akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    IV Dextrose in Hyperkalemia

    akulahawkRN replied to bear14's topic in Emergency

    When I push D50, I push it in over about 3-5 minutes as I'm doing this through a peripheral line and every so often I try to aspirate a little blood into the tubing. This is simply so that I can be...
  2. akulahawkRN

    took nclex.. tried trick within 1 hour of test.. took my money.. is that a definite fail?

    akulahawkRN replied to heartbroken43's topic in NCLEX Exam, Programs

    Waiting 24 hours decreases the chances of a false result (pass or fail) but it's not 100% accurate. If your state/locality participates in Quick Results, that will be reliable as far as whether or not...
  3. akulahawkRN

    Help! EMT, Medical Assistant, or CNA?

    akulahawkRN replied to dominicanraze123's topic in Pre-Nursing Students

    I'm both an RN and a Paramedic. While EMT training does help you with certain things, it won't directly help you with nursing. Since you're looking to become a nurse, I would suggest you do CNA...
  4. akulahawkRN

    DNR help?!?!!

    akulahawkRN replied to vaLPN757's topic in General Nursing

    From my EMTP side, the DNR is very specific about what it allows and doesn't allow. In the instant case the DNR would allow me to provide oxygen and IV fluids but NO intubation/PPV and no cardiotonic...
  5. akulahawkRN

    Littmann Cardiology III - Worth it?

    akulahawkRN replied to futurenursling's topic in General Students

    As stethoscopes go, either one is a very good choice. Given that you're getting this as a gift, choose the one that fits your needs best. I have a Cardiology III that I've had for about 15 years and I...
  6. akulahawkRN

    Just took NCLEX- Stopped at 75

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

    If the test stops at 75, that means you were clearly well above or well below passing standard, to a degree that no further testing is necessary. The fact that you feel like you need to hurl is...
  7. akulahawkRN

    ER vs. L&D

    akulahawkRN replied to auson16's topic in Ob/Gyn

    That's basically a good comparison. I'm an ER nurse. My patients generally are there because something is wrong with their health. We generally just wave to our OB patients that are >20 weeks as...
  8. akulahawkRN

    California MS and ob deficit

    akulahawkRN replied to themonyo's topic in Nurse Registration

    Excelsior/online courses will not work for you. Chances are very good that your MS and OB clinical and theory experiences didn't occur a they were required to. You must take MS didactic and clinical...
  9. akulahawkRN

    Starting RN program this fall - what to expect?

    akulahawkRN replied to charleyq's topic in General Students

    Generally, wedding rings and stud earrings are the norm. They're looking to minimize infection risk (rings), potential injury (hoop earrings can be pulled out easily) and also present a generally...
  10. akulahawkRN

    IV confusion-

    akulahawkRN replied to Sanl3RN's topic in Patient Medications

    I would agree: as long as the two medications are compatible, you connect the longer (time) running med directly to the IV site and Y-site connect the quicker (time) running medication. In this case,...
  11. akulahawkRN

    75 Q's Today... Feel Crushed.

    akulahawkRN replied to misskris528's topic in NCLEX Exam, Programs

    If you're feeling crushed at the end of the NCLEX, that's normal and anecdotal evidence that you truly found your knowledge limit that day. It doesn't mean you passed or failed, but IMHO if you feel...
  12. akulahawkRN

    EMS to Nursing

    akulahawkRN replied to darobow's topic in General Nursing

    This is especially true of new practitioners in each field who have just taken the NCLEX or the NREMT-P exams. They are very much different animals and can't really be easily compared to one another....
  13. akulahawkRN

    Took NCLEX today and got 170 question!

    akulahawkRN replied to cody0928's topic in NCLEX Exam, Programs

    Pearson Vue releases your results to your board when your exam has been scored for record. That means the 2nd scoring as that's the one that really matters. That can very much be before the QR results...
  14. akulahawkRN

    Will paramedic be useful for ICU job?

    akulahawkRN replied to BradS's topic in Critical Care

    OP, the short answer is no. The longer answer is that when you graduate from P school and you pass the NREMT-P exam, you have a piece of paper that says you can go forth and begin learning OJT. You'd...
  15. akulahawkRN

    New Nurse IV Struggles

    akulahawkRN replied to mer015's topic in First Year After Licensure

    Unfortunately my workplace frowns on doing EJ sticks. While I personally view those as a peripheral line (Paramedic scope considers EJ lines as peripheral), my workplace doesn't. As an aside, if...
  16. akulahawkRN

    New Nurse; To start a New IV or not?

    akulahawkRN replied to carebear1980's topic in First Year After Licensure

    I tend to agree. If your patient complains of pain at an IV site, you should at least investigate starting a new line. I did that in the ER just a couple days ago. My patient was complaining of pain...
  17. akulahawkRN

    American River College fall 2015

    akulahawkRN replied to nikkim228's topic in California Nursing

    If the "online" course is exactly the same in all respects as the in-person version and the transcript does not take any distinction between online or not, and the course satisfies the science...
  18. akulahawkRN

    Does the school matter?

    akulahawkRN replied to Justeen23's topic in General Students

    The biggest test that you would face when returning to California after graduation is ensuring that the California BRN would accept your clinical and didactic hours from whichever university you...
  19. akulahawkRN

    Panicking big time. Shut off at 75 & tons of SATA.

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

    The only thing that you can gather from having the NCLEX shut off at the minimum is that you either passed very easily or failed pretty miserably. There is NO in-between. If the NCLEX goes even 1...
  20. akulahawkRN

    RN with a different BS degree?

    akulahawkRN replied to NerdyKnitter's topic in Diploma, ADN, BSN

    While the advice you have received is true, you must also think of your pathway to BSN. If you already have a Bachelors and you're in California, things can get a little interesting. For instance, I...
  21. akulahawkRN

    When are you too old to start nursing school?

    akulahawkRN replied to 2soon2beOTC's topic in General Students

    When are you too old? When you're dead. That's too old. The real question that remains is whether or not you think you'll be able to get through school clinicals when you're going to be just about 1...
  22. akulahawkRN

    Difference between pulse and HR

    akulahawkRN replied to romantic's topic in CCU, Coronary, Cardiac

    As others have said, the pulse rate and heart rate can be different but the actual pulse rate (in normal physiology) can never be higher than the heart rate. The ecg and SpO2 units probably have...
  23. akulahawkRN

    Are transfer forceps necessary to be used in foley catheterization?

    akulahawkRN replied to vanfitnurse's topic in General Nursing

    When opening those kits, if done correctly, the 1 inch border of the wrapper is considered non-sterile once the outer wrapper is opened and the contents remain sterile. The kits we have at work do not...
  24. akulahawkRN

    Tips for really strict clinical instructor?

    akulahawkRN replied to Kiki<3's topic in General Students

  25. akulahawkRN

    I'm an alternate?!?

    akulahawkRN replied to Bunny92's topic in General Students

    Since you have been designated as an alternate, you really should do all the things they want you to do. It is not unheard of for a program to accept alternates into their program at the last minute....