hawaiicarl BSN, RN

Critical care

Grumpy Old Man

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hawaiicarl has 28 years experience as a BSN, RN and specializes in Critical care.

hawaiicarl's Latest Activity

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  1. Our hospital is pretty comical in regards to retention. All of the other acute care hospitals in the area have post-retirement health care, and a pension of some sort. When we bring this up we are told …. but you get free parking. In their strategy...
  2. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  3. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  4. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  5. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  6. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  7. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  8. hawaiicarl

    Charge nurse hears me but doesn't listen

    We joke about this all the time in ICU. Admitting a patient on room air with a heplock to ICU, when I question the NOC, he says I want you to "watch the patient". Pt has uncontrolled SVT in the 180s, call the NOC what does he say? "Watch the pt" …....
  9. hawaiicarl

    Questions about morning blood sugars/insulin

    We used to have night shift check sugar and give insulin, until we had a couple hypoglycemic events due to delayed trays, or a Dr. all of a sudden deciding pt needs to be NPO etc etc. We actually changed our policy similar to the TIE acronym, which ...
  10. hawaiicarl

    Ineffective Compressions

    Please don't ever sing or hum "Staying Alive" during a code on a real person, if the family walks in or is in the hallway they may be seriously offended. The code leader during the code is responsible for monitoring compressions, they should provide...
  11. hawaiicarl

    foley ballon placement wrong?

    Don't you mean you can't stop indwelling? ?
  12. hawaiicarl

    Useless Shift Report Information

    My pet peeve is them wandering in 5 minutes late with a plate of food, and apparently the obnoxious "cow chewing their cud" sounds interfere with their hearing or brain function because right after you tell them something they ask what it is …. hgb w...
  13. Guten Tag! Wie Geht's? When I first graduated nursing back in the stone age we were in one of those layoff cycles that nursing sometimes goes through. I got a job in a group home with 6 disabled adults. The job consisted of passing oral meds, meal ...
  14. hawaiicarl

    UCSF Alarm Fatigue Study

    The only person that influences these decisions are bean counters and sales reps.
  15. hawaiicarl

    UCSF Alarm Fatigue Study

    Nihon Koden monitors are the definition of alarm fatigue, they should attach a picture of the monitor in the study. Cheers