akulahawkRN ADN, RN, EMT-P

Emergency Department

Wee bit about me!

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All Content by akulahawkRN

  1. akulahawkRN

    Tylenol ordered for pain.

    Not so much to ask, really. Earlier today I had a patient that I knew was getting tylenol for pain and the Doc wrote the order for a fever. While I could have just given the tylenol, the patient was...
  2. akulahawkRN

    American River College fall 2015

    This is why I say (quite often, might I add) that you should apply everywhere that you are qualified for. The more places you apply, the more likely it is you'll be accepted somewhere. Never give up...
  3. akulahawkRN

    Tylenol ordered for pain.

    The order wasn't for fever, it was for 1-2/10 pain. While the med can be used for fever, without an order for it (protocol or otherwise), you technically could get in trouble for administering the...
  4. akulahawkRN

    Which laptop for nursing?

    When I got into nursing school, I got a new mid-rage laptop. Mine's wide enough to use the extended keyboard, but more importantly, it's got a decent processor (not great), is 64-bit capable, and...
  5. akulahawkRN

    How old are you?

    Younger than
  6. akulahawkRN

    American River College fall 2015

    When I started back in Fall '11, the "standard" cohort size was about 30. This allowed for two things: 10 people per clinical group and for a few people to drop out which usually brought the cohort...
  7. akulahawkRN

    ARC Fall 2015

    I'm glad I can be of service to you as inspiration. When things get tough, don't give up. While you're waiting to get in, continue your education to make sure you have completed all the graduation...
  8. akulahawkRN

    ARC Fall 2015

    Fortunately for me, all that was under the old system. I spent 4 years applying and reapplying. It still could have been that long under the "new" system and probably would have been much less. I...
  9. akulahawkRN

    ARC Fall 2015

    I applied to ARC 8 times and SCC 7 times before I was accepted to both programs for a start in the same semester. Don't give up. If you do, you will never get
  10. akulahawkRN

    97% O2 with NRM

    Here's one: Panoramic Oxygen Mask | Endoscopy Mask As to the patient response to increasing pCO2, note that I said "should" and not something like "will." This is because I recognize that some...
  11. akulahawkRN

    97% O2 with NRM

    That was the issue that I hadn't addressed yet. If you're attentive and if the patient is responsive to increasing pCO2 levels, you should see an increased respiratory rate and depth compared to prior...
  12. akulahawkRN

    American River College fall 2015

    If you got accepted within the past week to SCC, chances are very good that ARC's acceptance letters will go out shortly. In my own experience, typically they send out their letters within about a...
  13. akulahawkRN

    97% O2 with NRM

    It could be a positional (in bed) thing. If the patient is sitting in bed but the hinge in the bed for raising the HOB up isn't at the hips, the patient could be bent somewhere near the bottom of the...
  14. I'm a Paramedic and a new grad RN. I can honestly say that if I was going to do nursing a few years ago, I would have gone straight from EMT to nursing instead of doing Paramedic. That being said,...
  15. akulahawkRN

    30 unit option. CA BRN concurrency isues.

    It could matter as the RN license will be marked "30 unit" and won't likely meet endorsement requirements for employment elsewhere. You would probably have a significant battle every time you wanted...
  16. akulahawkRN

    4 Point Restraints in the ER. Is that Abuse?

    Restraints can be put in place to provide for patient safety. The thing is that once you place someone into any kind of restraint, you also must implement much more frequent monitoring to ensure their...
  17. akulahawkRN

    Do RN's insert EJ's at your hospital

    It's been a while since I've done an EJ, but my go-to with that site is an 18g but if I don't have any 18's in hand, I'll reach for a 16 before I'll reach for a 20. The reason for that is really...
  18. akulahawkRN

    Keep my License Active or Let it Expire?

    Keeping your LVN license active gives you options down the road, even if you don't currently intend to ever work in that capacity again. I'm a Paramedic and an RN. I recently gained that RN license. I...
  19. I just go through recent posts and look for threads that might be interesting. I am an ED nurse now, but still very early in my career as one. It took me about 8 months to find a position. Many of my...
  20. akulahawkRN

    Can I accomplish becoming an RN at 26?

    I graduated from nursing school at 40. I'm 41 and started my first RN job. The way I figure it, if you're younger than dead, you're not too old to try. If you're dead, then you might have a problem...
  21. akulahawkRN

    Esme Needs Your Prayers

    Oh no! I hope she recovers soon. She's definitely missed. Once I read this thread, I realized that I'd not read any posts from her in the past few days. I wish her all the best and a speed recovery. I...
  22. I graduated from SCC about a year ago. Here's how things went for me. The first 5-6 weeks in the first semester you'll be in class Tues-Friday, usually from about 8-2. During this time, you're...
  23. This is partially correct. There's only one situation where your final question determines pass/fail. The question before the final question is the one that mostly sets your chance of pass/fail in...
  24. akulahawkRN

    The Hunger Games and Nursing

    We have badges... they currently are used for timecard purposes and they can track when you enter (but not leave) certain areas. They just don't have longer-range prox card readers that could be used...
  25. akulahawkRN

    How long did it take you to finish your prerequisites?

    All told, it took me about 15 years to complete all my prerequisites. Of course, most of the prereqs were done during a previous stint in college and I graduated with a BS degree. Just counting the...