akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Why use compression bags when transfusing blood?

    akulahawkRN replied to mmm_016RN's topic in Medical-Surgical

    Subclavian lines can be done (in a pinch) by feel, as long as you know the landmarks. I've been shown how to do them using long peripheral IV lines but it's quite rare for this to be done by anyone in...
  2. akulahawkRN

    94 or higher is an A?

    akulahawkRN replied to Oceanblu's topic in General Students

    The program I attended does NOT have + or - in the letter grade, you only get "whole" letter grades. Their grading system at the time was simple. 90 or greater = A 80-89 = B 75 - 79 = C Clinical...
  3. akulahawkRN

    PVT Payment Declined NCLEX PN 2015 CA

    akulahawkRN replied to dmavs360's topic in NCLEX Exam, Programs

    Well, that's why I did say "or other appropriate source" in my statement above as it covers the possibility of any other entity/agency being the source of the "pass"
  4. akulahawkRN

    PVT Payment Declined NCLEX PN 2015 CA

    akulahawkRN replied to dmavs360's topic in NCLEX Exam, Programs

    Good to know! The letter from Pearson Vue (or other appropriate source) shouldn't take too long. The letter has to be put in the print queue, printed, and mailed. Hopefully that's not longer than...
  5. akulahawkRN

    PVT Payment Declined NCLEX PN 2015 CA

    akulahawkRN replied to dmavs360's topic in NCLEX Exam, Programs

    Since it's been 5 days since you've taken the exam, chances are very highly likely that you have passed since you have gotten the good popup. I would suggest checking the BVNPT's website (or BreEZe if...
  6. akulahawkRN

    PVT Payment Declined NCLEX PN 2015 CA

    akulahawkRN replied to dmavs360's topic in NCLEX Exam, Programs

    There's just ONE code for the Philippines. Just select the Philippines, leave the city field blank (do not enter CEBU or anything else in that box) and see what happens. If that does not work, then...
  7. akulahawkRN

    Why use compression bags when transfusing blood?

    akulahawkRN replied to mmm_016RN's topic in Medical-Surgical

    There are rapid infuser pumps. They can infuse blood very, very rapidly. They can be expensive and setup may take a little while. I can prime blood tubing extremely quickly and as long as there's...
  8. akulahawkRN

    PVT Payment Declined NCLEX PN 2015 CA

    akulahawkRN replied to dmavs360's topic in NCLEX Exam, Programs

    Your program code is probably not a unique code to you. Make sure that you are filling in the code correctly. If you're doing everything correctly and you're not proceeding through registration, you...
  9. akulahawkRN

    PVT Payment Declined NCLEX PN 2015 CA

    akulahawkRN replied to dmavs360's topic in NCLEX Exam, Programs

    More like... you put in your cc info, click submit and you either get the good popup or the system attempts to charge your card $200... One of them is (potentially) good news and the other is bad news...
  10. akulahawkRN

    RRT vs ICU transfer

    akulahawkRN replied to kflavi2's topic in Critical Care

    Disclaimer: I'm an ER nurse. Given what happened, I would have transferred him to the ICU. If you'd have "fixed him," the patient would no longer need dopamine to maintain CO. Also, in your...
  11. akulahawkRN

    IV Rules at your Facility

    akulahawkRN replied to applesxoranges's topic in General Nursing

    When I worked as a Paramedic, I used exactly the same technique for starting PIVs in the field as I did in the ED while learning the skill. Back then, nearly all IV starts used alcohol swabs. Now...
  12. akulahawkRN

    New Nurse IV Struggles

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

    Doing IV starts is just an experiential thing. Classes are good for (kind of) showing you various techniques or doing part of an inservice training to allow you to start a line in a different location...
  13. akulahawkRN

    Denied employment!

    akulahawkRN replied to Benang's topic in Licensure: Criminal History

    Simple. Call a lawyer that specializes in employment law in your state and that lawyer will be able to give you specific legal advice about how to proceed. That's what you should
  14. akulahawkRN

    Why do nurses.....

    akulahawkRN replied to offlabel's topic in General Nursing

    The alphabet soup I put after my name depends upon the circumstances I'm in. At work I am "just" AkulahawkRN, RN. I have an ADN but since my school lists the degree as an "Associates of Science,...
  15. akulahawkRN

    Heart damage

    akulahawkRN replied to miamiheatrn's topic in General Nursing

    The answer is all in the blood flow and collateral circulation. Research this as AnnieOaklyRN suggests and tell us what you
  16. akulahawkRN

    starting IV's, pesky valves, just a rant

    akulahawkRN replied to brownbook's topic in General Nursing

    I spend quite a bit of time looking at all the options before I stick a patient even once. It's far better to poke around with a finger to find the vein and where it goes. Then when I do grab a...
  17. akulahawkRN

    Insight on Dilaudid?

    akulahawkRN replied to LifeIsBeachy's topic in Patient Medications

    If possible I prefer to give patients ondansetron before I give them fentanyl because of the nausea problem. If I can't, I'll dilute the fentanyl as much as I can and give it fairly slowly to try to...
  18. akulahawkRN

    Insight on Dilaudid?

    akulahawkRN replied to LifeIsBeachy's topic in Patient Medications

    The itching you got from the morphine was due to histamine release from the morphine. If someone wants to give you morphine or that's all they have, ask that you be given diphenhydramine first because...
  19. akulahawkRN

    American River College Fall 2016

    akulahawkRN replied to Daryap's topic in School, College Programs

    The selection process at SCC is similar to ARC's process but there are some differences. Since you were accepted at SCC, I highly suggest you attend that program unless you have a very good reason to...
  20. akulahawkRN

    So I kind of messed up

    akulahawkRN replied to oopsmybad's topic in General Nursing

    The drug tests look for classes of medications. Ativan is a benzodiazepine so it will show up on any test that screens for benzos. If you had taken Valium or Versed you would have had the same...
  21. akulahawkRN

    I am not a leader.

    akulahawkRN replied to Chimio's topic in General Students

    While I am an ER Nurse, I don't automatically take the role of a leader. If anything, I'm more of a reluctant leader. I'll jump in and take that role if nobody else is doing it but a lot of that...
  22. akulahawkRN

    Insight on Dilaudid?

    akulahawkRN replied to LifeIsBeachy's topic in Patient Medications

    I have gotten more than a request or two to do exactly this. Since I know Dilaudid does this and why patients ask for it to be pushed fast, I do not do as asked. I usually dilute it in at least 5 mL...
  23. akulahawkRN

    Doc Vader vs pt satisfaction

    akulahawkRN replied to mtjoanna's topic in Nursing Humor

    That channel on Youtube is just FULL of stuff like
  24. akulahawkRN

    Educating patients on ER use

    akulahawkRN replied to anh06005's topic in Patient Education

    If your area has even a single urgent care center, count yourself lucky compared to where I work. There isn't a single UC anywhere. If you're in need of care, you are lucky if you can get an...
  25. akulahawkRN

    I can't wear an N95 resp. mask= No airborne iso patients?!

    akulahawkRN replied to s1992's topic in General Nursing

    As the others above have said, the PAPR eliminates the problem of facial hair or problems with ill-fitting N95 respirators. The facility I work at has 3 units (we're very small) and we don't use them...