akulahawkRN ADN, RN, EMT-P

Emergency Department

Wee bit about me!

Member

  • Content

    3,533

  • Visitors

    32,027

  • Followers

    2

  • Likes

    287

All Content by akulahawkRN

  1. akulahawkRN

    Intubation - confused about orders

    akulahawkRN replied to RNexplorer's topic in Critical Care

    Maintaining 95% on any flow > 2LPM by nasal cannula should signify that the patient isn't oxygenating properly for some reason. Most of us maintain that or greater on room air. Whether it's 10L or...
  2. akulahawkRN

    New to Clinicals

    akulahawkRN replied to kaycurt777's topic in Pre-Nursing Students

    Clinical was tough, but it wasn't anything like you describe. Not one bit... even with my toughest clinical instructor, not with my toughest preceptor. Ever. Nursing school should spend some time...
  3. akulahawkRN

    RN Nclex 265 questions!!!! Not again!

    akulahawkRN replied to danni2323's topic in NCLEX Exam, Programs

    :anpom:
  4. akulahawkRN

    I tried the PVT and it looks like I failed 😭😞

    akulahawkRN replied to katrn2324's topic in NCLEX Exam, Programs

    The term "invalid" could be that the card is simply "used up" and is no longer useful for spending purposes or it could mean card numbers that are completely made up. The system is going to check the...
  5. akulahawkRN

    Intubation - confused about orders

    akulahawkRN replied to RNexplorer's topic in Critical Care

    If it takes a non-rebreather (with correspondingly high FiO2) to bring the patient's SpO2 up to 95%, something is wrong... and hypoxia is probably a big part of that problem. That something is...
  6. akulahawkRN

    Intubation - confused about orders

    akulahawkRN replied to RNexplorer's topic in Critical Care

    The ABG was compensated respiratory ALKALOSIS. He had sleep apnea and CHF... Ejection fraction was not too bad - 45%.... His lungs had a few fine crackles and expiratory wheezes. Another thing I...
  7. akulahawkRN

    Intubation - confused about orders

    akulahawkRN replied to RNexplorer's topic in Critical Care

    Given the onset times of those meds, this makes sense, though I'm sure that your docs are doing this under more of a time crunch than what probably was happening here. Your docs are probably doing RSI...
  8. akulahawkRN

    Intubation - confused about orders

    akulahawkRN replied to RNexplorer's topic in Critical Care

    Disagree all you want, I'm OK with that. CPAP or Bi-level use is a good bridge and sometimes can prevent or greatly delay an intubation and can/does reduce the amount of time a patient does spend on a...
  9. akulahawkRN

    Unpaid overtime - is this the norm?

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

    The practice is likely illegal. If your facility has a union contract, there may be some provision in there allowing it, but I would seriously doubt it. Basically, if you're doing work at your...
  10. akulahawkRN

    ED techs to start IVs?

    akulahawkRN replied to montecarlo64's topic in Emergency

    IV starts are simply a monkey skill. You don't need to know why the IV needs to be done, you just need to be able to do the skill. It doesn't take a ton of education to learn the skill. Paramedics are...
  11. akulahawkRN

    RN Nclex 265 questions!!!! Not again!

    akulahawkRN replied to danni2323's topic in NCLEX Exam, Programs

    Since you've tried the PVT, try again at least 24 hours after the computer shut off on you. If you're still getting the good popup at that point, then you've very likely passed. Congrats for now...
  12. akulahawkRN

    Ever accepted a job you knew was a mistake?

    akulahawkRN replied to Lucky724's topic in Nursing Career

    Yes, not in a nursing capacity, but as a Paramedic. The place was incredibly toxic. I was there about 3 weeks, just long enough for me to find a new job, resign rather abruptly, and start the new job...
  13. akulahawkRN

    Graduated with high honors - is there any point in saying so on my resume?

    akulahawkRN replied to Raviepoo's topic in Job Search, Interview, Resume

    I would list it as well. It's a significant achievement considering that Nursing School is not an easy program. Personally, I wouldn't consider it to be brown-nosing. It's no different than listing...
  14. akulahawkRN

    I'm Lost...

    akulahawkRN replied to meganm23's topic in General Students

    As others have said, there's a lot of ways to "help people." Nursing is but one way. It can pay well, but it's not for everyone. The good news about nursing, though, is that there are many ways to...
  15. akulahawkRN

    RN Nclex 265 questions!!!! Not again!

    akulahawkRN replied to danni2323's topic in NCLEX Exam, Programs

    Being that you hit the end of the questions, you have triggered the rule that evaluates the level of the last question you were asked. If that question is above passing standard, you pass. It's called...
  16. akulahawkRN

    Test cut off at 75 questions

    akulahawkRN replied to maryterrell413's topic in NCLEX Exam, Programs

    Since the exam shut off at 75, the only thing you can conclude is that you either did consistently well or consistently poorly... and the test attempt is done. While it's quite nerve-wracking, you...
  17. akulahawkRN

    PVT trick December 2014

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

    The cancelled RN application just means they're probably working on it. Regardless of pass/fail status, they'll shortly officially notice that you have taken the NCLEX. Once that happens, they'll...
  18. akulahawkRN

    How Hard Is the Actual TEAS?

    akulahawkRN replied to pearlbubbles's topic in TEAS Exam Help

    The TEAS is certainly not an easy exam... that being said, I thought the TEAS was fairly easy but that's only because I have a pretty solid background in general sciences, math, and reading/writing....
  19. akulahawkRN

    Job or Bridge to RN for new PN grad

    akulahawkRN replied to jl2002's topic in Canada

    I would suggest taking the job because it provides you actual experience and by getting experience you open doors to upgrade programs that require experience in addition to simply having a license....
  20. akulahawkRN

    why do nurses hate medics?

    akulahawkRN replied to loboracer's topic in Emergency

    Often, that's very much the case. Just remember that Paramedics are specialists in basically one or two things and they're very good at those things. It's one reason why they're as useful as they are...
  21. akulahawkRN

    Pending DWI in TX

    akulahawkRN replied to nursinghereicome27's topic in Licensure: Criminal History

    If either or both of these charges result in convictions, I'm sure that some rehab will also be a requirement. Depending upon the court's whim or procedures, the court may defer prosecution on the...
  22. akulahawkRN

    Patiently(anxiously) waiting

    akulahawkRN replied to KizRN23's topic in NCLEX Exam, Programs

    While I don't have a whole lot of advice for you, because you went 170 questions, you were probably pretty close to passing for most of the exam. That may indicate that the issue may be test-taking...
  23. akulahawkRN

    I screwed up... don't know what to do. I need advice.

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

    Since you have likely passed Micro, retaking the class at your current school is going to be a no-go. You might very well be able to take Micro again at a different school and if you do well, you may...
  24. akulahawkRN

    Intubation - confused about orders

    akulahawkRN replied to RNexplorer's topic in Critical Care

    That's just the thing... while the ABG was almost normal, the fact that the patient required a non-rebreather mask to maintain the SpO2 of 95% means something is wrong. RR being "normal" is only one...
  25. akulahawkRN

    Pending DWI in TX

    akulahawkRN replied to nursinghereicome27's topic in Licensure: Criminal History

    I'm going to be very blunt. You're going to need to have your pending cases resolved. If those cases result in a conviction, your chances of getting into nursing school any time soon will be very low....