mcubed45

mcubed45

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All Content by mcubed45

  1. CMC Certification

    mcubed45 replied to beekee's topic in CCU, Coronary, Cardiac

    I've used Cammy House-Fancher's online video seminar for CMC (I also have her previous CCRN audio cd's). It's a great course and includes sample questions. Plus you can get reimbursed and get CE...

  2. Lowest bicarb on abg

    mcubed45 replied to mpilkington's topic in MICU, SICU

    Haha yep. Been there, done that. Inexperienced doc or RT tubes them and "fixes" the

  3. UH Manoa vs KCC: pros/cons?

    mcubed45 replied to jules_mcd's topic in General Nursing

    If you go the KCC route and plan to work while getting your BSN, you should realize that your job prospects are much more limited with only an ADN. Queens already does not hire ADN's and HPH is moving...

  4. Oahu Nursing Aid Jobs/Other Questions

    mcubed45 replied to Yoshie's topic in General Nursing

    Where are you coming from? If the job market in your current area is better, it's definitely better to stay and get a couple years experience before moving. Also, be aware the the major hospitals are...

  5. Intubated Pt's Using Bedside Comodes

    mcubed45 replied to EDrunnerRN's topic in Critical Care

    You don't keep them snowed. There's tons of research showing the long term neurological deficits associated with prolonged sedation in the ICU. A lof of us were trained with the mentality that we're...

  6. Pay rate in Oahu

    mcubed45 replied to heyjewels's topic in General Nursing

    It doesn't matter what you put. You'll get paid exactly the same as every other nurse with the same amount of experience. Most hospitals don't pay you job rate until you hit 2 years

  7. Vasoactive medication help

    mcubed45 replied to XDeemerDogx12's topic in Critical Care

    I think you got some of your variables switched around. Ohms law is actually V=IR. Voltage = current x resistance. The analogue to this in terms of fluid dynamics is: deltaP=QR Or the pressure...

  8. New Grad About to Start Working in the ICU - Any Tips?

    mcubed45 replied to pearlbubbles's topic in Critical Care

    index

  9. CMC exam

    mcubed45 replied to MachewRN's topic in Critical Care

    Took mine in 2015. I thought it was a bit more challenging than the CCRN. One of the biggest challenges was the lack of information and test prep materials at the time. I used Cammy House-Francher's...

  10. New grad RN salaries

    mcubed45 replied to CPO1893's topic in General Nursing

    Doesn't really matter. If you get accepted into a new grad program, you'll be paid exactly the same as every other new grad. Most of the hospitals in Hawaii are unionized and have very fixed...

  11. New Grad RN going into ICU - prepare?

    mcubed45 replied to ZrowGz's topic in Critical Care

    index amazing resource for anyone new to the

  12. How do I change a transducer set up?

    mcubed45 replied to skittleson's topic in Critical Care

    Changing the pressure bag depends on your facility's IV policy. If fluid bags get changed every 24 hours, you change that just like any other drip. Deflate the bag and spike a new one. Repressurize....

  13. Resigned During Orientation - Advice Needed

    mcubed45 replied to Bonnie007's topic in Critical Care

    That is absolutely a patient safety issue. Your patient could have died and it would be your preceptor's and your fault. Maybe it was wrong of your preceptor to leave you unattended, but you were at...

  14. Queens, straub or rehab hospital?

    mcubed45 replied to lily_17's topic in General Nursing

    If your ultimate goal is to work as an RN in acute care, you should be looking for an aide/tech job on the inpatient side. Competition for new-grad positions is still very tight and many new grads...

  15. Vent management and sedation/pain management

    mcubed45 replied to MaxAttack's topic in Critical Care

    I urge you to read the current literature and some of the links users have posted. Many of our ICU's are involved in the SCCM's ABCDEF Bundle Collaborative. The "twilight state" you're describing IS...

  16. Vent management and sedation/pain management

    mcubed45 replied to MaxAttack's topic in Critical Care

    That's really old school thinking. Have you read any of the research on long term neurological deficits secondary to ICU delirium? Minimizing sedative and analgesia use for the prevention of delirium...

  17. Why acute care?

    mcubed45 replied to Love2Sleep's topic in General Nursing

    I think the pay is definitely a big factor. Especially when you've got a mountain of school loans to pay off. Working in non-acute care is a pretty big pay cut.. Probably around 50% or so. It might...

  18. Let's Be Honest...

    mcubed45 replied to mirandaaa's topic in General Nursing

    Very difficult. It's also very difficult to get an aide/tech position as new grad RN. And you basically need to get an aide/tech job and work about a year before you have a chance at getting into a...

  19. Nursing student in WA moving back home to Hawaii after graduation

    mcubed45 replied to melanilovesisaac's topic in General Nursing

    Umm you do realize that Hawaii is part of the United States, right? We're not a foreign

  20. Calibrate at Phlebostatic axis?

    mcubed45 replied to JayJ10's topic in Critical Care

    Are you saying there's literature that supports the need for a transducer to be ZEROED at the phlebostatic axis? Would be interested in seeing a source and

  21. Calibrate at Phlebostatic axis?

    mcubed45 replied to JayJ10's topic in Critical Care

    You're right. Doesn't matter where the transducer is when you zero it. Atmospheric pressure doesn't vary much with such small changes in height. It's one of those things people do just because...

  22. Question for new grads in ICU

    mcubed45 replied to vaivorykste's topic in Critical Care

    index Amazing resource. Written in an easy to read format, much like the way a preceptor would talk to a new ICU orientee. You can order it in book format as well but all the resources are free on the...

  23. PEEP and blood pressure/other hemodynamics

    mcubed45 replied to sunnybabe's topic in Critical Care

    Just to clarify, the position of the patient and transducer don't matter when you zero. You're referencing the transducer to atmospheric pressure - which doesn't vary significantly with a couple...

  24. Tripler Medical Center- New Grads?

    mcubed45 replied to JillyRN's topic in General Nursing

    The new grad situation hasn't improved much. If anything it's gotten worse. It still takes new grads at least a year or so of CNA/Tech work before getting an RN position and the interview process is...

  25. Hawaii - land of unfriendly nursing job opportunities for new grads

    mcubed45 replied to TheGoodRN2015's topic in General Nursing

    Nursing co-op (internship) is basically an inexpensive nursing orientation/interview for the hospital. It mutually benefits the university and the hospital. If a student does well, the hospital isn't...