akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Giving Report to Medics... What do they know?

    akulahawkRN replied to casi's topic in General Nursing

    Anyway, here's a link to a good pdf spreadsheet about what California has for their basic scope of practice for all current providers. Red = not authorized Yellow = authorized through a trial program...
  2. akulahawkRN

    Giving Report to Medics... What do they know?

    akulahawkRN replied to casi's topic in General Nursing

    some of my responses in red, in-line to better respond to you. something to also remember is that paramedics do have what's known as an "undefined scope of practice." if it's not in the basic scope...
  3. akulahawkRN

    New grad taking ACLS course??

    akulahawkRN replied to nurseypoo87's topic in First Year After Licensure

    ACLS is not a hugely difficult class if you already know the basic rhythms. It pretty much boils down to fast/slow, narrow/wide or asystole. Once you know the algorhythms, the hard part becomes being...
  4. akulahawkRN

    Giving Report to Medics... What do they know?

    akulahawkRN replied to casi's topic in General Nursing

    Yes, California's EMT patches are changing. The EMT-I has been the designation for an EMT-Basic for at least 10 years, probably more like 15 or more. It's now known as simply "EMT." The EMT-II is now...
  5. akulahawkRN

    Trauma Nursing, Paramedics, and the ER

    akulahawkRN replied to pishoncna's topic in Emergency

    Something else to consider is that field providers can easily tell who is there to punch a ticket and who is there to do the job. If you're just looking to get some additional training, go for EMT....
  6. akulahawkRN

    Saw my first dead body in the hospital

    akulahawkRN replied to NurseAndLovinIt's topic in General Nursing

    This won't be the last dead person you'll see. I've seen a few over the years. The dead don't bother me much. Their problems are over, whatever they were. It's something we'll all face at some point....
  7. akulahawkRN

    Trauma Nursing, Paramedics, and the ER

    akulahawkRN replied to pishoncna's topic in Emergency

    If you're going to go for RN and you have the option of doing a 4 year BSN program, that would be a good path. If money is an issue, a 2+2 (as I call it) of ADN then transition to BSN may be of value....
  8. akulahawkRN

    Trauma Nursing, Paramedics, and the ER

    akulahawkRN replied to pishoncna's topic in Emergency

    i put some of my responses in red in-line to address some points. i'm not saying that nurses can't do the prehospital role: they do it all the time. what i am saying is that nurses are not educated...
  9. akulahawkRN

    Trauma Nursing, Paramedics, and the ER

    akulahawkRN replied to pishoncna's topic in Emergency

    The reality of Trauma is much, much different than you get in MCI training. It's at the same time much more complicated and simple than in training. Trauma in person, out in the field is an ugly,...
  10. akulahawkRN

    Could a Registered Nurse hold their own when it comes to treating patients...?

    akulahawkRN replied to lee_sHAY's topic in Patient Safety Issues

    I would have to say that the answer would completely depend upon the issues that the patient has and the Nurse's knowledge-base. There are just too many variables to say anything otherwise. The same...
  11. akulahawkRN

    Boy I'm awful as a nurse

    akulahawkRN replied to Catch22Personified's topic in Patient, Colleague Relations

    Overall, I'd have to agree. You did good in figuring out what the problem was and set about fixing it as soon as you
  12. akulahawkRN

    Boy I'm awful as a nurse

    akulahawkRN replied to Catch22Personified's topic in Patient, Colleague Relations

    Remember, glucagon works to get the liver to convert some of it's glycogen stores to glucose. Sometimes the patient just doesn't have much glycogen to convert. When that happens, the glucagon won't...
  13. akulahawkRN

    Sacramento Areas Nursing Schools

    akulahawkRN replied to dia1010usa's topic in California Nursing

    Just to add a little clarification about American River College's RN program. Their website has stated that they are NOT going to switch to the merit based selection program that Sacramento City...
  14. akulahawkRN

    Pt with both nasal cannula and NG

    akulahawkRN replied to anon456's topic in Pediatric

    As to the NG and NC issue... it'll be OK. The kid's likely going to be on a low concentration and that means a pretty low flow. The partial occlusion won't really be much of an issue as the nasal...
  15. akulahawkRN

    "Thumping" out the door....?

    akulahawkRN replied to optimist's topic in General Nursing

    I agree with EricJRN about the futility of emergently transporting dead patients. Generally speaking, if a patient is found dead and none of the first or second line drugs/interventions revives them,...
  16. akulahawkRN

    "Thumping" out the door....?

    akulahawkRN replied to optimist's topic in General Nursing

    This is true for EMT level care. Advanced level providers usually have a some kind of protocol that essentially states to either transport early or follow the appropriate cardiac protocol for 15 to 20...
  17. akulahawkRN

    Preload/Afterload

    akulahawkRN replied to noele1213's topic in Pre-Nursing Students

    Preload is affected by venous blood pressure, rate of return, and the "atrial kick". Blood will normally passively fill the ventricles. The atria will add a little bit to essentially complete the...
  18. akulahawkRN

    So i didnt get accepted:/

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

    Don't despair. I'd imagine that MOST of us have gotten denied. Between the 2 programs I'd applied to, I was denied 13 of 15 applications I'd turned in. The last round I was actually accepted for...
  19. akulahawkRN

    How do I memorize all the bones/ skull???

    akulahawkRN replied to snovbunny25's topic in Pre-Nursing Students

    The good news about the skull bones is that each one is very different and if you know where in the skull that it "lives" you can easily describe what other bones it interfaces with and other unique...
  20. akulahawkRN

    Sacramento Areas Nursing Schools

    akulahawkRN replied to dia1010usa's topic in California Nursing

    Sacramento City College now uses a points system starting this Fall, for the Spring 2012 class. Here's their system:...
  21. akulahawkRN

    How do I memorize all the bones/ skull???

    akulahawkRN replied to snovbunny25's topic in Pre-Nursing Students

    While there are 206 bones in the body, you have to only learn about 1/2 of them because once you move away from the skull/spine/pelvis, the bones are duplicated on each side of the body. I just broke...
  22. akulahawkRN

    Hospital Corpsman to RN in the Navy Reserve

    akulahawkRN replied to FF2RN's topic in Government, Military

    A good friend of mine is an FMF Corpsman. He is very good at what he does. In particular, he is very good at initial management of trauma. Kind of the nature of the beast, really... If he was to...
  23. akulahawkRN

    Cadavers and Anatomy class

    akulahawkRN replied to Stever01's topic in Pre-Nursing Students

    I've had the "advantage" of both. The upside of a cadaver lab is that you get to see how everything physically relates to each other. Sometimes you get to see the results of surgery, or stenting, or a...
  24. akulahawkRN

    Calories

    akulahawkRN replied to ttpurtee's topic in General Nursing

    Weight gain or loss depends upon the Calories in and out. I need about 2300 Calories per day to maintain weight. As I get older, that number will decrease as my BMR will decrease, so by eating the...
  25. akulahawkRN

    Is it true? BS + RN does not = BSN?

    akulahawkRN replied to Cathylady's topic in General Nursing

    There is a way to piece together a BSN... but you have to have a prior Bachelor's, and an RN license... The process is simple: you take the coursework for the RN ->BSN upgrade AND hopefully you...