akulahawkRN ADN, RN, EMT-P

Emergency Department

Wee bit about me!

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All Content by akulahawkRN

  1. akulahawkRN

    When do you know it's time to give up? :/

    KiggyPuffPup: The only thing you didn't get correct is that I'm a "he" not a "she". I really don't mind much because Nursing is so female dominated, even with increasing numbers of men entering the...
  2. akulahawkRN

    When do you know it's time to give up? :/

    I failed out of nursing school and because I was able to look at myself to really see what the underlying issue was that was holding me back, I was able to develop a plan to succeed. I was readmitted...
  3. What your preceptor may have done is program a small VTBI at a relatively slow rate so that the pump will automatically beep and stop at 15 minutes so that she has to go to the patient and pump to...
  4. akulahawkRN

    failed nursing class

    I was someone that failed out of nursing school and was readmitted. It pushed my graduation off by a year. While I would have preferred to simply repeat that semester and graduate a semester late, I...
  5. VTBI = Volume to be infused. Rate = ml/hr If you have 100 ml in the bag and you want to infuse that 100 ml, you put 100 ml in the VTBI blank. If you want that to go in over 30 minutes, you put a...
  6. The test shut off at 85... that means that you either did quite well or quite poorly. There's no in-between when it shuts off right at the minimum. I hope that you have passed and that you'll hear...
  7. akulahawkRN

    Grand jury duty summons

    I've sat on two trials before, for jury duty. Fortunately my current employer pays me my regular wage and that allows me to decline the jury stipend (which is very small). I have not been asked to sit...
  8. akulahawkRN

    My husband is in nursing school

    I noticed that as well. OP: There's someone being the boss of the relationship and someone beingconsidered a partner in the relationship. While things seem OK now, the danger is that the former type...
  9. akulahawkRN

    My husband is in nursing school

    While that behavior is not entirely normal, it's not out of the realm of abnormal either. Long study sessions aren't unusual before big exams. Going to a bar after an exam isn't horribly abnormal...
  10. akulahawkRN

    DNR HELP

    I get my information from the same place you do... personal experience, unfortunately. We have even had many of the same experiences. You and I are actually basically on the same page about how to...
  11. akulahawkRN

    DNR HELP

    This concept, in my own experience, is often completely lost by a lot of care providers. I have taken many DNR patients to the hospital for care that wasn't considered resuscitative within the...
  12. akulahawkRN

    Criminal history?

    While it's usually best to disclose such problems, you should also know that sometimes employers only want to know about problems that have occurred within a certain window of time. If either of those...
  13. akulahawkRN

    DNR HELP

    From my own experience, DNR orders are very specific as to what is allowed and not allowed. When someone says DNR to me, I think the following: No chest compression No artificial ventilation No...
  14. akulahawkRN

    First Clinical Day

    Then it sounds like you're good to go with checking back on that patient. If your instructor thinks that patient will be a good learning experience, it should be! If you have an idea about what's...
  15. akulahawkRN

    Changed how they test.

    The styles of questions that will be on the NCLEX are quite fixed as a computer must do the scoring. The type of questions you were getting aren't able to be scored by a computer, only a person can do...
  16. akulahawkRN

    First Clinical Day

    While you feel like going back and checking on your patient, be care about this... you don't want to inadvertently cause an issue later. It sounds like you had a normal start of your clinical...
  17. akulahawkRN

    The "R" in SBAR......nope

    It's more like I'm a Paramedic who has become an RN. Essentially the RASB format is what I used when I had to make base contact for orders for a particular patient. I wouldn't say that the format I...
  18. akulahawkRN

    The "R" in SBAR......nope

    Here. I. Stand. Thank you for your input and for giving me some great examples from your practice for me to chew on. I definitely don't want to be blindly dependent on others to tell me what to do,...
  19. akulahawkRN

    The "R" in SBAR......nope

    OP: You use the SBA part to paint a picture of the patient for the Doc. Effectively you're telling the Doc what's wrong. The "R" represents your suggestion as to what you think the patient needs to...
  20. Ehlim412 - You're an auditory learner and probably a kinesthetic learner. You need to hear it and do/teach it in order for you to really learn something concretely. Remember the technique you used...
  21. #2 is the priority for two reasons... one is that sickled RBC's don't carry oxygen and lack of oxygen can make RBC's sickle. Think about
  22. akulahawkRN

    Microbiology unknowns

    Good
  23. akulahawkRN

    New spinal cord procedure

    That's for spinal cord transection. I just read that a single protein dysfunction has been determined to be a (if not the) cause of ALS. This may be the one thing that blows open the door for finding...
  24. akulahawkRN

    Esme Needs Your Prayers and Well Wishes

    Esme - I hope you're well on the mend by now! Keep up the healing and we'll keep the welcome mat out for you when you're
  25. akulahawkRN

    how hard is it to take a BP????

    There really is an art to taking manual BPs. While the mechanics aren't all that difficult, you have to know the sounds and you have to know the anatomy. Then you must get experience doing it...