WindwardOahuRN

WindwardOahuRN RN

Critical Care

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All Content by WindwardOahuRN

  1. ACLS algorithms

    WindwardOahuRN replied to yesdog's topic in MICU, SICU

    Pardon me but there is no way in Hell that any self-respecting nurse who is a member of the Code Blue response team would depend on ACLS cards to get her/him through a code. There is also no way that...

  2. "What's with all the men in the NICU lately?"

    WindwardOahuRN replied to Bortaz's topic in NICU, Neonatal

    As a dinosaur I'm venturing to give an opinion based on utterings I have heard over the years. Many MANY nurses who have been around for a while have expressed the opinion that the only reason men...

  3. repositioning oscillator pts question

    WindwardOahuRN replied to Zookeeper3's topic in MICU, SICU

    The most we will turn these patients is what is basically a "shift" or "tipping"---propping the patient very slightly to take some of the pressure off of the bony prominences. If the patient...

  4. ACLS algorithms

    WindwardOahuRN replied to yesdog's topic in MICU, SICU

    There ya go! Congratulations---now just keep

  5. repositioning oscillator pts question

    WindwardOahuRN replied to Zookeeper3's topic in MICU, SICU

    According to your previous posts you were an "ICU nurse" for a very very short time. I applaud you for your venture into nursing late in your working career and truly do respect your chosen...

  6. repositioning oscillator pts question

    WindwardOahuRN replied to Zookeeper3's topic in MICU, SICU

    I've seen this too, more than once. I've also seen patients who are so terribly unstable that they code when you try to turn them, HFOV or not. We have had many patients on HFOV and yes, a few have...

  7. ACLS algorithms

    WindwardOahuRN replied to yesdog's topic in MICU, SICU

    The truth of the matter is that you can kill yourself trying to memorize algorithms but it's only that---book learning by rote. The odds are all of what you have spent hours memorizing will blow out...

  8. Pt. on vent in cardiac arrest - would she continue breathing?

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

    In full cardiac arrest...no, the patient would not be breathing independently, at least not for long. The ventilator, however, would continue to deliver breaths until you turned it off. Even if it...

  9. NCLEX Help

    WindwardOahuRN replied to guest135581's topic in General Nursing

    Here's a local organization of nurses from the Philippines that will surely be able to steer you in the right direction:

  10. Are there any jobs for a nurse in Hawaii?

    WindwardOahuRN replied to achiocRN's topic in General Nursing

    Thanks so much for listening. Good luck with your

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

    WindwardOahuRN replied to WindwardOahuRN's topic in MICU, SICU

    I wish they would tell that to our cancer patients who end up in our ICU with SVC syndrome, pericardial effusions, and cardiac tamponades. They apparently haven't received the memo, nor have our...

  12. CCRN test: how bad is it really?

    WindwardOahuRN replied to farmerrl's topic in MICU, SICU

    Used to be tougher with a much lower passing rate. Honestly, I don't know anyone who's taken it in the past couple of years and failed. Fifteen years ago I knew quite a few that took it and failed....

  13. Oscillating ventilation

    WindwardOahuRN replied to putmetosleep's topic in MICU, SICU

    We often use HFOV on adult patients with refractory ARDS, sometimes with dramatic

  14. Pulse ox and hematocrit

    WindwardOahuRN replied to TemperStripe's topic in MICU, SICU

    Here's a nice article that addresses the subject: http://respiratory-care-sleep-medicine.advanceweb.com/Article/Pulse-Oximetry-Industry-Report.aspx?CP=2 SVO2 would be affected adversely by a low...

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

    WindwardOahuRN replied to WindwardOahuRN's topic in MICU, SICU

    As, IMHO, you should be. Not to belittle the "psycho-social junk" but I truly believe the emphasis on an exam that is supposed to validate critical care skills should be, well, critical care skills....

  16. Why do nurses do this?!?!?????

    WindwardOahuRN replied to GucciRN22's topic in MICU, SICU

    >>i've been off orientation for about 9 months now and it just seems like all that ever gets back to my manager about me is the negative stuff. >snip >>i didn't have the labels with me...

  17. How high have you titrated levophed?

    WindwardOahuRN replied to racing-mom4's topic in MICU, SICU

    AFAIK we don't have a max policy on levophed. The order is routinely written (via standard computer order sets approved by our pharmacy) as "Start at _____mcg/min and titrate to (choices: MAP>____,...

  18. Student summer externship/internship programs or CNA postitions?

    WindwardOahuRN replied to alsperos's topic in General Nursing

    The chances of a mainland nursing student getting a summer job here as a CNA or getting into an extern program are slim to none, more likely none. These positions are extremely difficult to come by...

  19. Island Fever

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

    Check out neighborhoods and properties for sale here:

  20. Island Fever

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

    >>Shipping things to the Island...If you've ever ordered something online or from a catalog, you'll notice the shipping exceptions: they usually don't include Hawaii, and if they do it's at an...

  21. yes or no

    WindwardOahuRN replied to jnw8606's topic in MICU, SICU

    You want the quick and dirty or you want the neat and nice? Quick and dirty? NO. Just...no. Neat and nice? NO. Just....no. Yes, YEARS later, new grads "have done well" in ICU. But honestly, no holds...

  22. Backpriming question from student

    WindwardOahuRN replied to RamaMama's topic in MICU, SICU

    You could clamp it, I guess, but I just bend over the tubing which acts as a temporary clamp after holding the secondary bag down and filling the line with the primary fluid. Then I spike the new...

  23. Island Fever

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

    Another resource site---a few years old so the info might be a bit dated:

  24. Island Fever

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

    One bit of advice here. For all those thinking about moving to Hawaii I suggest you spring for a subscription to a local newspaper. The Sunday edition is enough. It will be delivered by mail to your...

  25. Island Fever

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

    elppaym wrote: >>I'm Native Hawaiian and have a huge Ohana (family) in Hawaii. Kama'aina for those of you that have lived there or have friends there, are rates that our different than that...