WindwardOahuRN

WindwardOahuRN RN

Critical Care

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All Content by WindwardOahuRN

  1. Overdoses

    WindwardOahuRN replied to HeatherISU's topic in MICU, SICU

    We would go for the RSI, absolutely. Apnea, the patient's inability to protect her airway, the possibility of aspiration, the need to safely control her agitation---all good rationales for intubation....

  2. One to one assignments

    WindwardOahuRN replied to bigmona's topic in MICU, SICU

    Sometimes whether or not a patient is a 1:1 depends upon whether or not you have the staff to provide the 1:1 nursing. If there isn't enough staff available then it just doesn't happen. If you have...

  3. So what do I need to do to SUCCESSFULLY move to Oahu?

    WindwardOahuRN replied to Ceteris Paribus's topic in General Nursing

    As I stated previously---just go for it. If you make it, you make it. If you don't, you don't. Ditch the proselytizing and pontificating. No one really cares. We've seen it all before and are simply...

  4. Drug incompatibility in ICU

    WindwardOahuRN replied to myra r.n's topic in Critical Care

    The best guide for IV drug compatability that I have ever used is the Thomson Micromedex computer program. It actually is easier to use than this online tutorial suggests---you basically just type in...

  5. How high have you titrated levophed?

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

    Is "through the roof" a valid response to this question? We go as high as we have to with levo. We add vasopressin empirically at a rate of 0.04 units/min after we hit twenty mcgs on the levo. Other...

  6. So what do I need to do to SUCCESSFULLY move to Oahu?

    WindwardOahuRN replied to Ceteris Paribus's topic in General Nursing

    >> Plus, as I said originally we literally sat down and said what job(s) could do where we could dependably find work even in places like Hawaii (at one time nursing pretty much fit the bill!)....

  7. Vigileao

    WindwardOahuRN replied to dorimar's topic in MICU, SICU

    Please note that SVV readings from the Vigileo are accurate only when the patient is 100% mechanically ventilated. CO and CI are considered accurate but SVV is wildly inaccurate if the patient is...

  8. So what do I need to do to SUCCESSFULLY move to Oahu?

    WindwardOahuRN replied to Ceteris Paribus's topic in General Nursing

    We've lived here going on ten years now and I learned long ago that no matter what you tell some people from the Mainland about the cost of living in Hawaii and what it's like to live here they will...

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

    WindwardOahuRN replied to Be_Moore's topic in MICU, SICU

    I think the fatal factor involves baroreceptors. IME it it soooo not necessary to bathe a patient who has no reserve. If you turn a patient and he de-sats or drops his pressure precipitously---STOP!!...

  10. Queens Hiring Process-Credit Check

    WindwardOahuRN replied to mimilaroo's topic in General Nursing

    >> I was required to work one hour b/f my shift and two hous after without pay... This is simply not acceptable. You can address the issue with the Labor Relations Board if you feel you have...

  11. blood-sucking FLEAS & MOSQUITOS

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

    Where do you live?? I have lived here almost ten years. I have dogs (inside dogs ALWAYS). NO fleas. NONE. I use Advantix and Sentinel on my dogs for flea/tick/heartworm control. I live in Kailua,...

  12. Best Paid State For Nursing

    WindwardOahuRN replied to bashy's topic in General Nursing

    You have to take into account the cost of living when you review the salary ranges for new grads. Hawaii has a very high COL, as does NY. If you are used to a high COL then the regions that have...

  13. Hawaii Nursing Culture

    WindwardOahuRN replied to pokey82much's topic in General Nursing

    LOL....yep. Adios and aloha.... File under the heading "It SEEMED like a good idea at the

  14. Need Japanese language skills?

    WindwardOahuRN replied to BigIsleBound's topic in General Nursing

    No nursing position I ever applied for here in Hawaii required that I speak Japanese. With the exception of the clinic at the Hilton Hawaiian Village or the Straub Doctors on Call service I doubt...

  15. UHM ADN->BSN program cancelled

    WindwardOahuRN replied to mcubed45's topic in General Nursing

    >>Re: UHM ADN->BSN program cancelledQueens -> Going for Magnet status at the time of your clinicals. There was motivation there... motivation from the hospital. I guarantee you that, minus...

  16. Queen's Magnet status, better economy soon? now what?

    WindwardOahuRN replied to FNPdude74's topic in General Nursing

    If I were you I would apply to every single health care facility in Hawaii. It's all you can do right now. I think Queens might be your best bet as far as new grad programs go but in this...

  17. Queen's Magnet status, better economy soon? now what?

    WindwardOahuRN replied to FNPdude74's topic in General Nursing

    LOL...a lot of my stuff is an attempt at humor too but I really do wish the new grads out there all the luck in the world. I know how hard they've worked and how they've been dreaming of the day when...

  18. Queen's Magnet status, better economy soon? now what?

    WindwardOahuRN replied to FNPdude74's topic in General Nursing

    LOL---when Blaisdell doesn't need the

  19. HNA website

    WindwardOahuRN posted a topic in General Nursing

    I thought some of you might be interested in seeing the Hawaii Nurses Association website. If you hit the "MEMBERS" link you can take a look at some of the contracts from various facilities that are...

  20. Queen's Magnet status, better economy soon? now what?

    WindwardOahuRN replied to FNPdude74's topic in General Nursing

    Queens has tuition reimbursement now. They don't pay extra for a BSN. They give you a bonus if you get your CCRN and a bonus every time you renew it. All things being equal they will probably take a...

  21. any one working in long term care?

    WindwardOahuRN replied to mzjennx's topic in General Nursing

    According to the old HNA/Queens contract (I don't have a copy of the new one) in the "WAGES" section it states: "The Employer aggrees to recognize service at a SNF/ICF facitility for the purposes of...

  22. Queen's Magnet status, better economy soon? now what?

    WindwardOahuRN replied to FNPdude74's topic in General Nursing

    Well...let's see. Most of us are hoping that we will finally get a permanet nurses' aide on the night shift who won't be called off so often that she quits. We're losing three FT nurses who will not...

  23. asy RN working as a LPN/CNA?

    WindwardOahuRN replied to mzjennx's topic in General Nursing

    That's good to hear. I'll pass that info on to the nursing students I come in contact with who think their only options are jobs on the mainland---their instructors, too, who have voiced the same...

  24. asy RN working as a LPN/CNA?

    WindwardOahuRN replied to mzjennx's topic in General Nursing

    Where do you see these hospital jobs for RN'S? A quick check of neighbor island hospital websites shows virtually nothing---a few per diem or temporary positions with a very small number of full-time...

  25. asy RN working as a LPN/CNA?

    WindwardOahuRN replied to mzjennx's topic in General Nursing

    If you do take such a position be very careful regarding the legalities of your responsibilities. It can be a sticky situation where you cannot overstep the bounds of your job description as a CNA or...