akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Are new grads...

    There are also other issues about going MD/DO... and that is time. Think about this: You go through 4 years of Medical School, then 3-8 years of Residency, and then when you're done, you stay...
  2. akulahawkRN

    Problem with taking Blood pressure. grr.

    Taking a BP isn't that hard... once you know what to feel and listen for. Make sure the cuff is properly sized for the patient and applied snugly - tight enough that it won't fall off if the patient...
  3. akulahawkRN

    Sac City College new selection criteria

    The new selection criteria will only make the qualified pool smaller for only a very short time. The pool will become larger once the applicants complete the TEAS V and find that if they're just a...
  4. You would need to find out if he's eating an extra 3,000 Calories / week or not being active to the same Calorie level. If calories in and out match and you're still seeing that kind of weight gain,...
  5. akulahawkRN

    Sac State Spring 2012 or Fall 2012

    I would have been applying to Sac State for Spring 2012 if I'd learned that they were taking 2nd Bachelor's students earlier. Attempting to apply earlier would have been an exercise in futility. After...
  6. akulahawkRN

    Does he need to be intubated??

    Not that I'm all that worried... but we can still learn from the
  7. akulahawkRN

    Does he need to be intubated??

    As usalsfyre indicates, in a true nightmare airway situation, that patient may need a secure airway just to get to the truck. If I can manage the airway adequately without resorting to advanced airway...
  8. akulahawkRN

    Do I need both acitive BLS and ACLS?

    BLS and ACLS are separate certifications. ACLS certification does not include BLS. If you desire to keep both active, you will to recert both of them. Generally speaking, you'll have to have BLS...
  9. akulahawkRN

    Minor medical emergency on my airplane trip today!

    If you're unable to access the tools necessary, you will not be held to that standard. In some cases, you can be an excellent RN and be legally disallowed to assist. For instance, in California, most...
  10. akulahawkRN

    gun safety and children

    There are very few "scholarly" resources on this that are truly "scholarly", meaning "well-researched" and without bias. There is a professor at UC Davis that does his studies and he's biased towards...
  11. akulahawkRN

    Minor medical emergency on my airplane trip today!

    It depends upon the situation and what I have at hand. On a commercial flight, I won't have time to ask for orders during a code, though I'll get the doc on the line asap. I'll likely have already...
  12. In my case, money is a driving force, however it's not the only force in play. Over the years, it's been very much shown to me that taking care of other people is what I really do like to do. It's a...
  13. akulahawkRN

    Can EMTs work in hospitals?

    Typically, EMS personnel are indeed considered "unlicensed" personnel in the hospital setting. If they're hired to perform in their certified/licensed role, it'd be the ED, where their scope would be...
  14. akulahawkRN

    Treating elevated blood glucose - yay or nay?

    Not a nurse yet, but I'm not going to get that upset at a BGL of 212. I'd be more concerned about the K+ of 2.7 as driving the K+ down by treating the BGL will kill the patient long before the BGL...
  15. akulahawkRN

    Fluid Imbalance

    From food intake or exercise/BMR output (calories) a daily weight won't change that much. Fluid in or out will... at at 8 lbs / gallon, it doesn't take much fluid in or out to cause >2 lb weight...
  16. akulahawkRN

    Help Sacramento area nursing programs/schools

    HoneyK: the fastest program that I'm aware of is the Sutter/SCC program... if they're accepting students. Their program does really run 16 months, and you'd be an ADN at the end of it. There are no...
  17. akulahawkRN

    How do you know when a patient needs stitches?

    The time limit is around 6 hours. That's basically to keep a closed wound from harboring a massive infection that makes itself known a couple/few days later. As to when to do sutures... it's basically...
  18. akulahawkRN

    Can EMTs work as tech's in your hospital?

    i'll do some responses inline, in red to make it easier to see what i'm responding to... as to whether or not an emt can work as a tech of some sort, that completely depends upon hospital policy and...
  19. akulahawkRN

    Doctor doesn't know what a cna is..

    I'm not at all surprised. Nurses who don't normally interact with field personnel often don't realize that EMTs and Paramedics are NOT the same... It happens in every field where someone who has...
  20. akulahawkRN

    Can EMTs work as tech's in your hospital?

    Because of the limitations placed on EMT-I and Paramedic personnel in terms of where their scope of practice may be utilized, while phlebotomy is usually in a Paramedic's scope of practice, in the...
  21. akulahawkRN

    General Ed courses the same as Pre-reqs?

    General Ed are classes required to get a degree that are not a part of, or required by, your program. Those are the classes that the College requires of all students. Prerequisite courses are those...
  22. akulahawkRN

    WHY does a B.S. + RN not equal BSN

    From what I've seen, aside from requiring the Lower Division GE and a couple UDGE classes, one of the BSN programs differ from an ADN program by just 6 three and four unit courses (26 units). As I...
  23. akulahawkRN

    Are the "chest thumpers" new?

    As usalsfyre says, there's not much evidence that they're any better than manual CPR. IMHO their only real benefit is that they don't tire out. If they're set right and they're giving compressions at...
  24. And third about the TB test, since you didn't do the TB injection, you do not know for sure when that was administered. I would hope that the facility or person that administered the test retained the...
  25. akulahawkRN

    Deoderant

    For some people that refuse to use deodorants, there's naturally occurring salts that can come in the form of a stick that can work remarkably well. It's not a deodorant per se... it just kills off...