hawaiicarl BSN, RN

Critical care

Grumpy Old Man

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All Content by hawaiicarl

  1. hawaiicarl

    Switching from ICU to Peds..need advice

    hawaiicarl replied to vzcookie's topic in Pediatric

    I did the opposite, spent ten years in peds, then due to a relocation moved to adult ICU. Loved working with the kids, my only point of advice would be that in adults when you see a patient...
  2. hawaiicarl

    Oh boy

    hawaiicarl replied to Gigi72's topic in Geriatric, LTC

    Tag and bag the meds send em down to pharmacy to sort out.
  3. hawaiicarl

    Reason for IV fluids

    hawaiicarl replied to Matt8700's topic in Emergency

    Do hospitals get paid for IV starts, and IV fluids ....
  4. hawaiicarl

    Husbands!

    hawaiicarl replied to middleagednurse's topic in General Nursing

    My stock answer for the kids is "Uh oh, we better amputate, get my saw!" My wife is an RT, so other than technical discussions about the ASV aspects of the Hamilton Galileo not so much.
  5. hawaiicarl

    How do you draw up small amounts of medications for Picc lines?

    hawaiicarl replied to Hockeynursing's topic in Patient Medications

    I think someone may not be familiar with central line policies. Manufacturers for years have said that only 10 ml syringes or greater should be used for injections on central lines. The rational...
  6. hawaiicarl

    If You Could Have Any Skill to Deal with Difficult People -- What Would It Be?

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

    Disintegration
  7. hawaiicarl

    Will paramedic be useful for ICU job?

    hawaiicarl replied to BradS's topic in Critical Care

    I find medics usually do very well in ICU, they have a great set of skills, and are used to dealing with the sh-tstorm that can happen on the unit. The prehospital vs in-hospital mindset will take...
  8. hawaiicarl

    Dating Coworkers

    hawaiicarl replied to Wake88's topic in Patient, Colleague Relations

    I have seen both ends of the spectrum where I work. I have seen couples date, and get happily married. I have seen a Dr. get served with a TRO for lying in the hallway crying when things didn't work...
  9. hawaiicarl

    Although Women Dominate the Nursing Profession, Do Men Make More Money?

    hawaiicarl replied to allnurses's topic in General Nursing

    Interesting point, I wonder if you found the confounding principle to their poorly designed study. I always wondered where they got this whacked research from. Nurses get paid job rate at any of the...
  10. hawaiicarl

    Resignation in lieu of drug test? Is random testing the answer?

    hawaiicarl replied to Emergent's topic in General Nursing

    Agree with RDT 100%, keep the addicts out of the profession. Bad enough our scores in being the most trusted health care profession dropped after those Studer retards make us sound like Mcdonald's...
  11. hawaiicarl

    Proactive Rounding and Family Initiated RRT

    hawaiicarl replied to Pprwrk's topic in General Nursing

  12. hawaiicarl

    Proactive Rounding and Family Initiated RRT

    hawaiicarl replied to Pprwrk's topic in General Nursing

    We started the family initiated RRT a couple years ago, and I had a lot of the same concerns that the people above mentioned. None of them came to pass, it was just another piece of paper in that...
  13. hawaiicarl

    IV Rules at your Facility

    hawaiicarl replied to applesxoranges's topic in General Nursing

    I recently did an EBP search on this for an inservice, and the results surprised me. Current CDC, AACN and SHEA recommendations no longer have a time frame for removing lines placed under sterile...
  14. hawaiicarl

    Male graduate and pinning

    hawaiicarl replied to Rn 1979's topic in Men in Nursing

    Skipped mine don't regret
  15. hawaiicarl

    male nurses

    hawaiicarl replied to bonta's topic in Men in Nursing

    Valkyries?
  16. hawaiicarl

    male nurses

    hawaiicarl replied to bonta's topic in Men in Nursing

    Me watching my tech trying to lift a patient....
  17. hawaiicarl

    male nurses

    hawaiicarl replied to bonta's topic in Men in Nursing

    Nothing like a good sexist post to get everyone involved! Being 6 foot and 230 pounds it only makes sense for me to do the lifting/turning, I have a leverage advantage. I love trying to watch our...
  18. hawaiicarl

    Is this a hipaa violation?

    hawaiicarl replied to NurseRatchedTheBest's topic in HIPAA Challenges

    In the back of my mind I was wondering if you worked prehospital ... like flight nursing or something, which like you said, is a whole different ball game. Yes CPR, and intubation is hurting a...
  19. hawaiicarl

    Is this a hipaa violation?

    hawaiicarl replied to NurseRatchedTheBest's topic in HIPAA Challenges

    Well duh, but if a family member tells the Dr. during a code to stop, we
  20. hawaiicarl

    Is this a hipaa violation?

    hawaiicarl replied to NurseRatchedTheBest's topic in HIPAA Challenges

    Yes it
  21. hawaiicarl

    How do you sign your credentials?

    hawaiicarl replied to heather717's topic in Nursing Professionalism

    I usually sign my stuff Hawaiicarl XO .... hugs and kisses of course! With computers I never sign anything at work by hand.
  22. hawaiicarl

    Dialysis Subclavian line antibiotics.

    hawaiicarl replied to ArvinC EMT's topic in Patient Safety Issues

    Yes, you can draw blood, and run meds through a HD line .... you can also explain to the Dr. how you messed up the pt's only access. Then you can explain why you just gave the pt 2000 units of IV...
  23. hawaiicarl

    Inserting an NG tube post arrest

    hawaiicarl replied to abidingpanda's topic in General Nursing

    1. Use an 18Fr tube, the smaller the tube the higher the chance it will coil. 2. Get a cup of ice water, and soak the tip of the tube in it for a few seconds, or aspirate some water into the tube with...
  24. hawaiicarl

    HIPAA dilemma

    hawaiicarl posted a topic in HIPAA Challenges

    Aloha Ok something has been bothering me for quite awhile, and I need to get it off my chest. Some time ago we had a senior student do their rotation on our unit, let's call him Lord Voldemort (he...
  25. hawaiicarl

    EHRs- why arent they linked nationally

    hawaiicarl replied to sroseo's topic in General Nursing

    Ok I work and live in Hawaii. Do you have any idea how insanely useful it would be to have access to all the tourists health records? For example the 70 year old hospice patient who wanted one last...