akulahawkRN ADN, RN, EMT-P

Emergency Department

Wee bit about me!

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All Content by akulahawkRN

  1. akulahawkRN

    Worried about the rejection from program

    I started refreshing my prerequisites in 2006 and started applying in 2007. It took me 4 consecutive academic years to get get accepted... I started in Fall 2011 and now I'm done. The local schools...
  2. akulahawkRN

    Burning the candle at both ends...

    Sometimes the best thing you can do is simply look at the trees, not the forest. Make an activity timeline. Stick to it. As difficult as this is, find time for yourself. Take naps whenever you can....
  3. akulahawkRN

    What would you do in this code?

    Something I wonder is that the patient could have been extremely peripherally vasoconstricted thus the A-line might actually have been seeing a SBP of 200+ and showing a waveform, but since the pulse...
  4. akulahawkRN

    a question about a low oxygen saturation

    Do you know the CO2 level? You said lungs were clear, how much volume was being
  5. akulahawkRN

    Does a 1 year ADN program in California exist?

    It depends upon your definition of "accelerated." Sacramento City College occasionally opens a program that runs four consecutive semesters, by that meaning: Fall, Spring, Summer, Fall. Their...
  6. akulahawkRN

    Ebola here in Dallas USA

    I just read that... and right now I've been seeing references to a breach in proper protocol during PPE removal. If that's true, then we all must revisit the proper procedure and do it the right way...
  7. akulahawkRN

    Do you go to work with vomiting/diarrhea?

    Vomiting and diarrhea are the only two absolute reasons I'd call off from work. If I'm doing either of those, I'm shedding too much of whatever I've got plus a LOT of fluid. While finding someone to...
  8. akulahawkRN

    Nurse are you worried about the ebola outbreak?

    Short answer: No. Long answer: No. We know how it's transmitted. Even if it can be transmitted by an airborne route, it's going to be droplet, just like the flu. We know how to prevent transmission...
  9. akulahawkRN

    Can I become a Nurse at 40?

    OP: You are younger than dead. Therefore you're not too old! As caliotter3 has stated, you must simply balance your personal, educational, and employment responsibilities... and that's not often all...
  10. akulahawkRN

    6 years brought me to this day

    Make sure you eat a good breakfast that won't spike your blood sugar. It's not nice to be on the back side of that blood sugar spike when you're taking your exam. Leave all your electronics (including...
  11. akulahawkRN

    *Unofficially* passed the NCLEX-RN!!

    Congratulations! Being that it is now 2 days after your exam, I suspect that you paid for the quick results. That is done well after the 2nd scoring is done so it should be very, very accurate. Keep...
  12. akulahawkRN

    Care plans...?!

    Whatever resource you're using for looking up this particular nursing diagnosis should have a list of outcomes. Sometimes you just want them to not slide
  13. akulahawkRN

    bi pap?

    The patient is going to be headed down a path toward respiratory failure and isn't doing well, or is continuing to decline even while breathing O2 by mask. In other words, they're in that small window...
  14. akulahawkRN

    Found results within 48hrs for free!

    I'm in California and I took my NCLEX-RN on a Tuesday and my license showed up that Wednesday night... about 35 hours after I walked out of the PV testing center. One classmate, and possibly two, had...
  15. akulahawkRN

    Scared to start nursing school

    Don't be scared to start nursing school... be FRIGHTENED! MUAHAHAHA! Actually, I'm kidding. Or am I? In my own experience, nursing school is one of the toughest things you'll ever do in your...
  16. akulahawkRN

    working, family, school

    Make sure you fill out your FAFSA and look for various forms of financial aid like grants, scholarships, and even look for tuition fee waivers. You may have to appeal the results because they may look...
  17. akulahawkRN

    Working Full-Time While Going to Nursing School

    I had to work full time and go to school full time as well, including nursing school. Fortunately for me, my work schedule generally meshed well with my school schedule and the nature of the work...
  18. akulahawkRN

    I think I might have blown a vein?

    Very true. I had a patient whose veins were so fragile that every peripheral IV attempt resulted in a shredded vein. Not just blown... shredded. He was
  19. akulahawkRN

    I think I might have blown a vein?

    I rearranged the steps for you. Done smoothly, the movement of inserting an IV looks kind of like a flattened "J" instead of a distinctly two angle approach. Once through the vessel wall and you get a...
  20. akulahawkRN

    Blood transfusions

    Yes, the first 15 minutes you want the blood to go in slowly so that you can watch for transfusion reactions. If the rate is 1 mL/min for 15 min, that's the same as 60 ml/hr. Of course that's not the...
  21. akulahawkRN

    IV problems

    Make sure the TK is on reasonably tight. Have the patient open and close their fist a few times. Feel for a good vein. It should feel kind of spongy, like a very soft noodle under saran wrap or...
  22. akulahawkRN

    NCLEX today

    While you most likely have passed, wait about 24 hours to do it again... but be sure that you're ready to pay for another attempt as it's possible to fail when your exam is scored the 2nd time. If...
  23. akulahawkRN

    2 x 6 hour or 1 x 12 hour clinical shifts

    Aside from one rotation in one semester, we did 6 hour shifts. Once our regular clinical time was done, we progressed to a preceptorship and during that we worked whatever shifts our preceptors...
  24. akulahawkRN

    2 x 6 hour or 1 x 12 hour clinical shifts

    During my time in school, we usually did two 6 hour clinical shifts every week. One semester we had to switch briefly to doing one 12 hour clinical shift per week for a couple of rotations because we...
  25. akulahawkRN

    Subacute care. cant challenge lvn boards

    It's because the California State BVNPT has determined that if you were to get the specific mix of care activities over 51 months of work, including acute care, you should then be able to pass the...