hawaiicarl BSN, RN

Critical care

Grumpy Old Man

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All Content by hawaiicarl

  1. hawaiicarl

    I don't think i can be around this co-worker anymore.

    hawaiicarl replied to fulitarn's topic in General Nursing

    Aunt Slappy is now my favorite advocate! "Get your hands the **** off me." I want a T-shirt with that on it, and I am going to give it for Xmas to all my daughters.
  2. hawaiicarl

    Am I a woosy for feeling 5 patients is too much on a medsurg floor

    hawaiicarl replied to PaperPushingRN's topic in General Nursing

    and the answer is yes. In a nice way though
  3. hawaiicarl

    Infusion times....in a pickle...

    hawaiicarl replied to mi_dreamin's topic in General Nursing

    30 minutes ... every single time .... can't imagine tying up a line for four hours just for Zosyn.
  4. hawaiicarl

    Two different blood pressure readings?

    hawaiicarl replied to 8Lovenursing8's topic in General Nursing

    I always think aortic dissection in critical care. If left is lower than right by 20 or more that is a cardinal sign of dissection, as it progresses it dissects the left arm on it's way to the...
  5. hawaiicarl

    Very concerned

    hawaiicarl replied to ButterflyRN90's topic in General Nursing

    Interesting post I agree with several things that previous posters mentioned. 1. Your preceptor is on the hook, and may have been so upset because of how this reflects on her. 2. Your manager is...
  6. hawaiicarl

    What in the world is this rhythm?!

    hawaiicarl replied to BSN_Studnt's topic in Critical Care

    Sinus brady 37 BPM .... nothing to see here people move
  7. hawaiicarl

    What do you hate about nursing and why?

    hawaiicarl replied to ccorreces's topic in General Nursing

    Here's a Letterman top ten for you. 1. Budgets 2. AIDET 3. The fact I spend 60% of my time documenting, and only 40% actually doing patient care. 4. Plumbers making twice as much as me. 5. ********,...
  8. hawaiicarl

    Texting in nursing

    hawaiicarl replied to kimbagirl's topic in LPN, LVN Corner

    Texting is slowly becoming the new norm no matter how old people, and administration fight it. There was a good lecture at last year's NTI about it available on the AACN website if anyone is...
  9. hawaiicarl

    How do you change a diaper without waking a baby up?

    hawaiicarl replied to wingingit's topic in PICU, Pediatric

    Use your MNDCS ... Mad Ninja Diaper Changing
  10. hawaiicarl

    Curos caps for foleys?

    hawaiicarl replied to dawdlingsquid's topic in General Nursing

    We never used them on foleys, our CAUTI rates are super low already, one thing we do is change out foleys before getting a UA though. I guess the thought is that a new foley won't be colonized, which...
  11. hawaiicarl

    EKG machines - HELP

    hawaiicarl replied to Loveebrianna's topic in General Nursing

    To be honest, I would 98.3% of the time trust a nurse over a doctor.
  12. hawaiicarl

    Cricoid Pressure

    hawaiicarl replied to SBURNSTEVEN's topic in Certified Registered Nurse Anesthetist, CRNA

    I only apply cricoid pressure if it is a very anterior position, then release it when the tube goes through the cords. Holding cricoid for aspiration prevention is not EBP anymore, as several...
  13. hawaiicarl

    Dropped Pill - Do you give it?

    hawaiicarl replied to applesxoranges's topic in General Nursing

    Ewwww not hospital dirt .... shudder
  14. hawaiicarl

    Dropped Pill - Do you give it?

    hawaiicarl replied to applesxoranges's topic in General Nursing

    The only time I would give a patient a dropped pill is if they dropped it on their gown/blanket while trying to get it in their mouth.
  15. hawaiicarl

    falling asleep during nightshift

    hawaiicarl replied to nightlightnurseaide's topic in General Nursing

    Interesting topic, sort of weird how hospitals in North America make it a firing offense. There have been many studies in Europe and Asia that show night shift workers are far more alert during their...
  16. hawaiicarl

    Absolute Exhaustion Tips?

    hawaiicarl replied to Lilia777's topic in General Nursing

    Contact your PCP for a full physical is my advice too. I have been exhausted lately seems I have some "issues" that need to be dealt with. One of the more benign ones was a Vitamin D deficiency, but...
  17. hawaiicarl

    Patient waking up during CPR

    hawaiicarl replied to LisaStone's topic in General Nursing

    Had a patient go into Torsades on a Tele unit, they started CPR, and called a code. There was some issue getting the crash cart into the room, the door was partially blocked so I punched him in the...
  18. hawaiicarl

    So you're an RN - you must be earning big!

    hawaiicarl replied to _littlemissBSN's topic in General Nursing

    I usually just say "Doing ok, I make half of what a plumber makes, without the post-retirement medical or pension."
  19. hawaiicarl

    Driving drowsy

    hawaiicarl replied to Irishnights's topic in Emergency

    I love the post title ... Driving Drowsy, could be the story of my life! Luckily we have those little dots in the middle of the road and the bumpity bump usually wakes me up. If you added a Miss to...
  20. hawaiicarl

    What would you do if nursing staff refuses do carry out your request?

    hawaiicarl replied to Saflanut's topic in Nurse Practitioners, NP

    Were the other staff male or female? As a male I totally would not do that without another staff member present. Is it possible there is a clinic policy about this as the reason why they were...
  21. hawaiicarl

    Looking for witty saying for band aid bags

    hawaiicarl replied to cid1's topic in School

    "It's only a flesh
  22. hawaiicarl

    Nerves?

    hawaiicarl replied to QuietIsntAWord's topic in General Nursing

    Other than this possibly being an early onset parkinsonian thing. I sometimes get twitchy like that when my sugars are low, so I rest the edge of my hand on the table which stops the temors, or if no...
  23. hawaiicarl

    Please help. Career over before it starts.

    hawaiicarl replied to Emjked123's topic in Nurse Disabilities

    Show me a nurse who doesn't have degenerative disc disease
  24. hawaiicarl

    Feel like I don't know anything

    hawaiicarl replied to mindiianajones's topic in First Year After Licensure

    I've been doing this for 30 years and still learn something new every shift .... just when I think I've got it figured out evidence based practice decides we were doing it wrong the whole time! I...
  25. hawaiicarl

    School Shootings

    hawaiicarl replied to OldDude's topic in General Nursing

    1. Gun Control - Get rid of the "America **** ya" mentality 2. Maternity+Paternity leave - How the hell are you supposed to raise functioning children when 6 weeks after they are born parents go back...