WindwardOahuRN

WindwardOahuRN RN

Critical Care

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All Content by WindwardOahuRN

  1. Disappointed..Straub, Queens, Kieser

    Queens has hired quite a few EXPERIENCED RN's lately. They are pulling from the huge pool of very experienced former HMC nurses who were displaced by the closings of HMC West and HMC East. Since Queens has recently purchased HMC West and the tentati...
  2. Hawaii Salaries

    That pay scale is four years old....
  3. Hawaii Salaries

    LOL---all I can tell you is that I personally have worked in the NE where we received 2.5X pay for holidays and I knew of many others that had the same perk. Perhaps it's a thing of the past. Congrats on a contract that gives you that in HI---just t...
  4. Hawaii Salaries

    >>Many of the hospitals are unionized and their pay scale is very strict. Holiday is usually very good. For example, Thanksgiving/Xmas/NYE are 2 1/2 times hourly pay. Thats $125/hr. Well over $1000 for a 12 hr shift. I've never seen that kind o...
  5. Anybody know what's up w/ Queens?

    Yes...without those who walked the picket lines during the last strike we would be in pretty poor shape now. We fought for it and we deserve it, more so now than ever before. Nursing is a tough road, in so many ways. For all those who scoff at unio...
  6. My patient caused her own code.

    Well, when a post is put up on this forum I guess one should expect that there will be varying opinions regarding the post. It's a public forum and that's going to happen. No, I don't think the patient was properly managed, but that's just my opinio...
  7. My patient caused her own code.

    >>She was sedated with a fentanyl drip The patient was clearly not adequately sedated. Fentanyl is not a sedative. Tied up, tubes in every available orifice, and being told that "you're going to die" if you don't stop doing something you're pr...
  8. New Grads... Is Anyone Addressing The Issue?

    Just a quick clarification---no offense meant to the new grads out there. But there is a huge learning curve and it takes time to develop skills. New grads need the support of experienced nurses, not just other new grads. It's just not fair to an...
  9. New Grads... Is Anyone Addressing The Issue?

    The bottom line is, like it or not, the bottom line---or so was the popular thinking. Cheaper is better/more cost-effective/the way to go. New grads are/were cheap, compared to experienced nurses. Life was good/cheap until the kim chee started to ...
  10. Question for the CCRNs

    I had massive experience before entering ICU. It is so refreshing to read that a new grad would consider him/her self "dangerous" when entering an ICU situation. So many feel that they are uniquely equipped for such a venture. Pardon my French but...
  11. More leeway in the ICU?

    It can vary greatly. At other hospitals in which I worked the nurses were expected to do a lot more than where I am now. Some hospitals allow for greater autonomy and encourage critical thinking, some do not. It saddens me, actually, to see what a...
  12. First complaint against me...

    LOL---I was about to post just the same thing when I read the above. Welcome. This is the stuff that you probably thought would never happen to you because you are a caring good nurse. Doesn't matter---it happens to the best of us. The bedside nu...
  13. "Clinical Nurse" designation---what does it mean in your facility?

    So, basically, it's a nothing. 'Nuff said.
  14. I was curious as to what the term "Clinical Nurse" (with I, II, III, IV, etc following it) means in your facility, if you have a Clinical Ladder in place. Not "Clinical Nurse Specialist" (CNS) which is an education level but facility-based clinical ...
  15. What is the highest temp you have seen?

    Temp over 107F. Neurotrauma. The patient was toast and did not survive. Highest survived temp? Somewhere above 105F. Pt survived intact. Full blown AIDS patient.
  16. Sprucing up the Resume

    It's generally not well regarded to tack on references to a resume. Keep it short and sweet, adding "references upon request" at the end. Recruiters know all the tricks and games people play with applications and resumes. They also know that pretty m...
  17. CVC dressings and line changes - still aseptic technique

    We recently switched from aseptic to strict sterile technique. Not a terribly big deal, just a switch to sterile gloves. We were doing the "no-touch" technique for years. And we always put a mask on non-vented patients in addition to wearing one ours...
  18. ACLS and EKG classes needed for ICU?

    Take an EKG class and get a good EKG book that includes self-tests. Every one of your ICU patients will be on a monitor. Even subtle changes can be significant and may warrant action. Showing that you've already taken an EKG class will get you poi...
  19. What Personalioty Does Best in ICU Nursing?

    I think the type that does best is one that is basically organized but can fly by the seat of her pants at a moment's notice. You simply have to be able to shift gears without batting an eye or skipping a beat. I think a lot of it depends upon the...
  20. Health care bill passed. End of the world...?

    >>Anyhoot. I just wanted to see if anyone else has strong thoughts on this subject. Or any neat stories. Please, if you dare disagree with me... please post here, and I'll convince you my way. =P~ And just what is "your way"? I read your post ...
  21. Island Fever

    Ooops----sorry, Trucker, I addressed you in error in my last post. In the light of day I see that the post I was responding to was by JessicaDawn, not you. Working six thirteen hour shifts in eight days will do that to you, sometimes....
  22. Island Fever

    >>The point is why would someone living in Hawaii CARE if people move there and leave unless they're at least a little bit uncomfortable with outsiders moving in on their turf? Your statements suggest that people come with the absolute goal of ...
  23. How much lorazepam have you given....

    Precedex? Really? Never used it for ETOH. Just lots of benzos. Four point restraints, min stim, and benzos. Propofol too in addition to the benzos. MASSIVE benzos and whatever you do don't let the gtt run dry. I've seen very mixed results with Preced...
  24. Island Fever

    >>I wasn't surprised in the least to see this thread was filled with warnings to the mainlanders about the pitfalls and enormous obstacles of relocating, living, and working in Hawaii. The thinly veiled attempts to discourage others from moving...
  25. Discontinuing IJ turned into a Rapid Response

    You were just lucky. You'll have to admit that your experience is very limited. Give it time... Curious, I took a quick look on the internet just to see what the general consensus was on line removal. I know what I always do but I wondered if ther...