akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    Feeling Guilty After Calling in Sick...

    I rarely get sick. Over the years, I've been a sub teacher and in my current job I interface with a lot of people. Consequently, I actually rarely get sick. My employer knows that when I do get sick,...
  2. akulahawkRN

    Expired narcotics question

    I'm also of the opinion that if you're "caught" with a positive UDS and you don't have a current prescription for narcotics, you're hosed. I would suspect that the Norco you got for your wisdom tooth...
  3. akulahawkRN

    How to follow policy when off duty?

    You can almost NEVER go wrong by doing what anyone trained in First Aid would
  4. I'm currently knee-deep in the "full-time work and go to school full-time" weeds myself. You have to be very organized to make it all work. Part of that is prioritization. I live and breathe by the...
  5. akulahawkRN

    Best quality stethoscope

    There are LOTS of choices for stethoscopes that will do an excellent job of picking up sounds that you'll need to hear, and you'll find them priced between about $35 and $70, not all of them are...
  6. akulahawkRN

    community paramedics instead of home care nurses?

    Probably a better way to think of the role of Community Paramedics as Preventative EMS. Concentrate on the frequent fliers (by referral) who probably aren't candidates (yet) for home health visits by...
  7. akulahawkRN

    failing a class and retaking it

    It's all about each program's requirements. If you got a C in Micro in my local Community College District, they consider that you've passed the course and you're not allowed to retake the course in...
  8. Of the two issues your patient has, only one of them is droplet transmissible. Remember, droplet transmission is different from airborne precautions in distance the pathogen travels through the air...
  9. akulahawkRN

    Do you ever hold Lantus?

    Absent a parameter order to hold the Lantus, I would never hold that med precisely because it provides long-term coverage, long after your patient's faster-acting insulins are long since done. Now I'd...
  10. akulahawkRN

    EMT Starting RN program anyone else go down this road?

    If the Paramedic school is only 600 hours long, it is possible to complete it in 4 months. I'm a Paramedic. My program was in the neighborhood of 1200 hours and took a bit longer than a year to...
  11. akulahawkRN

    TNCC as a student nurse?

    Given a choice between taking it "now" and taking it "later" when you're an RN, I'd say to take it later because you can use it for CEU's once you have your license. I should have stated that more...
  12. akulahawkRN

    TNCC as a student nurse?

    Here's my thoughts on this matter (though I've never taken TNCC, but I've taken a couple other trauma courses). If you've never taken a trauma course before, and you're looking for a position in the...
  13. I hear that! A classmate of mine failed 4th semester and was required to take a comprehensive test to be re-admitted into 4th. Unfortunately, she failed that re-test and had to start again in 3rd...
  14. If you got the good pop-up, then you've most likely passed the exam! Very, very few people here have heard (verifiably) that someone got the good pop-up and didn't pass.
  15. akulahawkRN

    Took nclex pn Thursday Dec 19th 2013

    That's commonly known as the "bad popup." Here's the thing about that popup... it is less reliable than the "good" one. People have been known to have actually passed the NCLEX after getting the popup...
  16. Given the fact that you had nothing available to you, I'd say you did just fine! Do some information gathering in case he turns for the worse. Ask the OPQRST pain and SAMPLE questions. If this guy...
  17. akulahawkRN

    If a person codes at Walmart..

    Absent any documentation, then answer is no. EMS will not listen to next of kin/spouse. They will go full-tilt-boogie on that code until one of two things happens: the patient meets determination of...
  18. akulahawkRN

    TEAS TEST SCORES

    Each program has their own standards as to what they'll accept as a "passing" score on the TEAS V test. My program considers a score of 62 to be "passing" so they'll only accept the first score at or...
  19. akulahawkRN

    Alert but confused

    When I'm charting "alert" it's almost always charted as "awake and alert to changes in the environment" and I'll chart orientation separately as "and oriented x4" or I'll break out the components...
  20. akulahawkRN

    Grades

    I think you'll find that entrance exams are pretty straightforward and standardized. Some content will be different but the idea is that they want to know if you have the academic chops to pass the...
  21. I'm currently in RN school and my load is 12 units. I also work full-time. In the prereq run-up to starting the program, I typically had a 3-5 unit load every semester. Here's the thing: I'm able to...
  22. akulahawkRN

    Failed first semester by very small amount...

    Another former classmate of mine was extremely good in clinicals, however, she was unable to make the grade. To this day. I think she would probably have made a very good nurse if she was able to wrap...
  23. akulahawkRN

    Failed first semester by very small amount...

    A former classmate of mine failed his 1st semester of nursing school by 2 points. Not 2 percentage points, I mean literally 2 points. He ended up returning to the program and passed with a similar...
  24. akulahawkRN

    Documenting Another Nurses Med Administration

    While I'm no legal expert by any means, I would expect that as long as the computer entry has some kind of note that indicates that it's a late entry/transcribed info and that the medication was given...
  25. akulahawkRN

    Should I miss the first day of nursing class?

    Some schools that I have attended in the past have had a 1st day attendance policy where the course instructor could drop anyone from the roster that didn't show up that first day. Most of them waited...