akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Re wrapping splints?

    akulahawkRN replied to Shellaaay10x's topic in School

    What I would have done and what you did would have been very different. This is partly because I have been trained as an athletic trainer. That's very different than an athletic director, though they...
  2. akulahawkRN

    Dumb question...How do you clean up poop?

    akulahawkRN replied to NEMurse95's topic in General Nursing

    The shorter answer is "YES!!!" The longer answer is that we do clean up poop. I'm an ED nurse, so while I'm concerned about maintaining skin integrity, I'm not as focused on it as other nurses are. I...
  3. akulahawkRN

    What order to give MONA?

    akulahawkRN replied to xmilkncookiesx's topic in General Nursing

    Here's how I would do this, generally speaking: 1) Obtain history while getting vital signs, O2 if SpO2 2) Obtain 12-lead EKG, take quick look at it myself and pass off to MD. 3) Give patient...
  4. akulahawkRN

    ADON having sex with CNA

    akulahawkRN replied to AWorley80's topic in General Nursing

    If the adults are both consenting and there's no power issues at play (CNA getting favors or threats relating to the workplace) and the "play" isn't impacting either party's job performance, then...
  5. akulahawkRN

    New ER nurse

    akulahawkRN replied to BaileyBSNRN's topic in Emergency

    It's always tough to code someone you know, especially it it's a trauma code. I've been through quite a few (many I've run myself) and I can honestly say that I remember the first one, a couple of...
  6. akulahawkRN

    Breaking in to the Sacramento Job Market in 2017

    akulahawkRN replied to MegRN.'s topic in California Nursing

    I worked for about 2 years at a small hospital before I was able to land a job in the ED locally. Most of my classmates were able to land a job locally-ish, but they were more interested in getting a...
  7. akulahawkRN

    Breaking in to the Sacramento Job Market in 2017

    akulahawkRN replied to MegRN.'s topic in California Nursing

    I work for a Dignity Health facility. I found a good place to work. Many of my classmates (I went to a local RN program) got positions at pretty much all the hospitals in the area. Aside from the...
  8. akulahawkRN

    Do I need a pediatric stethoscope?

    akulahawkRN replied to nursetwedt92's topic in Scrubs, Uniforms, Gear

    What I'm going to say is that first of all the stethoscope that you have is going to be perfectly adequate for what you need. However, it is possibly not going to be the best stethoscope for the...
  9. akulahawkRN

    Written up

    akulahawkRN replied to SassyRN93's topic in General Nursing

    If I read this correctly, you missed giving a dose of prednisone to your leukemic patient? If so, that's a med error, potentially in as much as giving an incorrect dose to a patient. At about 1 year,...
  10. akulahawkRN

    30-Unit Nursing Program

    akulahawkRN replied to JulesEvangelista's topic in LPN to RN

    One other aspect of the 30-unit LVN-RN course is that when you've completed the course, you will not be a graduate of an RN program. You will not hold a nursing degree for RN. All you will get is...
  11. akulahawkRN

    Sabotage? Failed by 0.1%

    akulahawkRN replied to gpnbe1a6's topic in General Students

    Just be careful about appealing this, depending upon the standing the professor has with her colleagues, it could cause you trouble or additional scrutiny in later semesters. That being said, it's not...
  12. akulahawkRN

    First code

    akulahawkRN replied to MrsJt's topic in General Nursing

    My first code was back in 1997, he made it. Since then (and through a number of career changes) I have participated in over 30 (around 20 as both an EMT and as a Paramedic where I ran those... and...
  13. akulahawkRN

    Female Foley and Witness

    akulahawkRN replied to jive turkey's topic in Men in Nursing

    While I'm reasonably adept at placing Foley catheters in both males and females (I'm male by the way), I prefer to have a witness in the room as an extra set of eyes for two reasons: one so that I...
  14. akulahawkRN

    First action

    akulahawkRN replied to trini rn's topic in General Students

    The NCLEX world is very different from reality. In the real world, you basically do several things nearly simultaneously: call for help, position the patient, start compressions. In a very short...
  15. akulahawkRN

    End of CCT Nurses in California?

    akulahawkRN replied to TraumaSurfer's topic in Flight, Surface Transport

    Most people have no clue exactly what the scope of practice is for EMT, AEMT, Paramedic, or CCT-P. I've worked as a Paramedic for quite a while and in my experience, most nurses don't know that EMT...
  16. akulahawkRN

    Epinephrine error

    akulahawkRN replied to katie4593's topic in General Nursing

    This is a great discussion about epinephrine! From my own training, in the adult population, I would generally use 0.3mg 1:1,000 IM, though 0.5mg would also work quite well. As discussed, IM works...
  17. akulahawkRN

    PVT says "results on hold"

    akulahawkRN replied to hmc005's topic in NCLEX Exam, Programs

    I didn't exactly "do" hundreds or thousands of questions and I easily passed. What I did was concentrate on how the questions were being asked and the thought process behind the questions and "more...
  18. akulahawkRN

    PVT says "results on hold"

    akulahawkRN replied to hmc005's topic in NCLEX Exam, Programs

    Yes, there's nothing you can do at this point. The reason for the "hold" may or may not have anything to do with you specifically. It usually means there was something noted that was out of the norm...
  19. akulahawkRN

    Health science degree first?

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

    Regardless which path you take, you should do your best to repair the GPA damage you have done. More importantly you should make sure you get excellent grades in your prerequisite courses because...
  20. akulahawkRN

    Icu frustrations after 1 year (new grad)

    akulahawkRN replied to XDeemerDogx12's topic in Critical Care

    I'm sure you are now a better nurse than you were when you first started. I find the fact that you want to keep learning very encouraging. Why? In this field, things can change very quickly. There...
  21. akulahawkRN

    School Nurse Athletic Assistance

    akulahawkRN replied to rachelRN21's topic in School

    Nursing and Sports Medicine, while they do have some similarities, Sports Med is much closer to Medicine than Nursing as Sports Med primarily follows the medical model. An AT, in terms of knowledge,...
  22. akulahawkRN

    School Nurse Athletic Assistance

    akulahawkRN replied to rachelRN21's topic in School

    You're going to be in way over your head. You do not have the training or experience to safely do that job. Sorry if that's harsh sounding but please understand this is coming from someone that was a...
  23. akulahawkRN

    Floor nurse moving to ER? Lots of questions?

    akulahawkRN replied to tsm007's topic in Emergency

    In some ways I still feel like a reasonably new ER nurse myself. The ED was my first nursing job and the learning curve was STEEP!!! You'll also have a steep learning curve but yours shouldn't be...
  24. akulahawkRN

    Working with a felony

    akulahawkRN replied to kandikissesrn's topic in Licensure: Criminal History

    Looking at your past posts, while you seem to have been able to get your license back with stips, you have an OIG problem that prevents you from working at any facility that receives Federal funding....
  25. akulahawkRN

    Who Creates Nanda & how can I become more involved?

    akulahawkRN replied to Plumrose15153's topic in General Nursing

    Sure, if you talked to a HCP that way you'd likely get looked at strangely though if your nursing Dx was correct, you wouldn't be wrong to do so. On one point you are correct... we don't do medical...