akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    ACLS Certified. So now what?

    akulahawkRN replied to us2uk4u's topic in General Nursing

    Never forget the 5 H's and T's... Some are easier to correct acutely than
  2. akulahawkRN

    How Impacted are the programs in the Sacramento area?

    akulahawkRN replied to Ziglar1's topic in California Nursing

    I do not know. The MSN program (any version of it) as it exists right now will not make you an RN. You already must be an RN with a Bachelor's. This is their requirements for their MSN program, in...
  3. akulahawkRN

    How Impacted are the programs in the Sacramento area?

    akulahawkRN replied to Ziglar1's topic in California Nursing

    At ARC and SCC, correct. As long as you're a qualified applicant, you're good to go. ARC/SCC and Sac State differ in that ARC/SCC require microbiology where Sac State also requires O-Chem. It appears...
  4. akulahawkRN

    "Thumping" out the door....?

    akulahawkRN replied to optimist's topic in General Nursing

    I wouldn't be at all surprised if the patient or the person with the DPAHC sometimes does not quite understand that Hospice patients that are a No Code in the Hospital, those orders often do not...
  5. akulahawkRN

    How Impacted are the programs in the Sacramento area?

    akulahawkRN replied to Ziglar1's topic in California Nursing

    All the RN programs up here are pretty heavily impacted. At least two of the programs here use a lottery system (American River College and Sac City College) and Sac State uses a simple eligibility...
  6. akulahawkRN

    "Thumping" out the door....?

    akulahawkRN replied to optimist's topic in General Nursing

    [My understanding is that Hospice RN's can also determine death and set the appropriate events in motion for disposition of the body, but prehospital personnel won't likely deal with those situations...
  7. akulahawkRN

    ACLS Certified. So now what?

    akulahawkRN replied to us2uk4u's topic in General Nursing

    ACLS gives you the basics of running a Code. It's up to you to understand the concepts behind what they do and why. ACLS won't help you much in the way of interpreting EKG strips. You're just supposed...
  8. akulahawkRN

    "Thumping" out the door....?

    akulahawkRN replied to optimist's topic in General Nursing

    Here's a prime example where states can be very different. A couple counties that I'm familiar with (and most probably are similar here) in California, once CPR starts, yes, you do keep going... but...
  9. akulahawkRN

    RN to paramedic?

    akulahawkRN replied to SneakySnake's topic in Emergency

    Don't forget to check with your State or County EMS agency. They may have a challenge procedure in place for you. It could very well be that you have to take a Paramedic refresher, or an EMT-B class...
  10. akulahawkRN

    "Thumping" out the door....?

    akulahawkRN replied to optimist's topic in General Nursing

    Where I'm at, a medic can determine death... and then Law Enforcement can be called as some can legally pronounce death or they need to at least determine the circumstances surrounding the death, to...
  11. akulahawkRN

    "Thumping" out the door....?

    akulahawkRN replied to optimist's topic in General Nursing

    Each state and each EMS system within each state is different. Paramedics do work under a Physician's orders... and they will generally NOT follow yours, as your orders do NOT normally supersede a...
  12. akulahawkRN

    What does this mean?

    akulahawkRN replied to Liss RN's topic in General Nursing

    Crumping, crashing, circling the drain, fixing to die... they all mean the same basic thing: the patient is in a really fast decline towards
  13. akulahawkRN

    BD Insyte Autoguard IV help!

    akulahawkRN replied to Mary C's topic in Infusion, Intravenous

    Don't forget to break the hub free by rotating it... In any event, you want to tamponade the vein right at the tip of the cath. This keeps blood from coming out the hub too quickly. When you remove...
  14. akulahawkRN

    Nurse practitioner or Physician's Assistant

    akulahawkRN replied to MamaTNurse's topic in Nursing Career

    I don't know if she has this option at the schools she's planning to attend, but locally here in Sacramento, UC Davis-CSU Sacramento's NP program and the PA program are basically the same. Students in...
  15. akulahawkRN

    Blood transfusions??? just say no...

    akulahawkRN replied to macgirl's topic in General Nursing

    Not working in a place where the likelihood of being assigned to do something that you're not comfortable with is most certainly an option. I did not say that she should be required to work where she...
  16. akulahawkRN

    emd and pea?

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

    Effectively, no difference. EMD is "electromechanical dissociation" and PEA is "Pulseless Electrical Activity". PEA just refers to any electrical activity that does not produce a pulse, even if...
  17. akulahawkRN

    Blood transfusions??? just say no...

    akulahawkRN replied to macgirl's topic in General Nursing

    That was actually exactly my point. Attempt to turn a potential problem into a strength, and that was one possible avenue to do
  18. akulahawkRN

    Do you consider yourself a "highly sensitive person" ?

    akulahawkRN replied to Gentle Giant's topic in General Nursing

    I'm most certainly not a highly sensitive person at all. I do recognize that others are. I do try to be very mindful of the fact that others can often be VERY sensitive to environmental or emotional...
  19. akulahawkRN

    Blood transfusions??? just say no...

    akulahawkRN replied to macgirl's topic in General Nursing

    For the OP, I agree! This would be an excellent opportunity and area for you to investigate. The things you learn should be able to help patients and providers decide on blood product admin limits (if...
  20. akulahawkRN

    Morphine Reaction?

    akulahawkRN replied to flyingchange's topic in General Nursing

    While Morphine is a vasodilator, it also induces a histamine release, which also causes (among other things) vasodilation. In any event, the end result was that the morphine dropped the patient's...
  21. akulahawkRN

    Blood transfusions??? just say no...

    akulahawkRN replied to macgirl's topic in General Nursing

    Do you believe that I should have the right to push my religious beliefs on you? Refusing to give blood/blood products to another person who is not of your same faith is the same thing. Please do not...
  22. akulahawkRN

    My first job rejection!

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

    :anpom: Congratulations on receiving your first rejection letter. I guess that means you're now officially a reject! Don't feel bad... I quite suspect that most of us are... mostly because most of us...
  23. akulahawkRN

    Morphine Reaction?

    akulahawkRN replied to flyingchange's topic in General Nursing

    What does a histamine release look
  24. akulahawkRN

    Is nursing really a profession?

    akulahawkRN replied to RN Marx02's topic in General Nursing

    (Fixed in the quote... ) I would say that Nursing is very much a profession in very much the same way that Engineering is a Profession... and just like Engineering has LOTS of different ways to be...
  25. akulahawkRN

    IV draw vs Lab draw?

    akulahawkRN replied to Double-Helix's topic in General Nursing

    From my understanding, you use a fresh stick because of the contamination issue. Some lab equipment/tests are sensitive enough that if anything other than NS has been run through the line, it'll pick...