akulahawkRN ADN, RN, EMT-P

Emergency Department

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All Content by akulahawkRN

  1. akulahawkRN

    My first code blue

    akulahawkRN replied to doho_rn's topic in General Nursing

    Yes, you will have a lot of "firsts" in this field. I've had several myself... but just a couple months ago, I had my first patient (as a Nursing Student) transfer himself to the ECU. Did it bother...
  2. akulahawkRN

    How to take blood pressure

    akulahawkRN replied to vgny914's topic in LPN, LVN Students

    I don't take manual BP's the way we're taught in school. One of the things I do differently is that I actually palpate the brachial pulse near the AC fossa, not the radial pulse, during inflation. I...
  3. akulahawkRN

    who can carry o2, with the intent to administer?

    akulahawkRN replied to hobiehobie's topic in School

    It depends upon a number of things. Where I live, Paramedics that are accredited and are affiliated with a local ALS agency are explicitly authorized to provide their full scope of practice when off...
  4. akulahawkRN

    How to take blood pressure

    akulahawkRN replied to vgny914's topic in LPN, LVN Students

    If I'm taking a manual pulse, I would add a step in there... which is to actually locate the brachial artery by palpation, and then follow it toward the AC fossa. Just after it crosses the crease in...
  5. akulahawkRN

    Generic name for vitals machine?

    akulahawkRN replied to WalterWho's topic in General Nursing

    Usually we just call them vital signs machines or... "dynamap" for those people that are used to calling them that. We don't call them "monitors" because that brings an entirely different
  6. akulahawkRN

    NCLEX test shut off in 75 questions--3rd examination..Pass or Fail?!

    akulahawkRN replied to LizzyT22's topic in NCLEX Exam, Programs

    You cannot divine pass/fail from the system shutting off at 75 questions, or any questions, for that matter. If the computer shut off at 75, you either did spectacularly well or you spectacularly...
  7. akulahawkRN

    Stethoscope...what are you using?

    akulahawkRN replied to nolansmom's topic in LPN, LVN Students

    I have four stethoscopes. My own favorite is my Littmann Cardiology III, second is no longer made - Littmann Lite Classic II. Then I have 2 bargains... one is a dual head (diaphragm and bell) $12...
  8. akulahawkRN

    Received my 3rd rejection today.

    akulahawkRN replied to iono101's topic in Pre-Nursing Students

    Don't despair. I had 2 programs that were effectively my only 2 options at the time. I applied to those two programs (combined) 15 times over a period of 4 years. I kept getting rejection after...
  9. akulahawkRN

    Feeling like I'm in a rut with school and I really need some advice...

    akulahawkRN replied to JBrown8592's topic in Pre-Nursing Students

    I don't claim to be the inventor, but what helps is to read the material about a week before you're lectured on it (if possible), and then take notes on it in class. Afterward, you review the lecture...
  10. akulahawkRN

    Question about IV therapy

    akulahawkRN replied to EmilyEmily's topic in Nursing Student Assistance

    There are very few indications for hypertonic or hyperosmolar solutions in trauma. They do steal from total body water, and their effect is hard to gauge. You might see it used in certain types of...
  11. akulahawkRN

    Just failed Nursing 307 Fundamentals Clinical, need guidance

    akulahawkRN replied to ThePhilster's topic in General Students

    While only you and your therapist can decide what your course of therapy will be, I think it's a good thing that you've decided that you need help and are seeking it. You're going to have some...
  12. akulahawkRN

    Question about IV therapy

    akulahawkRN replied to EmilyEmily's topic in Nursing Student Assistance

    It's not uncommon for anemic patients to also have a low circulating volume, if they're actively bleeding. Once the bleeding is stopped, the body will try to restore circulating volume on it's own,...
  13. akulahawkRN

    Question about IV therapy

    akulahawkRN replied to EmilyEmily's topic in Nursing Student Assistance

    If you're looking simply to increase circulating volume, you'd probably want to give NS or LR. These fluids generally stay in the intravascular space for a while. As fluid is infused, the blood...
  14. akulahawkRN

    DNR form not filled out completely

    akulahawkRN replied to supaflyz's topic in General Nursing

    To me, it sounds like there was some question as to whether the patient was DNR or not. Whenever there's a question about status, EMS is generally required treat the situation as if the patient is...
  15. akulahawkRN

    Nursing School. Did you work?

    akulahawkRN replied to ana86's topic in General Students

    if I had been able to take an accelerated program, I also would not have been able to work. The pace of those programs is just way too fast. If I had been accepted by a slightly different program...
  16. akulahawkRN

    Nursing School. Did you work?

    akulahawkRN replied to ana86's topic in General Students

    I also worked full-time throughout my entire time so far in nursing school. I am currently in my 5th consecutive semester, I had to repeat 2 semesters along the way which extended things out a year....
  17. akulahawkRN

    Students, RNs and medication admin - Is this crossing boundaries?

    akulahawkRN replied to Apples&Oranges's topic in Patient Medications

    This is why we're allowed to give meds the way we do in 3rd Semester. We've demonstrated competence, and earned the responsibility to have the independence that we've been given. We all know we're not...
  18. akulahawkRN

    Students, RNs and medication admin - Is this crossing boundaries?

    akulahawkRN replied to Apples&Oranges's topic in Patient Medications

    Regardless of semester, in my program, all med passes to pediatric patients are supervised directly by either the instructor or the primary RN for that patient. Pediatrics used to be in 3rd Semester,...
  19. akulahawkRN

    Just failed Nursing 307 Fundamentals Clinical, need guidance

    akulahawkRN replied to ThePhilster's topic in General Students

    I think I'm going to have to agree with many of the others here. It sounds like you need to take a break from all that is stressing you. I understand that nursing school is very stressful, I'm knee...
  20. akulahawkRN

    Students, RNs and medication admin - Is this crossing boundaries?

    akulahawkRN replied to Apples&Oranges's topic in Patient Medications

    In 2nd and 3rd Semesters, we do review with our instructors those things for check-off. We're also required to write up every med that our patients have ordered as part of our prep. This is so we know...
  21. akulahawkRN

    How long were your pre-reqs?

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

    The program that I am in requires that all students complete the prerequisites, corequisites, and all other graduation requirements for the college before applying to the ADN program. Basically, what...
  22. akulahawkRN

    Foreign RN in california

    akulahawkRN replied to Evo1221's topic in General World

    From my understanding of the issue, concurrency of clinical and didactic is what's going to continue being a problem. You would probably have an easier time of getting a California License as an LVN,...
  23. akulahawkRN

    Students, RNs and medication admin - Is this crossing boundaries?

    akulahawkRN replied to Apples&Oranges's topic in Patient Medications

    I'm a current student... just not 1st semester. In 1st, you pretty much work entirely under the direct supervision of the clinical instructor. After 1st Semester, we're checked off on PO med pass with...
  24. akulahawkRN

    Not accepted to nursing school, my next step is?

    akulahawkRN replied to PNW0212's topic in Pre-Nursing Students

    As others have said, don't give up! Keep applying everywhere. The more places you send your application, the more likely it is you'll be accepted. If none accept you this time around, apply again the...
  25. akulahawkRN

    Scared I'm one of those students.

    akulahawkRN replied to hopeful2015's topic in General Students

    You're not the first person to feel that way. You're in 1st semester. Nobody expects you to be able fly immediately after being hatched. There's a whole process you must go through before you're even...