WindwardOahuRN

WindwardOahuRN RN

Critical Care

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All Content by WindwardOahuRN

  1. Old nurse looking to get into the ICU, any tips?

    WindwardOahuRN replied to TootsieRN's topic in MICU, SICU

    To be blunt? It's very unlikely that you would be considered for a position in any acute care area, even med-surg, with no recent acute-care experience. With today's tight market and the glut of both...

  2. hawthorne--opinion?

    WindwardOahuRN replied to 1lollipop's topic in New York Nursing

    Why is an inaccurate, unrealistic, and patently ridiculous portrayal of nurses

  3. ICU Interviews do's and oh no she did not's!!

    WindwardOahuRN replied to lpn2crna1day's topic in CCU, Coronary, Cardiac

    It certainly does seem like every other new grad that we come across expresses the desire to become a CRNA. I wonder when we'll get to the point that there will be a glut of them,

  4. So... needlestick injuries

    WindwardOahuRN replied to michelle_d's topic in General Nursing

    Pardon me, but it does seem like you're rather smug about your "good practices" being the key to your twelve months of needle-stick-free work history. The flip side of that is that you seem to be...

  5. Crazy ICU nights...

    WindwardOahuRN replied to vastudent09's topic in MICU, SICU

    Personally I don't get what was going on here at all. No plans for permanent pacemaker insertion? Did he ever have an EPS workup? He did this for "two weeks before he passed." Lemme guess...he finally...

  6. IV bolusing a fluid overloaded patient

    WindwardOahuRN replied to kanzi monkey's topic in CCU, Coronary, Cardiac

    Okay, just for the record, true. But we are talking about this particular patient. Gross anasarca, oliguria---a quick echo to rule out the most obvious cardiac etiology would be useful but a CVP would...

  7. IV bolusing a fluid overloaded patient

    WindwardOahuRN replied to kanzi monkey's topic in CCU, Coronary, Cardiac

    Transduce a CVP, if you have a central line. If you are unable to do this on the floor and you have a RRT they can rig a set-up and get the readings off a transport monitor if you have transport...

  8. HORRIBLE DAY 2!

    WindwardOahuRN replied to erin01's topic in CCU, Coronary, Cardiac

    If the unit policy was that cardizem is non-titratable on the unit then you most certainly should have been aware of that policy. The handling of drips is different according to the area in which you...

  9. Does anyone know the average cost per day per patient for ICU?

    WindwardOahuRN replied to pH7.40's topic in Critical Care

    Nothing in ICU is $10. Oh...maybe a Q-tip. I have to laugh at this thread. My husband was in a CCU 16 years ago and he got charged $37 for a "urinary care kit." He was never catheterized. All he got...

  10. Should I Wait For CCRN Certification

    WindwardOahuRN replied to NewTexasRN's topic in MICU, SICU

    I don't know if they have it anymore but AACN used to have a CCRN educational disk that was in test form. You could take the tests by system or take a mock 200-question test. The nice part about it...

  11. Should I Wait For CCRN Certification

    WindwardOahuRN replied to NewTexasRN's topic in MICU, SICU

    The passing rate for CCRN used to be about 66%. As per their website the passing rate for the CCRN exam is now 77% since the "launching of our revised computer-based exam." I guess AACN finally...

  12. BLOOD TRANSFUSION

    WindwardOahuRN replied to MSvirgo84's topic in Critical Care

    Close all the clamps before you begin. Spike the saline bag. Open the upper clamp and run the saline into the drip chamber until it covers the filter (not until it fills the chamber---it should be...

  13. Labs and vasopressors..new icu nurse needs advice

    WindwardOahuRN replied to icu26RN's topic in MICU, SICU

    I'm not sure about your brachial a-line question (although I think it might be because the brachial artery divides into two terminal arteries which may be the major concern) but in my 30+ years of...

  14. MD AWARE

    WindwardOahuRN replied to Italia13 RN's topic in Emergency

    There are times when you have to go beyond "MD aware." If the situation is dangerous for the patient or there are ethical considerations you have to report it to the charge nurse and perhaps go beyond...

  15. what?...q 15 NIBPs with an art line???

    WindwardOahuRN replied to ICUmama's topic in MICU, SICU

    I'm thinking about the ecchymosis that might result from such a ridiculous regimen, especially in coagulopathic patients. It's just dumb,

  16. How difficult is it to move from med-surg to ICU???

    WindwardOahuRN replied to godbless-yute's topic in MICU, SICU

    Detroitdano wrote: >>I started off on med-surg as a nurse extern/tech. Did assessments, basic tasks (NGT's, Foley's), admits, discharges, transfers, blood draws, etc. Basically everything a...

  17. amused by craigslist post :)

    WindwardOahuRN replied to thekid's topic in General Nursing

    I loved it too---but it's kinda sad that these agencies are handing out false hope to those who JUST WANT TO WORK! I suppose the agencies and facilities are just revelling in the glut of nurses that...

  18. Labs and vasopressors..new icu nurse needs advice

    WindwardOahuRN replied to icu26RN's topic in MICU, SICU

    Getting an arterial stick or any stick on someone who is on pressors is done all the time. I really don't think it is "nearly impossible" at all. And even if you have a free lumen on a central line...

  19. new grad offered nurse manager position

    WindwardOahuRN replied to aye125RN's topic in New York Nursing

    I'm confused. Exactly what was your role?? "Skills set, not necessarily the experience"? What does that

  20. new grad offered nurse manager position

    WindwardOahuRN replied to aye125RN's topic in New York Nursing

    You want the truth? Here it is, baby girl: You are being offered this position because nobody else wants it. For whatever reason, NOBODY ELSE WANTS IT. You are not being offered this job because you...

  21. Got into critical care!

    WindwardOahuRN replied to moonischasingme1's topic in MICU, SICU

    Oh glee...yet another new grad who wants to work in ICU because they want to become a CRNA. One wonders when the over-saturation will set

  22. Feeling Homesick

    WindwardOahuRN replied to jerrycRN's topic in General Nursing

    You might try Shriner's or Kapiolani if you are doing Peds. The fact that you are a local will definitely give you an edge if there are openings. Kudos to you for having the gumption to venture out...

  23. hawthorne--opinion?

    WindwardOahuRN replied to 1lollipop's topic in New York Nursing

    I watched "HawthoRNe" twice. Ugh. Totally ridiculous portrayal of nurses. In one episode she was moving a terminally ill patient into a STORAGE ROOM to entice the patient's son to come and spend...

  24. The Dreaded Death Bath and a Moral/Ethical Dilemma?

    WindwardOahuRN replied to Be_Moore's topic in MICU, SICU

    Did the patient crump when he was turned? If not, nope. She was fine. No doubt your preceptor had instincts which she had developed over the years regarding patient stability and tolerance. Nine...

  25. The Dreaded Death Bath and a Moral/Ethical Dilemma?

    WindwardOahuRN replied to Be_Moore's topic in MICU, SICU

    I do so love the non-bedside (or, to be more accurate, the "occasionally at the bedside to evaluate the totally avoidable [sigh] decubiti") nurses who evaluate and walk away. Nice to be in the...