akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Join the ER or go to another specialty?

    akulahawkRN replied to Shimmer580's topic in Emergency

    The ED is very "squirrel." Basically all we do is triage. We very rarely get to do definitive care. All the care we give is basically done "now" and not on a given schedule. We constantly are...
  2. akulahawkRN

    Working during school

    akulahawkRN replied to Ztmatth13's topic in General Students

    I have a favorite saying: "Everyone wipes the butt!!!" This is because in healthcare, it's pretty much true. Once you're doing direct patient care, at some point you're going to be the one that has to...
  3. akulahawkRN

    Any facilities actually using an AccuVein? Any thoughts?

    akulahawkRN replied to BiscuitStripes's topic in General Nursing

    I have used those vein finders before. What I've found is that they're helpful at certain times in locating veins but most of the time I really don't need to use it. The vast majority of the time I...
  4. akulahawkRN

    California RN to tele PT ratios

    akulahawkRN replied to kiraesparza's topic in Patient Safety Issues

    The way that I understand the way ratios work is that basic staffing is going to depend upon how the unit is "organized." Because your basic M/S unit is set up to do Tele, Peds, and other specialty...
  5. akulahawkRN

    Atrial kick and A-flutter

    akulahawkRN replied to usernamee's topic in CCU, Coronary, Cardiac

    With AFlutter, while the atria do contract, they're contracting at a rate that doesn't allow for complete filling. This means each contraction won't be as efficient as it could be and therefore the...
  6. akulahawkRN

    Misdemeanor on background check for Chamberlain College of Nursing

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

    While most traffic tickets are infractions, some are misdemeanors and others are Felonies. Misdemeanors typically require a courtroom appearance at some point, but if you simply paid the ticket w/o...
  7. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    Legal in all states or just the ones where it's legal to personally own/possess machine guns? If it's the latter, there's about 180k machine guns that are legal to personally own/possess. It's...
  8. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    I sure hope not! Any means to reduce violence, including suicides without repealing the 2nd Amendment or abridging anyone's rights without DUE PROCESS is a great thing. In most states, you do NOT...
  9. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    In every state, there's this thing called a "restraining order" that will result in removal of firearms from the possession of whomever's restrained. It's possible for this to be done against one's...
  10. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    Adam Lanza, the Sandy Hook shooter, killed his mother and then stole her guns before going to the school... Also, in case you didn't know, the Santa Fe HS shooting didn't involve ANY semi-auto...
  11. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    And therein lies the problem. Who decides what constitutes an orificenal? Who decides how many is too many? If the Second Amendment is outdated as written, what other Amendments are also outdated as...
  12. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    There really is no further need to clarify. When it comes to "mass shootings" do understand that there is no fixed definition of what this is. Broadly, it can refer to more than 3 victims, whether...
  13. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    I'm tired of seeing them too. Just remember an old rule of Journalism: If it bleeds, it leads. Some do look for their 15 minutes of fame, even if it's
  14. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    That's fine and your choice! I (and others here) do have guns and don't shoot anyone. I do not ask you to have them and I expect that you do not ask me not to. For the vast majority of gun owners,...
  15. akulahawkRN

    If a implanted port is in the left chest is it ok to start a peripheral IV in the Left for

    akulahawkRN replied to sjcades's topic in General Nursing

    Short answer is: yes. Implanted chest ports are usually "just" tunneled to the IJ on the side where they're placed. Think of it as basically an IJ central line where the entire system is under the...
  16. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    Actually, the Heller case and the McDonald case both hold the Second Amendment protects the right to self defense most notably, but not limited to, the home. Neither decision foreclosed the right of...
  17. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    One of the biggest single death events in the US happened because someone used a bomb... look up Oklahoma
  18. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    The Second Amendment was put into place to allow the populace to be armed with exactly the same arms of the military because the populace was the military. Personal possession was expected and was the...
  19. akulahawkRN

    Understanding the Risk of Firearms: Suicide vs. Homicide

    akulahawkRN replied to Melissa Mills's topic in General Nursing

    As has been commented above, there's a LOT of political "stuff" surrounding the firearm issue. There's much to be said from both sides that are worthy of discussion and debate. However, in the United...
  20. akulahawkRN

    IV piggyback

    akulahawkRN replied to Newrnnow's topic in Infusion, Intravenous

    Muno's method is very simple and can be used with basically any pump. Just remember to account for the amount of fluid in the line you have to push through before the med reaches the patient and that...
  21. akulahawkRN

    Is this a nursing diagnosis?

    akulahawkRN replied to futureclern's topic in General Students

    Not likely a NDx. Schools are going to want the NDx to be NANDA approved. What you came up with isn't on that list. From what I can determine, there's 244 nursing diagnoses in the current NANDA...
  22. akulahawkRN

    NCLEX Today Shut Off at 75!

    akulahawkRN replied to Mandi Mae's topic in NCLEX Exam, Programs

    Here's the good news: when the computer shuts off at 75, you either did very well or you did very poorly. There's no in-between. I hope you have the same result I did when mine shut off at 75! Oh, and...
  23. akulahawkRN

    American River College (ARC) ADN Spring 2019

    akulahawkRN replied to Rdh08's topic in School, College Programs

    If your application says "qualified" then you're in the random selection pool. It doesn't mean you've been selected. Something else to consider is that sometimes you might see 400 applications or 800...
  24. akulahawkRN

    Am I In or Nah??

    akulahawkRN replied to MomtaRN2B2020's topic in General Students

    This is what that letter means. As long as your grades hold, you'll be good to go. They're giving themselves some wiggle-room to NOT accept you. Don't slack off because you go this letter. You haven't...
  25. akulahawkRN

    American River College (ARC) ADN Spring 2019

    akulahawkRN replied to Rdh08's topic in School, College Programs

    This is true. They usually pick around 30 students for each starting class. Every great once in a while the class will be slightly larger, up around 33, but that's unusual and only if they're bringing...