hawaiicarl BSN, RN

Critical care

Grumpy Old Man

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All Content by hawaiicarl

  1. hawaiicarl

    Bedside Nurses: Undervalued, Poorly Retained and What Experts Say

    hawaiicarl replied to J.Adderton's topic in General Nursing

    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...
  2. hawaiicarl

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

    hawaiicarl replied to Robin Verde's topic in General Nursing

    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...
  3. hawaiicarl

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

    hawaiicarl replied to Robin Verde's topic in General Nursing

    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...
  4. hawaiicarl

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

    hawaiicarl replied to Robin Verde's topic in General Nursing

    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...
  5. hawaiicarl

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

    hawaiicarl replied to Robin Verde's topic in General Nursing

    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...
  6. hawaiicarl

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

    hawaiicarl replied to Robin Verde's topic in General Nursing

    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...
  7. hawaiicarl

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

    hawaiicarl replied to Robin Verde's topic in General Nursing

    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...
  8. hawaiicarl

    Charge nurse hears me but doesn't listen

    hawaiicarl replied to painmeds's topic in General Nursing

    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...
  9. hawaiicarl

    Questions about morning blood sugars/insulin

    hawaiicarl replied to Logracia's topic in General Nursing

    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...
  10. hawaiicarl

    Ineffective Compressions

    hawaiicarl replied to beekindRN's topic in General Nursing

    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...
  11. hawaiicarl

    foley ballon placement wrong?

    hawaiicarl replied to moonshawdow's topic in General Nursing

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

    Useless Shift Report Information

    hawaiicarl replied to Davey Do's topic in General Nursing

    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...
  13. hawaiicarl

    What is my "unit" called in english and what profession is it in the USA?

    hawaiicarl replied to Grogon's topic in General Nursing

    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...
  14. hawaiicarl

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

    hawaiicarl replied to Laureani's topic in NCLEX Exam, Programs

    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...
  15. hawaiicarl

    Transferring to ICU

    hawaiicarl replied to RN0233's topic in General Nursing

    If your goal is to get into the ICU, and that is the shift that is open I would grab it. During the interview you could mention that you are happy to do rotating shift (which will help you learn the...
  16. hawaiicarl

    RNs giving patient lab results.

    hawaiicarl replied to Dperez201's topic in General Nursing

    Honestly in my experience providers (MDs and NPs included) are the worst at delivering lab results often related to their work load. First, they are usually unaware of the result when asked, whereas...
  17. hawaiicarl

    RNs giving patient lab results.

    hawaiicarl replied to Dperez201's topic in General Nursing

    Sooo not to add to this can of worms, but HIPAA requires us to share this information with patients. I agree with the posters who tell patients, I wonder at the advocacy ability of nurses who don't....
  18. hawaiicarl

    265 questions is almost guaranteed if your a male.

    hawaiicarl replied to wilderness47's topic in NCLEX Exam, Programs

    75 questions 32 minutes …. 265 questions means the CAT couldn't decide if you were bright enough to realize two 325mg Tylenols = 650 mg ….. git gud
  19. hawaiicarl

    Chemical Castration Condition for Parole in Alabama

    hawaiicarl replied to J.Adderton's topic in Nursing News

    I disagree with chemical castration, too kind, these pervs should be locked in a room with the victims parents for an hour …. unless they are the parents, then they should be put in the nearest...
  20. hawaiicarl

    Wastefulness in healthcare

    hawaiicarl replied to Emergent's topic in General Nursing

    I think the topic is overwhelming Emergent, like where do we start? Do we start with the concept of Western Medicine not being preventative? Do we delve into the futility of care of coding, and...
  21. hawaiicarl

    Wise One Liners

    hawaiicarl replied to Davey Do's topic in General Nursing

    When your arterial line is flat, and the new orientee thinks it might be positional. "Look at your pleth, the aline is fine, it's your patient that has a
  22. hawaiicarl

    Wise One Liners

    hawaiicarl replied to Davey Do's topic in General Nursing

    If you leave them just a little bit better than you got em it was a good shift. You don't need to be a brain surgeon, well unless the pt needs brain surgery. It's Aloha
  23. hawaiicarl

    Does size matter (Gloves nurses, gloves!)

    hawaiicarl replied to guest825264's topic in General Nursing

    Our facility used to use similar gloves. I did some research, and if you look at the website a lot of those non-stretch gloves say right on the manufacturer's website "not for patient use". Take...
  24. hawaiicarl

    Nursing management necessary?

    hawaiicarl replied to Sarah2018's topic in General Nursing

    On an amusing side note, our nurse manager position requires the employee to step in and take a nursing assignment in a staffing crisis, which seems to occur about once a month. They just hired a mid...
  25. hawaiicarl

    Nursing management necessary?

    hawaiicarl replied to Sarah2018's topic in General Nursing

    They do, sort of scary to me that you are absolutely unaware of the medical chain of command. Each physician specialty will have a "Chief" sort of cracks me up that they call them that. Above them...