hawaiicarl BSN, RN

Critical care

Grumpy Old Man

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All Content by hawaiicarl

  1. hawaiicarl

    The Heat is On: Why the Temporal Artery Thermometer Should Be Your "Go-To"

    hawaiicarl replied to Exergen Corporation's topic in General Nursing

    Personally I like the Temporal thermometers, fast easy, and noninvasive. That being said, a fan blowing on the pt always jacks them up, just as a pt chewing ice chips screws up an oral thermometer....
  2. hawaiicarl

    I secretly daydream...

    hawaiicarl replied to AspiringNurseMW's topic in General Nursing

    I secretly daydream that one day I will invent something neat like Curos caps, and be able to retire, and pay off my mortgage....
  3. hawaiicarl

    Rhythm debate

    hawaiicarl replied to MendedHeart's topic in Cardiac

    SR, rate = ~105, slight conduction delay, anterior MI evidenced in leads V3-4.
  4. hawaiicarl

    Interview for Transitional ICU Position

    hawaiicarl replied to OrganizedChaos's topic in Critical Care

    Everyone else had some great suggestions, brush up on your chest tubes as well. Different surgeons have different preferences on how often to strip them, and their output tolerance for phone calls....
  5. hawaiicarl

    Should i apply for RN II jobs even as a new grad?

    hawaiicarl replied to 2k15NurseExtern4u's topic in General Nursing

    Facilities that I have worked in list floor nurse positions as RN II, and charge/assistant manager positions as RN III. Don't be scared to apply IMO it may just be nomenclature for a floor nurse....
  6. hawaiicarl

    Why does everyone say that they "consigned" a drug waste.....

    hawaiicarl replied to roser13's topic in General Nursing

    SNL skit anyone? I always thought we should talk to Colonel Angus about those cunning
  7. hawaiicarl

    Nursing student hair color change for more respect

    hawaiicarl replied to Vonqiqi's topic in General Students

    Keep it blonde, then when you do something really dumb, just giggle, and say it's the
  8. hawaiicarl

    Nurses and their pens

    hawaiicarl replied to Brian's topic in General Nursing

    My wife bought me one of these for nurses week. It is black, has a skull on it and reads "NEED COFFEE" in white.
  9. hawaiicarl

    ICU burnout?

    hawaiicarl replied to infinitynotzero's topic in Critical Care

    Our oral care and turns pop up as nursing tasks, those are charted separately, but glad most people are charting the same.
  10. hawaiicarl

    Help me deal with the 'tough love'

    hawaiicarl replied to nursingjudgment's topic in Critical Care

    ICU is different from any other floor in the hospital with the possible exception of the ER. Knowledge isn't the only requirement, a strong personality is required as well. As the ICU nurse you are...
  11. hawaiicarl

    ICU burnout?

    hawaiicarl replied to infinitynotzero's topic in Critical Care

    I give all orientees a copy of this paper. It helps them meet charting requirements, but more importantly it prevents overcharting. This is especially helpful to experienced nurses who may have...
  12. hawaiicarl

    Name one of your favorite things about being a male nurse.

    hawaiicarl replied to DatMurse's topic in Men in Nursing

    The 2:356 Male:Female ratio in nursing school! We have an almost all male crew on nights in our ICU, but our tech is a girl named Rose, I like telling her she is the Rose amongst the thorns!
  13. hawaiicarl

    Male catheters

    hawaiicarl replied to libran1984's topic in Men in Nursing

    Generally speaking I will only put catheters in males, I have my female coworkers cover the procedure for a female patient. I do this for several reasons, one is patient comfort, two is possible...
  14. hawaiicarl

    Is there a test to determine which area of nursing you are best for?

    hawaiicarl replied to Cola89's topic in General Nursing

    https://www.discovernursing.com/diagnostic-results/6614,6618,4858/?primary=6645#.VeaqPjZRGUk Uhhh,
  15. hawaiicarl

    Adenosine administration

    hawaiicarl replied to sreynolds's topic in Emergency

    Monitor on continuous record, adenosine attached to luer lock closest to pt, NS flush attached to the next port up. Push drug/flush/tear strip off monitor, then toss it in the Dr.'s face. Shouldn't...
  16. hawaiicarl

    What advice would you give your 19 year old self?

    hawaiicarl replied to depalma.amada's topic in General Nursing

    1. Don't believe her when she says she'll never cheat again. 2. Don't take her back after you have broken up, just because she is pregnant. 3. Take a GS position as an RN with the government, and...
  17. hawaiicarl

    What is your most and least favourite area/specialty of nursing and why?

    hawaiicarl replied to CaffeinePOQ4HPRN's topic in General Nursing

    Most favorite area - ICU Most favorite patient - childless, orphan, ventilated, and sedated who never has visitors Least favorite area - Pediatric Oncology (It's a heart breaker) Least favorite...
  18. hawaiicarl

    Initiating Intravenous Access

    hawaiicarl replied to TheNGTKingRN's topic in General Nursing

    I'll use the US to find veins on obese pts (>500 lbs), I locate them, make sure the track is good then I'll draw a guideline with a sharpy. Some of the younger nurses can start the IV at the same...
  19. hawaiicarl

    New Grad, work calling on days off

    hawaiicarl replied to hopemedsurg2picu's topic in General Nursing

    A couple of things. I am surprised they let new grads pick up overtime, our hospital has a policy no OT or floating for new grads. Second, my wife had me put stick it notes on my computer one said...
  20. hawaiicarl

    Boyfriend of a Nursing Student

    hawaiicarl replied to AZStudent01's topic in General Students

    Don't worry about it! She is probably thinking about Brad Pitt, or Christian Grey, not a 300 pound 70 year old CHF patient. Just Sayin
  21. hawaiicarl

    A Rant by a Special Snowflake.

    hawaiicarl replied to Lulu Belle's topic in Medical Assistant, CNA/MA

    Don't feel bad, you could go to college, get your BSN, RN incur 10s of thousands of dollars of student loan debt, then pay a plumber twice what you make to fix a leaky pipe .... Seriously, I paid a...
  22. hawaiicarl

    New graduate and working in ICU

    hawaiicarl replied to prenfrow's topic in Critical Care

    There are different schools of thought on whether new grads should go into ICU. Some say they should go to medsurg/tele first to learn organizational skills. Others say to ICU first so we don't have...
  23. hawaiicarl

    CCRN "Cram Cram Repetition Nail it"

    hawaiicarl replied to bloatedputti's topic in Critical Care

    Our manager gets a bonus on her LEM, based on the percentage of her nurses who have certification. So guess what she did? Made CCRN mandatory for all of her staff! I have never bothered getting my...
  24. hawaiicarl

    9 Newbie Nurse Mistakes to Avoid

    hawaiicarl replied to Nurse Beth's topic in First Year After Licensure

    1. Make sure you turn your lopez valve the right way, because wearing the crushed up pill fragments with a mix of tube feed, and gastric sauce is .... aromatic. 2. Don't argue with "goodfellas", those...
  25. hawaiicarl

    What nurse life-hacks do you have to offer?

    hawaiicarl replied to Purple_roses's topic in Nurses Rock

    Have an antique surgeon tell you to hook a bulb suction to LIWS? Take a 3 ml syringe, pull out the stopper, cut the barrel in half, screw the luer lock of the syringe onto the bulb drain, insert the...