hawaiicarl BSN, RN

Critical care

Grumpy Old Man

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All Content by hawaiicarl

  1. hawaiicarl

    Unsupportive boss? Is it worth quitting over??

    hawaiicarl replied to Cola89's topic in General Nursing

    Personally to me it sounds like manipulative behavior that the tech uses to her advantage. She complains, says why didn't you do it? In the future I bet a lot of nurses don't even bother to ask her...
  2. hawaiicarl

    The Nurse on the Other Side

    hawaiicarl replied to sheilagood52's topic in General Nursing

    I love your post OP. This can be so true. Personally I try to tailor my interactions with patients to their baseline knowledge of hospitals, and their condition. I do not walk into a patient's room...
  3. hawaiicarl

    The Nurse on the Other Side

    hawaiicarl replied to sheilagood52's topic in General Nursing

    I love your post OP. This can be so true. Personally I try to tailor my interactions with patients to their baseline knowledge of hospitals, and their condition. I do not walk into a patient's room...
  4. hawaiicarl

    Firearms

    hawaiicarl replied to cracklingkraken's topic in General Nursing

    I'm also Canadian, I differ from Joanna in that I grew up in northern Alberta where guns were commonplace. A mandatory class in middle school was hunter education, including gun safety, and time was...
  5. hawaiicarl

    Can we lay to rest the "compassion" nonsense?

    hawaiicarl replied to dinah77's topic in General Nursing

    Unless you are a pure sociopath, you must have some level of compassion, of course it varies person to person. I agree with the NuGuyNurse2b, if you come in wide-eyed, and unable to compartmentalize...
  6. hawaiicarl

    HIPAA and the Undocumented

    hawaiicarl replied to nurseactivist's topic in HIPAA Challenges

    I have to admit I would be surprised if her husband ... who had private health insurance was not illegal as well. Seems strange, that if he was legal, he wouldn't have his wife on a legal green card...
  7. hawaiicarl

    HIPAA and the Undocumented

    hawaiicarl replied to nurseactivist's topic in HIPAA Challenges

    The risk is ... our tax rate may drop if we stop supporting illegal immigrants. That'd be a nice break. I am sure they have medical care in her country of origination. As an FYI, I am a LEGAL...
  8. hawaiicarl

    Nurse, policeman, or both

    hawaiicarl replied to imintrouble's topic in General Nursing

    Suppose it depends what state you work in. If we happen upon any illegal contraband (weapons, illegal drugs, etc) we are required to call security, who in turn calls the cops. In a state where...
  9. hawaiicarl

    Hey so young nurses, are we really making "that much"?

    hawaiicarl replied to tarotale's topic in General Nursing

    Where is this? I make around 60$/hour, but cost of living on Oahu is pretty horrendous. With overtime cleared over 135k last year. Plumbers make ~ 100$/hr here.
  10. hawaiicarl

    How old are you?

    hawaiicarl replied to 1_fit_male_nurse2b's topic in Men in Nursing

    Quit talking about me!
  11. hawaiicarl

    Scrubs for Men in Peds

    hawaiicarl replied to PedsCI89's topic in Men in Nursing

    I almost always wore cartoon characters back when I worked peds, the kids seemed fascinated. I had a decent collection of Disney tops. Wore solid scrub pants.
  12. hawaiicarl

    How did your parents react when you told them you wanted to be a nurse?

    hawaiicarl replied to futurern_.'s topic in Men in Nursing

    I was the first one in my family to go to university. Long line of laborers, meat packing plant kind of stuff. They were thrilled any of their kids were going to university.
  13. hawaiicarl

    All Men Shift

    hawaiicarl replied to kalevra's topic in Men in Nursing

    Just .... wow. I was sitting here quietly eating my popcorn, and chuckling to myself at the trolling, then this bit of venom hit the thread .... just yikes. In my ICU there is almost always more...
  14. hawaiicarl

    Charting versus care

    hawaiicarl replied to schilm15's topic in General Nursing

    Welcome to modern nursing. Not sure how to put that nicely. My best guess is that I spend 40-50% of my time charting/doing administrative work, and the other 50-60% doing pt care. Your situation is...
  15. hawaiicarl

    Med contraindication

    hawaiicarl replied to hawaiicarl's topic in General Nursing

    Thought we could all use a laugh it's been a dark week.
  16. hawaiicarl

    Med contraindication

    hawaiicarl posted a topic in General Nursing

    Is everyone aware that Viagra, and Iron supplements are contraindicated on male patients? It makes them spin around and face north!
  17. hawaiicarl

    I&O Goal Clarification & Nipride vs Nitroglycerin

    hawaiicarl replied to nurs1ng's topic in CCU, Coronary, Cardiac

    1. 24 hour ins and outs ends at the end of your shift .... so basically it works out that you need to do a 12 hour in and out with the remainder. In your example let's say on days he had 1500 in with...
  18. hawaiicarl

    Fentanyl Drip

    hawaiicarl replied to FirstLadyRN's topic in Critical Care

    The patient came in with a narcotic overdose ... surprised there was any basal rate on the fentanyl PCA at all considering this.
  19. hawaiicarl

    Why is everyone hating on ED?

    hawaiicarl replied to canche's topic in Emergency

    Wanna come work in our ER? Sounds like you got a lot done. I think this video sums it up nicely...
  20. hawaiicarl

    Nurses expecting to do too much!

    hawaiicarl replied to CosmoRN77's topic in General Nursing

    I have mixed feelings on this. I understand the OPs point of view that a lot of extra administrative type stuff seems to get dumped on the bedside nurse. Personally I am permanent charge in an ICU,...
  21. hawaiicarl

    RN that doesn't want to be an NP

    hawaiicarl replied to Matt8700's topic in Emergency

    The NP market is unstable at best, many states have very few NP positions at all. I am currently working with people that have their NP designation, and are stuck at the bedside, either because of...
  22. hawaiicarl

    low oxygen levels

    hawaiicarl replied to jonie8693's topic in Cardiac

    Low SaO2 can be normal for the various reasons explained above. The one condition in which you may need to be concerned with the cyanosis around the lips is Tetralogy of Fallot, we used to call them...
  23. hawaiicarl

    Brian Short News

    hawaiicarl replied to tnbutterfly - Mary's topic in General Nursing

    Good people sometimes commit horrific deeds, horrible people sometimes do good ones. Whichever one it was, AllNurses is a great site for nurses. Condolences to the staff.
  24. hawaiicarl

    Ethics: Does knowledge of a patient's blood borne pathogen change your care?

    hawaiicarl replied to JMed18's topic in General Nursing

    Nope, I treat all patients the same, like they all have cooties. They used to call it universal precautions, I think the new terminology is "standard" precautions. Not only may the patient in that...
  25. hawaiicarl

    New Graduate RN having preceptor commucation problems

    hawaiicarl replied to Kaytayxx's topic in General Nursing

    I agree with TriciaJ, with a CPOE system the Dr. is responsible for entering his own orders, especially when he specifically told you that he would be doing so. Nurses entering orders for the Dr. is...