WindwardOahuRN

WindwardOahuRN RN

Critical Care

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All Content by WindwardOahuRN

  1. Anybody know what's up w/ Queens?

    WindwardOahuRN replied to tiezto's topic in General Nursing

    These days Queens is hiring mostly from the inside but even those who have already been working for years in other positions at the hospita have a tough time getting a new grad spot when they...

  2. Discontinuing IJ turned into a Rapid Response

    WindwardOahuRN replied to Manatee111's topic in Patient Safety Issues

    I totally agree. If the patient crumps you not only have to respond to the crump you also have to get that patient back to bed or even on the floor if getting him back to bed is not possible. It's...

  3. Looking for an updated (realistic) budget for HNL

    WindwardOahuRN replied to tiezto's topic in General Nursing

    >>Union dues? 1 hour salary per month. (They don't even deserve that.) Oh really? Do you realize what the hospitals here WANTED to give us during the last few contract negotiations? Not only...

  4. Looking for an updated (realistic) budget for HNL

    WindwardOahuRN replied to tiezto's topic in General Nursing

    If you plan on parking on-site at any of the hospitals in town you'd better find out whether it's available at all, at any price. There is a waiting list of at least SEVEN YEARS for a parking pass...

  5. Hawaii Refresher???

    WindwardOahuRN replied to jswake18's topic in General Nursing

    Okay, if you want to spend $295 on a six-hour RN "refresher course" you're certainly free to do so. But IMHO it's not going to get you one bit of an edge with an employee unless the job candidate...

  6. I've signed up for the CCRN

    WindwardOahuRN replied to JayVArn's topic in MICU, SICU

    Honestly...has anyone heard of a nurse who has NOT passed the CCRN exam lately? The newbie nurses on my unit are passing in droves. Good for them. Study the stuff they advise you to study (complete...

  7. Hawaii Refresher???

    WindwardOahuRN replied to jswake18's topic in General Nursing

    I applaud everyone's enthusiasm here but is this really what employers would consider an RN refresher course? I'm not sure that facilities would consider this anything but a CE offering. The most...

  8. Bucket List, Oahu

    WindwardOahuRN replied to Lisa From Maui's topic in General Nursing

    Retire from my RN job on Oahu? THAT would be

  9. New Grads Out Side the Hospital?

    WindwardOahuRN replied to TinyNurse79's topic in General Nursing

    If your ultimate goal is to work in a hospital then I think it would be best to seek out a hospital position. If you never see yourself working in a hospital environment then it might be okay to seek...

  10. Where in Oahu to earn an LPN?

    WindwardOahuRN replied to mg9004's topic in General Nursing

    First of all....Hawaii is part of the United States. So ditch the "state side" reference. Second of all, there are very few jobs for new grad RN's and even fewer for new grad LPN's. CNA's with...

  11. New job in MICU

    WindwardOahuRN replied to TangoLima's topic in MICU, SICU

    TangoLima, you have far more experience than many MANY of the nurses who are entering ICU now. You also seem to have a bit of humility (oh my imagine THAT) and a very level head. You are totally...

  12. Are swans going "out of style?"

    WindwardOahuRN replied to TemperStripe's topic in MICU, SICU

    PA caths began "going out of style" at least twelve years ago. Negatives far outweigh the positives with the exception of the application in a very few scenarios. For the immediate post-op cardiac...

  13. CCRN Exam changing as of Jan. 13. 2010

    WindwardOahuRN posted a topic in MICU, SICU

    Be advised that AACN is changing its test plan for the CCRN exams (Adult, Pediatric, and Neonatal) as of January 13, 2010. Here's the new test plan for the Adult exam:...

  14. Phantom saline in the ICU

    WindwardOahuRN replied to Artemis2's topic in MICU, SICU

    Sorry for my rather confusing (confused?) reply but I was thinking about omnicell-type charges being applied to the patient automatically when the item is removed from the omnicell. If you don't have...

  15. Phantom saline in the ICU

    WindwardOahuRN replied to Artemis2's topic in MICU, SICU

    Oh fer crapsakes already. You pull the bag out of the omnicell under the patient's name and they are charged for it, plain and simple. Pressure bag, KVO, whatever...they're charged. You don't have to...

  16. CA School of Health Science Critical Care Certification

    WindwardOahuRN replied to 2bnurse_it's topic in CCU, Coronary, Cardiac

    IMO this would not qualify as "certified training." Hospitals want to see experience and/or a hospital-based critical care course with preceptored clinical time and classroom time. This looks like a...

  17. I think I'm too slow for Critical Care...

    WindwardOahuRN replied to GucciRN22's topic in CCU, Coronary, Cardiac

    I would give it some more time and then re-evaluate if this is where you truly want to be. Are you interested in other areas? Examine (truthfully) just why you were attracted to the ICU in the first...

  18. ACLS algorithms

    WindwardOahuRN replied to yesdog's topic in MICU, SICU

    Of course we see codes that would not be considered "run well" if the ACLS police were in the room. Main reason? We are working with real patients with many co-morbidities that get in the way of...

  19. Stroke volume variance

    WindwardOahuRN replied to Lynda Lampert, RN's topic in MICU, SICU

    Okay---clearer now. The patient obviously had both a FloTrac and PreSep cath. Both are cabled into the Vigileo monitor and the values for both show up on the same screen. You can use the Vigileo...

  20. Stroke volume variance

    WindwardOahuRN replied to Lynda Lampert, RN's topic in MICU, SICU

    First off, I'm confused. PreSep caths don't measure SVV---they measure ScVO2. Did you mean Flo-trac/Vigileo systems? They're placed in arteries. For really good educational material go directly...

  21. how busy have you been at work now that winter is here?

    WindwardOahuRN replied to thekid's topic in General Nursing

    Pretty busy in ICU but of course it is always a roller coaster there. I think it's more an issue of the hospitals being well-staffed with their own nurses that is leaving the agency nurses in the...

  22. ACLS algorithms

    WindwardOahuRN replied to yesdog's topic in MICU, SICU

    Sorry, but if you are a member of the Code Blue Team you SHOULD know those things by heart. And if you do screw up the relatively simple stuff (like the max doses of code meds) you shouldn't be on...

  23. Cost Of Groceries

    WindwardOahuRN replied to Lisa From Maui's topic in General Nursing

    LOL!! We don't use much milk so I buy the cheapest half-gallon I can find at Safeway. Eggs? I much prefer the local eggs---Ka Lei, etc. The expiration date is at least two or three weeks beyond the...

  24. ACLS algorithms

    WindwardOahuRN replied to yesdog's topic in MICU, SICU

    The fact that you seem to grasp your limitations, as they are at this moment, is so refreshing. You're building a foundation here and I really think you get the concept. A little humility, a little...

  25. Forced Donations part of Employee Review!!!!

    WindwardOahuRN replied to icurn11's topic in MICU, SICU

    Contact your State Labor Board. I know that expecting employees to "volunteer" their services (when employers are actually coercing them to do so under threat of bad reviews or promise of good...