akulahawkRN ADN, RN, EMT-P

Emergency Department

Wee bit about me!

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All Content by akulahawkRN

  1. akulahawkRN

    Am I too old to be a nurse?.

    I started applying to nursing school when I was about 34, got in at 38, graduated at 41, now I'm 43 and have been working for a little over a year and a half now. OP, you're younger than dead, and...
  2. For patients that are directly under your care, you can absolutely access all aspects of the chart that pertains to your ability to provide care for them. I generally routinely look back at my...
  3. akulahawkRN

    ARC vs. SCC...comparisons please

    I'm an SCC grad. My impression of the two programs is that by and large, they're almost identical. One of my classmates was a transfer from ARC and his take on ARC was that their Nursing Care Plan...
  4. akulahawkRN

    How do you chart?

    While I do make use of "WNL" in my charting, it's only if I have assessed that system and can therefore say that the system meets criteria for "WNL". Yes, it's fast and efficient from a charting...
  5. akulahawkRN

    Shock

    We need more data before we could even begin to answer this question. Why? Depending upon the patient, that could be normal. Also, this very much looks like a homework question. We won't answer this...
  6. akulahawkRN

    Will my EMT experience help get a job as an ER-Nurse?

    Honestly, it really depends upon how close you are to Nursing School entry and your finances as to whether or not you should go for Paramedic. If you're at least a full program-length (1-2 years) out...
  7. akulahawkRN

    Will my EMT experience help get a job as an ER-Nurse?

    Everywhere I have worked at as a Lifeguard, EMT, or higher all required the HCP level CPR course, nothing lower was acceptable. If the EMT program required a CPR course, it required the HCP level, if...
  8. akulahawkRN

    songs that describe the work day

    As I'm still a relatively new ED
  9. akulahawkRN

    Is the NCLEX "easy"?

    Well, since she didn't go to college/university, hasn't studied nursing, and hasn't taken the NCLEX, she clearly doesn't know what she doesn't know. She's probably quite happy living on SSI. You, on...
  10. akulahawkRN

    O2 while cardioverting?

    Exactly why I posted what I did... They do make (and use) oxygen tents that make the local environment VERY oxygen saturated. Basically everything under the tent becomes quite flammable and is waiting...
  11. akulahawkRN

    O2 while cardioverting?

    About the only time this is unsafe is when the patient is in a very oxygen-saturated environment. Room air with an NRB or even an nasal cannula will not typically create such an
  12. akulahawkRN

    Got chewed out by my clinical instructor

    To me, it sounds like some students were acting in an unprofessional manner and got a pretty swift kick in their rear as a correction. Please do not get me wrong about this, I most certainly want...
  13. akulahawkRN

    Will my EMT experience help get a job as an ER-Nurse?

    If it's just an EMT Basic, then it won't be very helpful. If you're a Paramedic, it might help as you'll have a far better understanding of things but the roles are still quite different. I would...
  14. akulahawkRN

    Stopped at 89 questions and I'm freaking out!

    The only thing that you can determine from the computer shutting off at 89 questions is that it took the computer 89 questions to determine whether or not you passed or failed... and that you had some...
  15. akulahawkRN

    sent home from clinical

    Don't bring up the "other" students. Not yet. Be ready to discuss this particular issue and perhaps be ready to discuss anything else you might have seen/done in clinical up to this point. What you...
  16. akulahawkRN

    Can I get a job without a BSN?

    The short answer is "yes" you can get a job without a BSN. The longer answer is that it really depends upon your location, what school you go to, and how willing you are to look beyond your local area...
  17. akulahawkRN

    FAILED. Now what?

    I have been working as an RN for just over a year and a half now. I also failed nursing school and was offered to be rolled back to a previous semester. I also failed in 3rd Semester and was rolled...
  18. akulahawkRN

    Got through NCLEX with 85 questions and failed :(

    I haven't had the experience of failing the NCLEX, but many posters here have. If you're 100% certain you failed, stop doing intense study right now. In a few weeks you'll get your Candidate...
  19. akulahawkRN

    Bradycardic STEMI

    In the field or in the ED, I would expect that a symptomatic brady patient would be treated with pacing, fluid, and pressors. I probably would forego atropine unless I had it on hand faster than I...
  20. akulahawkRN

    Is California still hiring ADNs?

    Where I'm at, we have a few schools pumping out both BSN and ADN grads (and a very few ELMSN too) so there's quite a bit of competition for jobs. All of the acute care hospitals/chains require ADN or...
  21. akulahawkRN

    Paramedic student

    This is something that should be discussed with your preceptor very early on as well as what things you were allowed to do as an ED Tech. This is because your preceptor likely works for a facility...
  22. akulahawkRN

    Blood return on IM injection

    If you're easily aspirating blood, you very easily could have punctured a vein. If the dorsogluteal site isn't working for you, consider switching to the ventrogluteal site. Most of my patients prefer...
  23. akulahawkRN

    Paramedic student

    First and foremost, you absolutely MUST know your allowed scope of practice. You don't want to be asked if you can do something and not know. You should also have some kind of reference sheet for your...
  24. akulahawkRN

    epic documentation system

    I have worked with a couple different implementations of Epic and generally the system is easy to use and learn. I was a student the last time I had to use Epic and we were given a 4 hour block of...
  25. akulahawkRN

    Nurse Practitioner vs Physician Assistant

    There are a couple of differences in education of the NP or PA. One of those is the PA has to take a couple more classes and attends more rotations. The PA is, in effect, a generalist. They can go...