hawaiicarl BSN, RN

Critical care

Grumpy Old Man

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All Content by hawaiicarl

  1. hawaiicarl

    Sharpie on Tegaderm

    I always forget to use the stupid paper that comes with the central line dressing kits, so end up using a sharpie, never have I seen it leave ink on a patient when I remove it.
  2. No one likes a rat. I know that is an old quote, but if you are the RN, YOU are responsible for your Aides. Pull them aside, and tell them the longer breaks are unacceptable, and that if the...
  3. hawaiicarl

    let go during orientation, needs advice?

    My very first job was in pediatric open hearts at a big teaching hospital. Looking back, I am amazed I never harmed a patient (that I am aware of). About 6 months in I was called in to the manager's...
  4. hawaiicarl

    I am the worst person ever.

    I used to work with this Filipina, and whenever I went in my vented pt's room it smelled like pewp. So I would get the bathing supplies, and gather up an aide, but whenever I checked there was...
  5. hawaiicarl

    Negativity Bias (This is Long)

    That reminds me of an old joke. There was a drunk scot named McBride crying in his beer at the pub. The bartender asks why he is so sad. The drunk looks up at the barkeep and says "I've built dozens...
  6. We have a neighboring hospital who has a micromanager like that in their ICU. I love it, scooped up some of her best staff they were so paranoid about getting called into the office. Here's a tip for...
  7. I had a phlebotomist call me from the lab once asking if I had seen her tourniquet .... yup right where you left it on my pt's arm ... ah well pins and needles, a little blue, but it matched their...
  8. hawaiicarl

    No injections through a tattoo?

    Holy mackeral can you imagine all the pregnant patients who would suffer due to no epidural through their tramp stamp? The horrors!
  9. hawaiicarl

    What warrants a call home?

    I can almost guarantee that the reason why the daughter was told not to let you look under the bandaid is because she was laughed out of the ER with no stitches and is embarrassed. I can almost...
  10. hawaiicarl

    I NEED AN ANSWER!

    Just finished my nights, the OP yelling caught my attention, all caps hurts my eareyes. Then I stayed for the
  11. hawaiicarl

    Nurses who've had LASIK

    I had Lasik in the 90s, loved it. I am an old man now, so I am wearing trifocals. The trifocals are counterintuitive though, when I look down to read a label that hits the near sighted part of the...
  12. hawaiicarl

    What would say to a nurse shadowing you

    Hitchhiker's Guide to the Galaxy .... ahhhhh, but what is the
  13. hawaiicarl

    What would say to a nurse shadowing you

    Ok here's my best guess ... The post is from an ESL teacher in Japan, trying to prepare a nurse for a trip to Sick Kid's in Toronto. They want to know some common phrases that would be used in a...
  14. Interesting question. I was asked a similar question in a permanent charge interview a couple years ago. What they are asking for is I believe, flexibility. Her follow up question was, "what if the...
  15. hawaiicarl

    Really, is this real?!?!

    Maybe pick up a per diem position, at the other hospital that you mentioned was in the area, and test the waters there. I remember one of the first jobs I had as a new grad was an inpatient renal...
  16. hawaiicarl

    My rights after pt assault

    The hospital keeps readmitting this patient because he needs medical care .... and they get PAID to do that (read money signs). It may be possible to file a TRO, using the hospital's address, not...
  17. hawaiicarl

    The state made a weird request

    I don't work psych or detox, but my heart patients are not allowed caffeine either. We probably go through three pots coffee a night, never heard anything as ridiculous as a surveyor saying such a...
  18. This was I believe a JCAHO mandate 5-6 years ago, our Drs order sets were altered to specifically include the pain scale... this is not a nursing issue, this is a physician order issue. The normal is...
  19. I think most of the public would be amazed that private practice docs, are cutting corners by hiring MAs in their office. I remember back in the day when the nurses in the Dr.'s offices were really...
  20. hawaiicarl

    Apologies for using the term "NETY"

    Hopefully nursing is in the midst of a cultural revolution, where we nurture our youngsters as opposed to eating them (after all more meat on them if you fatten them up first ...har har). That being...
  21. hawaiicarl

    Why do nurses eat their young?

    Those who can ... do Those who can't .... teach Those who can't teach .... manage An old nurse taught me that back in the 80s, words to live by.
  22. hawaiicarl

    6th Vital Sign

    Is it time to start mixing Xanax, and Elavil in all the pt's med cups for the HCAPS scores?
  23. hawaiicarl

    Pros & Con's of baby making while in nursing school.

    My son was born while I was on my OB rotation, went there as a student in the morning, came back in the evening with my wife in active labor. Definitely more challenging, my ex-wife wrote her finals...
  24. We used to have a patient that we called Pacman, because he ate everything. At one time our surgeon considered putting a zipper on his abdomen so we could just unzip him and pull stuff out. I think...
  25. hawaiicarl

    Firearms

    Yay, so when that punk jacks your car, he is also armed and dangerous ... love the logic.