akulahawkRN ASN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    thinking of doing a phelbotomy course and wanted opinions

    Phlebotomy certification won't likely help you all that much outside the phlebotomy field. However, there is exactly one area that doing phlebotomy will help you with and that's learning how to find...
  2. akulahawkRN

    ED Nursing

    Yes. Just to reinforce what was said above: you'll have to learn NOT to do full assessments. You'll have to learn to do focused assessments. I try to get my initial assessment and initial tasks done...
  3. It's not that endotracheal intubation is or isn't a "nurse" skill, it's that most nurses don't have a need to perform this particular skill so it's not something that is taught generally to nurses....
  4. akulahawkRN

    Doc Won't See Me Because I Treat Covid Patients

    If someone asks if I've had close contact with a COVID 19 patient, I consider that a question of "Have you had close unprotected contact with a known COVID 19 patient" and since I always wear PPE, I...
  5. Yep. Since the computer shut off at 75, (minimum) you either did so well that you met the passing standard with ease and then some, or you did so poorly that there's no question that you failed more...
  6. akulahawkRN

    Maybe it is about taking away guns

    Both the Heller and the McDonald decisions do state and reiterate that the core purpose of the 2nd Amendment is to allow for individual self defense, but also that regulation regarding "sensitive...
  7. akulahawkRN

    Trying to get into the ICU but no luck as a new grad

    I just consider myself very lucky in that I was able to eventually get an ED RN job as a new grad. It took me about 10 months. Part of what got me into the ED was the fact that I'm also a Paramedic so...
  8. akulahawkRN

    Trying to get into the ICU but no luck as a new grad

    I'm kind of in agreement with most, if not all, of the above. Given your goal of ICU, you'll probably get a better overall experience and have a slightly less horrible learning curve if you start from...
  9. akulahawkRN

    Will you take the Pfizer Covid Vaccine?

    Looking at all the info as I know it, I'm absolutely 100% going to take either the Pfizer or Moderna vaccine as soon as one of them is offered to me. I'm supposed to get my vaccine this week and it'll...
  10. akulahawkRN

    When can I get the COVID vaccine?

    As a private duty nurse, you'll have to check with your agency your local health department as to where you fit in the distribution scheme and when you'd be able to get your vaccination. I'm an ED...
  11. akulahawkRN

    Maybe it is about taking away guns

    Where in the Constitution is this explicitly stated? Here's a hint: it isn't. What is in there is that no person may be deprived of life, liberty, or property without due process of law. This thought...
  12. akulahawkRN

    Maybe it is about taking away guns

    You're right that there are limits on the 1A. There are also limits on the 2A as well. When you state (in summary) that because the framers couldn't have envisioned modern 20th and 21st century...
  13. akulahawkRN

    Failed My Third Semester

    I've done that. I've been an RN now for about 6 years, working for about 5, all of that time in the ED. You mentioned that you're a terrible test-taker. I'm an excellent one. Most likely it's not that...
  14. akulahawkRN

    How is GPA calculated?

    In my own (somewhat limited) experience, an "original" course that is repeated for academic (low grade) reasons is not counted in GPA calculations. However, if you got a reasonable grade the first...
  15. akulahawkRN

    How is GPA calculated?

    This is a good question to ask! Normally the "F" would NOT be calculated into your GPA as it has been repeated. Both courses would remain on your transcript with a notation that the first one was...
  16. Having ACLS and PALS as a new grad is pretty much a baseline thing. Wait until you're (quite literally) about to graduate as these courses are only good for 2 years. These courses aren't cheap either....
  17. Assuming you're truly setting up a primary/secondary system, as MunoRN says, emptying the secondary bag completely depends upon the height the secondary med is above the primary bag. With those...
  18. akulahawkRN

    Gloves at all times?

    I rarely use gloves for a med pass. Most of the meds I give will go directly from packaging to a medicine cup or into an IV line. If you wash in and wash out (or at least foam in/out), your hands will...
  19. akulahawkRN

    ICU or IMU telemetry?

    That's pretty much the order I'd look at things as well. Most important is getting a good foundation as a new grad. After that, the rest is just mapping your way into an ICU where you'll see some...
  20. akulahawkRN

    ICU or IMU telemetry?

    From my perspective, the choice for you as a new grad is absolutely clear. Whether or not you agree with it is entirely OK. You have an offer of of an IMU Tele job at a magnet hospital that's 30...
  21. akulahawkRN

    termination :(

    So you haven't worked as an RN for 7 years and got hired into ICU and didn't make it through orientation. I'm not all that surprised. The fact that they took a chance on you and said they want you to...
  22. akulahawkRN

    Can’t a nurse be fired?

    If I found a deceased person who was in rigor mortis, I wouldn't start CPR. That's an obvious sign of death. The bigger question is if I had any legal/moral obligation to that person in the first...
  23. akulahawkRN

    Oversight from nonclinical staff?

    If a nurse is fired from an organization for commission of an act that may or may not have been clinically appropriate but the administration deems that the nurse is too great of a legal risk, then...
  24. akulahawkRN

    Oversight from nonclinical staff?

    If the CEO is trying to get you to do or not do something that is within your nursing practice to determine, then the CEO is basically trying to do Nursing without a license. The CEO is there to...
  25. akulahawkRN

    I think I made my first mistake..

    Quite frankly I doubt the humidifed O2 through the NRB did anything significant to the patient. While there could (eventually) be a problem with water accumulation in the reservoir bag, it pretty much...