akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Pearson vue trick

    The "old" PVT resulted in less chance of you paying $200 if your "pass/fail" flag wasn't set to "pass" at the time you attempted to reregister. You would enter some info, click submit and then it...
  2. akulahawkRN

    Making the ED More Efficient

    The ED where I work has but 12 beds. They use a combination of scheduling, specific assignments, and use of a Fast Track system to keep flow though the department reasonably efficient. They see around...
  3. akulahawkRN

    Small ER VS Clinic?

    I work in the ER of a small critical access hospital and this is a lot of what we get daily. We stabilize and transfer but we don't have the luxury of having a lot of transport resources either so we...
  4. akulahawkRN

    My Nursing Instructor Is making clinical a nightmare

    I also had an instructor that was known for running things just this side of outright bullying behavior for how she ran her clinical groups. As an instructor, she actually wasn't very good. Fantastic...
  5. akulahawkRN

    Firearms

    They generally may not prohibit you from securing your weapon if you're not parked on their property. If the property is rather large and there are lots of "no parking" around the property, that can...
  6. akulahawkRN

    Thank the good lord for standing orders.

    I truly hope that diphenhydramine order for itching isn't truly 250 mg... that's what, 5-10x the usual effective
  7. akulahawkRN

    Failed my First Attempt, Completely Lost

    Since you have failed, I suggest that you might want to take some time off from studying much. It's OK to study some, but not very intensively. You need to wait for your Candidate Performance Report....
  8. akulahawkRN

    I'm 30 years old, is it a problem to be a Nurse?

    You are younger than dead, so you can still make something about of nursing, a career even! I'm just over 40 myself and it's my 2nd careers, I started working this year as an RN. As far as going to...
  9. akulahawkRN

    LPN/LVN to RN California almost impossible!!

    Certainly each program is different and has their own curriculum and they can set their prerequisites. In my area, two of the programs are very similar in what they require for generic and LVN-RN...
  10. All I, or anyone else, can tell you is that your exam stopped at 85 because the computer determined that you met a pass/fail rule at that point. It can also be inferred that since your exam went...
  11. akulahawkRN

    Failed Nclex after 83 questions

    First of all, you need to get your Candidate Performance Report. That will give you a good clue to the areas you were lacking at the time you attempted the NCLEX. Second, you need to stop worrying and...
  12. akulahawkRN

    Understanding PT & INR

    https://labtestsonline.org/understanding/analytes/pt/tab/test/ That page is a start for PT/INR. You also might want to try to search for "PT and INR" on your favorite internet search engine to find...
  13. akulahawkRN

    Failed my nclex rn :(

    That's why you went the full-length of the exam. You were right on the pass/fail line for basically the entire exam. You might have even studied too hard, which is possible. My studying for the NCLEX...
  14. akulahawkRN

    What to teach in EMS class?

    From my own prehospital experience, I would suggest that you focus on those things you'd like to know when they bring you a patient. Sometimes they cannot escape the ABC's part of the assessment as...
  15. akulahawkRN

    Train of Four

    Look up ulnar nerve motor innervation, specifically in the
  16. akulahawkRN

    Administering Fentanyl

    I've seen fentanyl given iv, po (via lollipop), and transdermal. It's very effective. I've yet to give it myself but it's not really scary unless you give it too
  17. akulahawkRN

    Brian Short News

    I must say that I am just very shocked and surprised at the news I have just read here and elsewhere. If the details are true, it truly is a horrific thing to happen to any family. My deepest...
  18. As an example, this means when you do your peds stuff in the classroom, you also do the peds clinicals in the same quarter or semester. There are several other elements that must be matched up this...
  19. akulahawkRN

    Sports clearances and clerical help

    This is an article that provides a small window into the job of an ATC: Athletic Trainer - Career Information I'm not saying that the ATC is "better" than an RN or that an RN is "better" than an ATC...
  20. akulahawkRN

    Sports clearances and clerical help

    On this one particular detail, yes we do. However, unless the RN has an ATC, Exercise Science, or Physical Therapist education/background, or is an Orthopedic NP, there's just too much specialized...
  21. akulahawkRN

    Sports clearances and clerical help

    You're correct... only the physician can clear an athlete for play. My focus was on the management of the process. The ATC or the RN is capable of managing the preparticipation clearance process. The...
  22. akulahawkRN

    Sports clearances and clerical help

    You really need to talk to the AD about having the Athletics Department deal with the Athletics Permission forms. They need to provide you a list of students that have obtained permission to play...
  23. akulahawkRN

    child burn wound dressing

    That is correct. Now why would you suppose that this is a correct course of action to take, especially with a 9 year old child? This looks suspiciously like homework, so don't expect direct answers...
  24. akulahawkRN

    Shortness of Breath

    I think many of us have seen patients like this. We do have go be careful, but we should be mindful of the onset of symptoms, such as a new complaint that may keep someone in hour ER that magically...
  25. akulahawkRN

    NCLEX rn results on CA Breeze

    It is all about their workload. The analysts have to manually do the data entries into the computer. Other states may have an automated system, California does