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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

  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 meetings they feel that because our hospital has received numerous awards that nurses work here because of that. I am not sure how insanely more out of touch with reality anyone could possibly be.
  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 good one off, and was pretending I was gonna eat it, when one of my buddies walked behind me and pushed my elbow so the damn thing almost went in my mouth!! I was laughing so hard I almost inhaled it. "Mmmmmm that's a keeper!"
  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 good one off, and was pretending I was gonna eat it, when one of my buddies walked behind me and pushed my elbow so the damn thing almost went in my mouth!! I was laughing so hard I almost inhaled it. "Mmmmmm that's a keeper!"
  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 good one off, and was pretending I was gonna eat it, when one of my buddies walked behind me and pushed my elbow so the damn thing almost went in my mouth!! I was laughing so hard I almost inhaled it. "Mmmmmm that's a keeper!"
  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 good one off, and was pretending I was gonna eat it, when one of my buddies walked behind me and pushed my elbow so the damn thing almost went in my mouth!! I was laughing so hard I almost inhaled it. "Mmmmmm that's a keeper!"
  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 good one off, and was pretending I was gonna eat it, when one of my buddies walked behind me and pushed my elbow so the damn thing almost went in my mouth!! I was laughing so hard I almost inhaled it. "Mmmmmm that's a keeper!"
  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 good one off, and was pretending I was gonna eat it, when one of my buddies walked behind me and pushed my elbow so the damn thing almost went in my mouth!! I was laughing so hard I almost inhaled it. "Mmmmmm that's a keeper!"
  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" ….. Even though we joke about it all the time, I make sure we call the NOC, and then document "physician aware" even though in my heart I know when we call we will get the same answer "watch the pt". I want to make a watch the pt meme with like some 80s rap background music "wu-wu-wu-wu-watch the pt" is sort of catchy when I think about it. Then the backup singers could do the nurse part "covvvvverrrrr your asssssss". Cheers
  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 I like a lot (the acronym). It also helps promote "rest at night" which is related to one of the HCAPS scoring questions. Cheers
  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 the feedback. There should be a hot debrief after the code where you can bring up your recommendations. Rather than point fingers, you could just mention that as the recorder you noticed large variances in the rate of compressions. Also as regards to the cardiac monitor, the ETCO2 may still be hooked up, which is a good indicator of effective compressions. The RT may have unhooked it to start bagging the pt however. Cheers
  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 went from 9.2 to 10.1 after one unit ….. oh you gave blood? what's the hgb now? Cheers
  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 prep, laundry, cleaning up a lot of pee, dodging a lot of thrown poo …. that kind of stuff. I wrote a letter to our provincial nursing board, and asked them if this was a recognized nursing position. Their reply confirmed that yes it was, I was still a real nurse. The hours working in the group home were applied to nursing experience, and maintaining my license. Once I went into acute care, and critical care specifically, the learning started all over again. Cheers
  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
  16. hawaiicarl

    NCLEX shut off at 75 and feel like I failed??

    Well I would be surprised if you failed after how you managed to detail how many of each type of question was on the exam you took. I vaguely recall the NCLEX, and would have absolutely no idea about how many questions of each type of category there were. Presumptive congratulations! Cheers
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