hawaiicarl BSN, RN

Critical care

Grumpy Old Man

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All Content by hawaiicarl

  1. hawaiicarl

    What's up with this RN?

    hawaiicarl replied to Guest219794's topic in General Nursing

    That's right up there with "pt appears to be sleeping or resting quietly", I got that patient on a monitor, and judging from their sleep apnea they ARE sleeping. Well until they wake up choking on...
  2. hawaiicarl

    PA catheter and parameters

    hawaiicarl replied to hyhero89's topic in Critical Care

    I agree with murseman, and think his name is hilarious too. Swan's aren't the only place you will see PA numbers, echocardiograms, and cath lab procedures usually include the information as well....
  3. hawaiicarl

    The End of An Era

    hawaiicarl replied to VivaLasViejas's topic in General Nursing

    I am so jealous …. still over 10 years away from being blissfully retired, barring a lottery win of course, or a GoFundMe page for my aching back and knees.
  4. hawaiicarl

    Force to change unit in the middle of shift

    hawaiicarl replied to Anon143's topic in General Nursing

    Sucks, yup. The only time I ever got out of it they tried to send me to a unit I had never even walked through the doors, and I said I had never been oriented. Then I asked isn't it policy that all...
  5. hawaiicarl

    Profanity in the workplace

    hawaiicarl replied to Emergent's topic in General Nursing

    These are all awesome examples ... funny, but not funny haha, funny yikes!
  6. hawaiicarl

    Any advice for a new grad trying to stay afloat?

    hawaiicarl replied to Rainbow_RN's topic in General Nursing

    From reading your post I think you are doing fine. First, you found a job that sounds like it is trying to support it's new employees. Even though the timing of the meetings is suboptimal you have...
  7. hawaiicarl

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    hawaiicarl replied to Nurse Beth's topic in General Nursing

    Love this post! How many times are we told it is mandatory to float to a floor in which we have zero experience?!?!?! No matter how many times I complain to admin a nurse is a nurse is a nurse to...
  8. hawaiicarl

    Nurse Gives Lethal Dose of Vecuronium Instead of Versed

    hawaiicarl replied to Nurse Beth's topic in General Nursing

    The contradiction of the statement ... Vande is run by expert knowledgable people, to I have personally investigated SEVERAL SENTINAL EVENTS is amazing to me. I need a very big googly eyed emoji for...
  9. hawaiicarl

    MORALE

    hawaiicarl replied to avg5012's topic in General Nursing

    I can't like this one enough! Our hospital is the only hospital in the are who doesn't offer post-retirement medical, and a pension .... so sick of pizza parties when all we want is a pension, like...
  10. hawaiicarl

    Is Giving 2 Weeks Notice Ancient Practice?

    hawaiicarl replied to staple1027's topic in General Nursing

    Our facility's employee handbook states that we are "at will" employees, no notice required to resign or be dismissed, no cause necessary. One of our long term directors was turfed the week before...
  11. hawaiicarl

    Just accepted the job.. then this...

    hawaiicarl replied to Anonymous877's topic in General Nursing

    Tell your husband no nookie until after orientation is over.
  12. hawaiicarl

    Nurse Imposters

    hawaiicarl replied to Nursemccaleb's topic in General Nursing

    I am not sure how to put the word idiot nicely when applied to your supervisor, and NP, I guess I will stick with mistaken, or wrong, or uninformed. I think you are right in being concerned, and...
  13. hawaiicarl

    Nurse Imposters

    hawaiicarl replied to Nursemccaleb's topic in General Nursing

    So, you took a second hand order for a patient from someone you knew was a phlebotomist. Please tell me that you didn't put this in as an order from the physician. Even if the person was his nurse...
  14. hawaiicarl

    So over it!!

    hawaiicarl replied to adventure_rn's topic in General Nursing

    If this were true I would always have cream for my coffee at
  15. hawaiicarl

    Advice please

    hawaiicarl replied to ert01479's topic in General Nursing

    Aloha OP I have noticed during my career that the hospitals where I learned the least are the huge teaching hospitals. Like you said there are code teams, phlebotomists, IV teams, let alone all the...
  16. hawaiicarl

    Do healthcare administrators know one another?

    hawaiicarl replied to SuziQ63's topic in General Nursing

    Probably depends too whether they are in a healthcare "system". Nepotism runs deep at some, one CEOs son was an Xray tech, then transferred to another hospital as a VP. So ya be
  17. hawaiicarl

    Nurses Eat Their Young

    hawaiicarl replied to Dairian's topic in Nursing Student Assistance

    I can't tell if this is sarcasm .... I assume it is, unless proven otherwise. Sort of like - I've never seen playground bullying ..... ever!
  18. hawaiicarl

    withholding medications ethical dilemma

    hawaiicarl replied to WILLTHEMURSE's topic in General Nursing

    I am curious what the VS were when the pt was sleeping. The reason I ask this is that after the meds are given the pt will be .... sleeping. Each time the nurse rounded on the pt the pt was .......
  19. hawaiicarl

    Iv antibiotic running as primary?

    hawaiicarl replied to SquatsNScrubs's topic in General Nursing

    Most plain IV bags from the manufacturer typically come with 10% overfill, the problem with this theory is that when the medication is mixed by pharmacy they don't add 10% extra medication.
  20. hawaiicarl

    Iv antibiotic running as primary?

    hawaiicarl replied to SquatsNScrubs's topic in General Nursing

    Always run ABx as a secondary/piggy back set, for several reasons, as previous posters mentioned. People who don't do this are either lazy, or the hospital is super cheap and trying to save money. 1....
  21. hawaiicarl

    documenting a chart check?

    hawaiicarl replied to ddrn97's topic in General Nursing

    Oh please please please don't let anyone in admin at our hospital read this, "someone" will think this is an awesome idea!
  22. hawaiicarl

    CERNER

    hawaiicarl replied to Emergent's topic in General Nursing

    I want a scribe, or one of those phones I can dictate into.
  23. hawaiicarl

    Is this discrimination?

    hawaiicarl replied to eacue10's topic in General Nursing

    1. I am pretty sure translators get paid less than RNs. 2. Pretty sure "other duties as needed" is on the job description. Just like as a 6' male I get assigned the "patients of size", or some nurses...
  24. hawaiicarl

    How to approach this situation from management standpoint?

    hawaiicarl replied to ShimmaShimma0304's topic in Nursing Professionalism

    My thought on this is ... poor care. How did the resident develop a stage 4 pressure ulcer in the first place? Poor care. Why is the pressure ulcer not healing as expected? Poor care. There seems...
  25. hawaiicarl

    % infants in Peds? Male RN in Peds?

    hawaiicarl replied to Lemon Bars's topic in Pediatric

    I did 10 years in peds loved it. There were a decent amount of men working the unit, and PICU as well. The unit you described sounds like post-partum, I would never work there, so much man hating...