search for atelectasis and temperature, I came across this:...
  11. akulahawkRN

    Facts from Paramedics in the field

    akulahawkRN replied to MichelleW's topic in General Nursing

    I would concur. A Paramedic/EMS board would be much more helpful for this. While there are quite a few Nurses that are also Paramedics, I wouldn't expect that a Nursing board would have the kind of...
  12. akulahawkRN

    Not ACLS certified pulled to Tele floor...

    akulahawkRN replied to Jess_Missouri_RN's topic in CCU, Coronary, Cardiac

    ACLS does teach some recognition of ST elevation. ACLS is not, however, a comprehensive course in reading all of the subtleties of the EKG. ACLS is also not a course that teaches anyone how to prevent...
  13. akulahawkRN

    ACLS requires a doctor's order?

    akulahawkRN replied to BUNightingale's topic in Critical Care

    This is absolutely correct, ACLS is a certification and not a license to practice medicine. that being said, if you're in a situation where you expect to run the code, you should also expect to have...
  14. akulahawkRN

    Getting ACLS, PALS as a Nursing student?

    akulahawkRN replied to EMEddie's topic in General Students

    If you have figured out the cardiac dysrhythmias and have a good understanding of cardiology and understand why the various meds are used, you'll understand & get through ACLS and PALS pretty...
  15. akulahawkRN

    Should I get my BSN first?

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

    If you're getting a CS degree and wanting to pursue a BSN, get your prerequisites done for the BSN while completing your CS stuff. If you're looking to double-major, complete all but a very few...
  16. akulahawkRN

    Question about TNCC

    akulahawkRN replied to seemerun's topic in Emergency

    I haven't taken TNCC... I've taken other trauma courses and TNCC (from my understanding) is similar. What the course covers is the initial assessment and management of trauma, from arrival in the ED...
  17. akulahawkRN

    Liability of RN who accompanies a patient during a transport to another facility

    akulahawkRN replied to shsteer's topic in Ob/Gyn

    I agree with much of the above. Paramedics may be able to monitor a MgSO4 drip, however, this very easily could be out of their scope. Check with your local EMS agency about that. Almost certainly...
  18. akulahawkRN

    Nurses Masquerading As Doctors (INSULTING)

    akulahawkRN replied to djaychris's topic in Activism, Healthcare

    Obamacare has it's own issues... not the least of which being that it may, in fact, be unconstitutional. That is an issue for another day, and a 5 hour argument for the Supreme Court of the United...
  19. akulahawkRN

    Nurses Masquerading As Doctors (INSULTING)

    akulahawkRN replied to djaychris's topic in Activism, Healthcare

    No. The biggest problem is not where it was published. Publish that same article, from the same author, on CNN, CBS, NBC, PBS... and the article is still an insult to both Physicians and Nurses. Dr....
  20. akulahawkRN

    RN lost her first patient today

    akulahawkRN replied to srg4784's topic in General Nursing

    I remember my first code ever... I've had a few that stick out in my memory, but most are kind of a blur. I also remember my most recent as well. It's called the primacy-recency effect. A couple...
  21. akulahawkRN

    Diabetic Ketoacidosis ( I think )

    akulahawkRN replied to Stillawannabe's topic in LPN, LVN Students

    Where was this patient when he went out on his pass? If he was in good control before he left, he shouldn't be in DKA that quickly. Progression into DKA normally takes time - as in days or weeks. If...
  22. akulahawkRN

    Failed Med/Surg by 3/10 point

    akulahawkRN replied to Ciale's topic in General Students

    A classmate of mine failed the 1st semester class last year by exactly 2 points. If the total points to pass was 398, his score would have been 396 - and that was at the final exam. He didn't know...
  23. akulahawkRN

    RN lost her first patient today

    akulahawkRN replied to srg4784's topic in General Nursing

    While a "gift" per se is inappropriate, the thought behind it is absolutely great! A sympathy card, a hug, kind words, an open ear and shoulder to cry on is also absolutely ok. I really like the idea...
  24. akulahawkRN

    first code

    akulahawkRN replied to LouisVRN's topic in General Nursing

    I have participated and led approximately 20 codes. In or out of hospital, the medicine is the same. Codes follow fairly predictable patterns, which is why ACLS algorithms are set up the way they are....
  25. akulahawkRN

    RN program missing pharmacology!!!!!

    akulahawkRN replied to sewinnett's topic in General Students

    My program has pharm woven pretty heavily into the lectures, not as a separate course. There is a separate Nursing Pharmacology course that I could take, but that would be a separate course altogether...