akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Working under expired license

    akulahawkRN replied to caseylriley's topic in Nursing Career

    Simply put, if you work with an expired license, you're working without a license. That can result in disciplinary action by the BON. What that action will be depends upon the BON. Hospitals won't...
  2. akulahawkRN

    Lovenox injection

    akulahawkRN replied to Lewis35's topic in Nursing Student Assistance

    You should follow your instructor's direction about how to round properly. In my own practice, it would very much depend upon the actual markings upon the syringe. I would generally suspect that you...
  3. akulahawkRN

    First injection mistake

    akulahawkRN replied to Newstudent4's topic in General Students

    While this technically is an error, it's not the end of the world. Many diabetics don't swab themselves before giving injections and most of the time they have no problems whatsoever. This is because...
  4. akulahawkRN

    Athletic Trainers

    akulahawkRN replied to EnoughWithTheIce's topic in School

    That's pretty much exactly what I'm saying... By the time the cellophane wrapped bag becomes sloshing water, it's ceased to be therapeutic, and probably has caused some injury. This is why a certain...
  5. akulahawkRN

    Athletic Trainers

    akulahawkRN replied to EnoughWithTheIce's topic in School

    What we're trying to limit (not prevent) is an inflammatory response as well as provide some analgesia for the injury. One reason why AT's don't do ice with a barrier is this practice allows the ice...
  6. akulahawkRN

    Athletic Trainers

    akulahawkRN replied to EnoughWithTheIce's topic in School

    The ATC has an education in orthopedic evaluation that goes way beyond anything any RN will learn in nursing school. How do I know this? I'm both an RN and I was an Athletic Trainer. Also remember...
  7. akulahawkRN

    Does nursing school matter?

    akulahawkRN replied to hooplah's topic in General Students

    These things are red flags that the program is in trouble. Serious trouble. If this is a private, for profit program, this should be even more troubling. While you may be considering going to an out...
  8. akulahawkRN

    Omnicell vs Pyxis

    akulahawkRN replied to dianearc's topic in General Nursing

    Where I'm at, we use Omnicell. In the past I have used the Pyxis and also simple tool-chest type carts (100% manual) with paper logs for controlled substances. Which one do I prefer? None of them....
  9. akulahawkRN

    NCLEX RN today at 75 questions

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

    At 75 questions, you either did very well or very poorly. Most of the time I do not suggest trying to do the "PVT" as it very easily could result in you losing $200. It's better to wait 48 hours and...
  10. akulahawkRN

    Just took Nclex and Did 181q

    akulahawkRN replied to Just_Trust60d's topic in NCLEX Exam, Programs

    Congratulations! Now you get to start really learning. You've now earned a license to learn and keep
  11. akulahawkRN

    I want to get out of nursing, but should I do the BSN anyway?

    akulahawkRN replied to amari's topic in General Nursing

    Whether or not you should go ahead and pursue the BSN really depends upon whether or not you want to move into an area of nursing that requires a Masters Degree or higher. While I am "just" an ADN, I...
  12. akulahawkRN

    Just took Nclex and Did 181q

    akulahawkRN replied to Just_Trust60d's topic in NCLEX Exam, Programs

    Well, if you did 181 questions, then you've done 181 questions. All you can divine from doing 181 questions is that it took the computer 181 questions to determine whether you passed or failed. Same...
  13. akulahawkRN

    Am I allowed to push the button?

    akulahawkRN replied to Kayceee's topic in Patient Medications

    I should add that if your employer has explicitly told you that you may not, under any circumstances, push any pump buttons, then you are to 100% follow that instruction. Even given my above post, if...
  14. akulahawkRN

    Am I allowed to push the button?

    akulahawkRN replied to Kayceee's topic in Patient Medications

    While this is not "perfect" practice, I will delegate the actual pushing of a button only under very specific circumstances and only in my presence so that I can actually observe the button being...
  15. akulahawkRN

    WA Appellate Court says nurses cannot have 'break buddies' must use designated break nurse

    akulahawkRN replied to klone's topic in Nursing News

    Where I work (in an ER), we usually have staff nurses assigned to doing just breaks. The charge nurse rarely will do break relief as their duties generally preclude being able to take on a full...
  16. akulahawkRN

    WA Appellate Court says nurses cannot have 'break buddies' must use designated break nurse

    akulahawkRN replied to klone's topic in Nursing News

    Since you're required to keep your headset on, that means you're not likely being completely relieved of all work duties while on break. That means you're actually not taking a break from a payroll...
  17. akulahawkRN

    When does HIPPA no longer apply?

    akulahawkRN replied to GuineaPigs's topic in HIPAA Challenges

    First of all, given the situation as described, I would have followed through with having the guy arrested and charged with various violations. Let a jury decide if the guy is to be found "not...
  18. akulahawkRN

    Asthma - Tachycardia to Bradycardia

    akulahawkRN replied to happypetal's topic in General Students

    I think you're now well on your way to figuring out how severe asthma progresses into life-threatening asthma and how the latter can present to you and why we must act on this very, very quickly. I...
  19. akulahawkRN

    Took NCLEX Just Had 75 questions

    akulahawkRN replied to tnbsn2018's topic in NCLEX Exam, Programs

    The only thing you can glean from having the computer shut off at 75 is that you were either consistently above or below the pass/fail line for the entire duration of the exam and the computer had...
  20. akulahawkRN

    Asthma - Tachycardia to Bradycardia

    akulahawkRN replied to happypetal's topic in General Students

    Remember that body systems are often quite intertwined. Simply obstructing the airways themselves isn't going to cause a problem with blood flow through the lungs. This isn't a simple problem. That...
  21. akulahawkRN

    Asthma - Tachycardia to Bradycardia

    akulahawkRN replied to happypetal's topic in General Students

    Tell us how you think this happens. Think through the issue. What's happening in the vasculature and lungs that could be causing this? What defines "life threatening asthma" and what does it do to the...
  22. akulahawkRN

    Transitioning to ER. Any tips?

    akulahawkRN replied to What?_ER?_Me?'s topic in Emergency

    Something I forgot to mention... while I'm a darned good ED RN and I've got a wealth of knowledge from previous careers/jobs (Sports Med and Paramedic), there are times I still feel stupid. Not...
  23. akulahawkRN

    Transitioning to ER. Any tips?

    akulahawkRN replied to What?_ER?_Me?'s topic in Emergency

    If you're not feeling slow and stupid at first, you're probably not learning. As to the rest,
  24. akulahawkRN

    Nclex

    akulahawkRN replied to Meme1989's topic in NCLEX Exam, Programs

    There have been passes and fails at minimum questions, maximum questions, and every number of questions in between. About the only thing you can deduce if the system shuts off at the minimum number of...
  25. akulahawkRN

    Transitioning to ER. Any tips?

    akulahawkRN replied to What?_ER?_Me?'s topic in Emergency

    When you're transitioning to work in the ED, you'll have to quickly step up to the pace. The previous poster is right about that... very right. The ED is basically one big triage facility and its job...