hawaiicarl BSN, RN

Critical care

Grumpy Old Man

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All Content by hawaiicarl

  1. Our hospital is pretty comical in regards to retention. All of the other acute care hospitals in the area have post-retirement health care, and a pension of some sort. When we bring this up we are told …. but you get free parking. In their strategy...
  2. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  3. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  4. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  5. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  6. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  7. hawaiicarl

    What is your "thing" and how do you deal with it?

    I don't really have a thing, but I do enjoy trolling people who do. I have a co-worker who can't stand skin flakes, and we had one guy who looked like a snake molting his skin come in. Remember that scene in Austin Powers Goldmember? I peeled a go...
  8. hawaiicarl

    Charge nurse hears me but doesn't listen

    We joke about this all the time in ICU. Admitting a patient on room air with a heplock to ICU, when I question the NOC, he says I want you to "watch the patient". Pt has uncontrolled SVT in the 180s, call the NOC what does he say? "Watch the pt" …....
  9. hawaiicarl

    Questions about morning blood sugars/insulin

    We used to have night shift check sugar and give insulin, until we had a couple hypoglycemic events due to delayed trays, or a Dr. all of a sudden deciding pt needs to be NPO etc etc. We actually changed our policy similar to the TIE acronym, which ...
  10. hawaiicarl

    Ineffective Compressions

    Please don't ever sing or hum "Staying Alive" during a code on a real person, if the family walks in or is in the hallway they may be seriously offended. The code leader during the code is responsible for monitoring compressions, they should provide...
  11. hawaiicarl

    foley ballon placement wrong?

    Don't you mean you can't stop indwelling? ?
  12. hawaiicarl

    Useless Shift Report Information

    My pet peeve is them wandering in 5 minutes late with a plate of food, and apparently the obnoxious "cow chewing their cud" sounds interfere with their hearing or brain function because right after you tell them something they ask what it is …. hgb w...
  13. Guten Tag! Wie Geht's? When I first graduated nursing back in the stone age we were in one of those layoff cycles that nursing sometimes goes through. I got a job in a group home with 6 disabled adults. The job consisted of passing oral meds, meal ...
  14. hawaiicarl

    NCLEX shut off at 75 and feel like I failed??

    Well I would be surprised if you failed after how you managed to detail how many of each type of question was on the exam you took. I vaguely recall the NCLEX, and would have absolutely no idea about how many questions of each type of category there...
  15. hawaiicarl

    Transferring to ICU

    If your goal is to get into the ICU, and that is the shift that is open I would grab it. During the interview you could mention that you are happy to do rotating shift (which will help you learn the different aspects of the shifts), but that you pre...
  16. hawaiicarl

    RNs giving patient lab results.

    Honestly in my experience providers (MDs and NPs included) are the worst at delivering lab results often related to their work load. First, they are usually unaware of the result when asked, whereas I can recite them from memory. Second, they say th...
  17. hawaiicarl

    RNs giving patient lab results.

    Sooo not to add to this can of worms, but HIPAA requires us to share this information with patients. I agree with the posters who tell patients, I wonder at the advocacy ability of nurses who don't. If your facility has a policy that states nurses ...
  18. hawaiicarl

    265 questions is almost guaranteed if your a male.

    75 questions 32 minutes …. 265 questions means the CAT couldn't decide if you were bright enough to realize two 325mg Tylenols = 650 mg ….. git gud Cheers
  19. hawaiicarl

    Chemical Castration Condition for Parole in Alabama

    I disagree with chemical castration, too kind, these pervs should be locked in a room with the victims parents for an hour …. unless they are the parents, then they should be put in the nearest maximum security prison in general population with a sig...
  20. hawaiicarl

    Wastefulness in healthcare

    I think the topic is overwhelming Emergent, like where do we start? Do we start with the concept of Western Medicine not being preventative? Do we delve into the futility of care of coding, and keeping a 98 year old lady with a POLST on life care f...
  21. hawaiicarl

    Wise One Liners

    When your arterial line is flat, and the new orientee thinks it might be positional. "Look at your pleth, the aline is fine, it's your patient that has a problem"
  22. hawaiicarl

    Wise One Liners

    If you leave them just a little bit better than you got em it was a good shift. You don't need to be a brain surgeon, well unless the pt needs brain surgery. It's Aloha Friday!
  23. hawaiicarl

    Does size matter (Gloves nurses, gloves!)

    Our facility used to use similar gloves. I did some research, and if you look at the website a lot of those non-stretch gloves say right on the manufacturer's website "not for patient use". Take THAT to your infection control meeting, unless they a...
  24. hawaiicarl

    Nursing management necessary?

    On an amusing side note, our nurse manager position requires the employee to step in and take a nursing assignment in a staffing crisis, which seems to occur about once a month. They just hired a mid 60s educator who hasn't worked bedside in 30 year...
  25. hawaiicarl

    Nursing management necessary?

    They do, sort of scary to me that you are absolutely unaware of the medical chain of command. Each physician specialty will have a "Chief" sort of cracks me up that they call them that. Above them is the chief of staff. Then there is usually a VP ...