akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Athletic injuries

    akulahawkRN replied to MHDNURSE's topic in School

    Wrestlers also tend to continue to play after they get hurt. This can lead to aggravation of existing injury. Incidentally I've seen a higher rate of injury among volleyball players than most other...
  2. akulahawkRN

    Athletic injuries

    akulahawkRN replied to MHDNURSE's topic in School

    If your trainers are ATC certified (the vast majority will be), they'll be far better at evaluating sports injury than you will likely ever be. Their evaluations are often sufficiently detailed enough...
  3. akulahawkRN

    A and P over Summer?

    akulahawkRN replied to Broadstreetbully24's topic in Pre-Nursing Students

    I would strongly advise against taking two A&P courses at the same time, regardless of semester or quarter. The workload is quite high for a summer session anyway and you're considering taking two...
  4. akulahawkRN

    ECG interpretation

    akulahawkRN replied to rariel's topic in Cardiac

    Good catch! Though I must say that I'm not going to use my calipers on my screen... might cause some, shall we say, damage to it. I would be more confident of it being a respiratory pause variant if...
  5. akulahawkRN

    ECG interpretation

    akulahawkRN replied to rariel's topic in Cardiac

    To me, it looks like a Sinus Brady with Sinus pause. Nothing complicated about it. This isn't any type II block as there's not a P wave without a QRS complex. All we're seeing is three normal beats, a...
  6. akulahawkRN

    Questions about BLS

    akulahawkRN replied to sandyisb914's topic in General Students

    Honestly, just pick one date that's convenient for you. The instructors want you to pass so they'll pretty much spoon-feed you the answers and they'll go over the skills until you can do them without...
  7. akulahawkRN

    medsurg vs ED

    akulahawkRN replied to kyhoward1989's topic in First Year After Licensure

    That sounds like an excellent idea to have a backup plan. Would you be able to leave a med/surg job without any significant consequences once you become an RN? Do you want the ED job once you become...
  8. akulahawkRN

    Accepting verbal orders from another nurse?

    akulahawkRN replied to amberrenae, RN's topic in General Nursing

    I won't accept verbal orders for me to enter into the computer from another nurse, even if it's my Charge. It's not that I don't trust them, it's that it's my license. I will have them do the order...
  9. akulahawkRN

    medsurg vs ED

    akulahawkRN replied to kyhoward1989's topic in First Year After Licensure

    Look at both very closely. Then look at which job will provide you with the most options later. Then go with that job. I'm an ED RN and I'm not going to tell you that you should or shouldn't take an...
  10. akulahawkRN

    CPR LAWS

    akulahawkRN replied to shargrove1201's topic in General Nursing

    This is very simple, actually. CPR is continued until a rescuer is too fatigued to continue or medical authority determines that further efforts are futile and stops CPR. There is no need for a DNR....
  11. akulahawkRN

    National Walkout Day March 14 at 10am

    akulahawkRN replied to RobotechTD's topic in School

    The only "rapid fire, bullet-filled killing machines" that I am aware of happen to be machine guns. These are full-auto, not semi-auto. The AR-clones aren't weapons of war. The M16/M4 weapons are......
  12. akulahawkRN

    National Walkout Day March 14 at 10am

    akulahawkRN replied to RobotechTD's topic in School

    Please do some research yourself too. There are semi-auto rifles that are far more powerful than the AR-15 (and clones), yet those aren't anywhere near as hated. You say you have shot these kinds of...
  13. akulahawkRN

    IV starts in the AC/antecubital- how do you keep from bleeding?

    akulahawkRN replied to lfolou's topic in General Nursing

    While it may be uncomfortable for some patients, I do press quite firmly with my pinkie, ring, and middle fingers along the line where the catheter is. This usually quite effectively stops the...
  14. akulahawkRN

    Can someone help me think through this question?

    akulahawkRN replied to Mkakids's topic in General Students

    In this case, it is the most correct answer because it is the one that provides for patient safety. Answer "A" is within what a nurse can do, while answer "B" implies taking actions to stabilize the...
  15. akulahawkRN

    PVCs vs ST Segment Depression on EKG

    akulahawkRN replied to edeefbaby's topic in Nursing Student Assistance

    I'm not going to tell you the answer but I will at least point you in the right direction to find the answer for yourself. You'll learn this stuff more concretely this way. First off, these things are...
  16. akulahawkRN

    Time Management

    akulahawkRN replied to jphill15's topic in General Students

    Part of "time management" is basically doing a "cost/benefit analysis" of your use of your time. Here's the reality of life: you have a finite amount of time in each day. You have 1,440 minutes...
  17. akulahawkRN

    Nurses don't do their 3 med checks?

    akulahawkRN replied to OsceanSN2018's topic in General Nursing

    I have worked in a couple of Emergency Departments. One didn't have any sort of Pyxis or Omnicel to pull meds from, just a couple of carts with drawers full of meds. We did have a computer terminal in...
  18. akulahawkRN

    CPR on Trauma Patients

    akulahawkRN replied to adventure_rn's topic in MICU, SICU

    Dead patients in the setting of blunt trauma invariably stay dead. Penetrating trauma has a small chance of survival but that depends upon very quickly achieving hemorrhage control. I agree with...
  19. akulahawkRN

    School Shootings

    akulahawkRN replied to Farawyn's topic in School

    Personally I wouldn't want to force anyone that doesn't want to carry guns to carry them. I have said many times over the years on many different forums that choosing to be armed is a very personal...
  20. akulahawkRN

    Sacramento City College ADN Spring 2018

    akulahawkRN replied to O0ricky's topic in School, College Programs

    Yes. You need to make sure that you read and follow all of the application instructions exactly to the letter. This is part of the evaluation process they use. If you cannot follow the instructions,...
  21. akulahawkRN

    School Shootings

    akulahawkRN replied to Farawyn's topic in School

    I have worked for an agency where you can do the same act on two different days, for the same reason, and get praised or castigated for it, depending upon what's the politically correct thing to do...
  22. akulahawkRN

    School Shootings

    akulahawkRN replied to Farawyn's topic in School

    For those of you wondering why this statement was made, it's because the SRO didn't even attempt to engage the shooter. The SRO was suspended and has resigned. Here's something I haven't seen much of...
  23. akulahawkRN

    ER Orientation question

    akulahawkRN replied to HannahMarine30's topic in Emergency

    My ED does not have many standing orders/protocols and like an above poster, it is quite aggravating at times. The previous ED where I worked had fairly extensive nursing protocols that were fairly...
  24. akulahawkRN

    Paramedic Vs. Nurse

    akulahawkRN replied to Crass1017's topic in General Students

    Generally speaking, you should have your course completion certificate for Paramedic and your NREMT-P card. You contact the other state's EMS authority (whomever that is that licenses Paramedics) and...
  25. akulahawkRN

    Blood Pressure -Can't hear-

    akulahawkRN replied to WhitneyClark's topic in General Students

    Here's a tip that NOBODY here has posted yet: palpate the brachial artery first. Seriously. Find the darned thing. If you don't know where it is, you very well could be putting the stethoscope in the...