hawaiicarl BSN, RN

Critical care

Grumpy Old Man

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All Content by hawaiicarl

  1. hawaiicarl

    Why your avatar?

    hawaiicarl replied to LikeTheDeadSea's topic in School

    Mine is a character from League of Legends, Trundle the Troll King
  2. hawaiicarl

    Former drug addicts becoming nurses?

    hawaiicarl replied to Emergent's topic in General Nursing

    I view this as a recovering alcoholic going to bartender school .... easy access, constant exposure .... what are they thinking!?!?!? We admitted a senior nursing student as a patient for a drug OD,...
  3. hawaiicarl

    Ambulating post op day zero

    hawaiicarl replied to oceangirl1234's topic in General Nursing

    Our order set for post op hearts is 1. Dangle one hour post extubation 2. Up in chair 4 hours post extubation. Keep on keeping on! I remember a stat somewhere that said in our older patients each...
  4. hawaiicarl

    Fingerprint failure

    hawaiicarl replied to Rntr's topic in General Nursing

    You've been nursing so long the alcohol gel wore your fingerprints out. Talk about worked to the
  5. hawaiicarl

    Falsely accused of diversion

    hawaiicarl replied to Kabhold's topic in Nurses Recovery

    Had a similar incident in our ICU. Patient stated he had X number of opioids, which were less than in the bag at the time. On investigation with the ER nurse, she stated that they have had so many...
  6. hawaiicarl

    Tips/tricks voiding trial

    hawaiicarl replied to neogirl's topic in General Nursing

    Get a basin of warm water and dip their hand in it. Worked on my brother when he was sleeping.
  7. hawaiicarl

    Which Area Has the Most Compassionate Nurses

    hawaiicarl replied to RNite's topic in General Nursing

    Well it's not ICU! When we all wrote our CCRN exams our consistent lowest score across the board was Empathy. I would say Pediatrics, Oncology, or Hospice. Takes a special kind of heart to be able...
  8. hawaiicarl

    Why do some nurses hate it in others pump at work?

    hawaiicarl replied to remotefuse's topic in General Nursing

    Canada too, Meerikuns get 6 weeks, no wonder they are all
  9. hawaiicarl

    Is this considered falsification?

    hawaiicarl replied to MommyRN89's topic in General Nursing

    So just out of curiosity .... did you write the note? Or is this a witch hunt, and you are after the person who did? Something seems
  10. hawaiicarl

    DNR Turning Into Do Not Treat?

    hawaiicarl replied to EllaBella1's topic in General Nursing

    Personally I tend to lean toward the do not treat side, having worked in critical care for almost thirty years I am disgusted at the number of times family, or physicians, ignore the patient's end of...
  11. hawaiicarl

    Dialysis catheter

    hawaiicarl replied to Pharmahaulic's topic in General Nursing

    Often short term dialysis catheters will suck up against the vessel wall, and like Muno says you may need to adjust your blood flow rates lower to account for this, say go from 200 ml/m down to 150....
  12. hawaiicarl

    Help me choose the days I work/schedule

    hawaiicarl replied to ajaxgirl's topic in General Nursing

    I made a part time 0.6 schedule that was 4 on and 10 off and I had full time people wanting to go part time to take it. It is Fri/Sat/Sun/Mon, then 10 off, I have people lined up to take it after the...
  13. hawaiicarl

    How will Trump's War on Opioid Abuse Affect Non-abusers in Pain?

    hawaiicarl replied to Emergent's topic in General Nursing

    Does anyone honestly think Trump will proceed with any action that hurts big business? I think he is just putting this out there so the pharmaceutical lobbyists will fork over another few million....
  14. hawaiicarl

    Propofol Infusion syndrome?

    hawaiicarl replied to Pharmahaulic's topic in General Nursing

    If patients have high trigs, we try to combo them with precedex/fentanyl to cut down the propofol dose. If it looks like we are in for the long haul, we'll switch to an ativan or a versed drip....
  15. hawaiicarl

    Dr. denigrates NPs, cites low IQ etc

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

    I always just look at our mentally challenged physicians, who only went through med school because their parents were rich doctors, and think .... pot calling the kettle black.
  16. hawaiicarl

    Is bedside nursing still a lifelong career option?

    hawaiicarl replied to NicStrRN's topic in General Nursing

    Gawd I hope so, I am too old to go back to school.
  17. hawaiicarl

    Can't handle the ICU

    hawaiicarl replied to hnwarden's topic in General Nursing

    Having oriented over a hundred ICU nurses I find your awareness very positive. Hang in there, unless like the other posters said, your manager is pressuring you to leave. I love orientees who...
  18. hawaiicarl

    Ethical issue?

    hawaiicarl replied to nursesmatter's topic in General Nursing

    Definitely within our scope, most likely could get fired for it. Not that you are doing anything wrong, but when the family goes to admin in horror admin will need a scapegoat. I would have the...
  19. hawaiicarl

    Verbal order-Denied by resident

    hawaiicarl replied to Traumamama02's topic in Emergency

    When we have a resident, or attending, with a history of denying verbal orders we just blackball them from verbal orders. Obviously administration always backs up the physicians, so we get together,...
  20. hawaiicarl

    Where can I get male only patients?

    hawaiicarl replied to Firas5's topic in General Nursing

    Mr. Roarke has a place, and his little helper Tattoo will help you off the plane. It's called Fantasy Island. Cheers PS - The plane the
  21. hawaiicarl

    Calling patients by "pet" names.

    hawaiicarl replied to dbabz's topic in Patient, Colleague Relations

    I agree with this this, back home can't even imagine it, here in Hawaii older people are called Auntie or Uncle as a sign of respect. Took some getting used to.
  22. hawaiicarl

    Spouse vs. MPOA and feeding tubes

    hawaiicarl replied to anon456's topic in General Nursing

    I am curious what state the OP is from where this is the "law" allegedly. Or is there some misunderstanding, the patient has an MPOA who is not the spouse who wants the tube kept in? If no MPOA is...
  23. hawaiicarl

    Should I Stay or Should I Go?

    hawaiicarl replied to HealSpec's topic in Psychiatric

    If you go there will be trouble, if you stay it will be
  24. hawaiicarl

    Possible to have job rescinded from background check?

    hawaiicarl replied to EDRN12345's topic in Nursing Career

    I am a little surprised that your old employer released that much information. Sort of like HIPAA, your employment history is confidential to a point. I was always told that HR can only confirm...
  25. hawaiicarl

    Why do we do codes?

    hawaiicarl replied to scrubs0204's topic in General Nursing

    Can you say slow code?