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Kharis

Kharis BSN, RN, EMT-P

Neuro, ED, Cardiac, Workflow, Project Mgmt
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Kharis has 15 years experience as a BSN, RN, EMT-P and specializes in Neuro, ED, Cardiac, Workflow, Project Mgmt.

Kharis's Latest Activity

  1. Kharis

    What is it like in your hospital right now?

    We have 2 Covid units. I worked in the "ICU" designated Covid unit last night. We took 4 admissions and that unit is now full at 24 beds. It is a locked down unit. Once you are in, you cannot leave. Scrubs are provided. We draw our own labs, designated RT, no techs. We opened the overflow "MedSurg" Covid unit with 2 new admissions. That unit will also hold 24 beds, also. All private rooms in both units. I cared for a patient in negative pressure on Cpap, a lady in hi-flow O2, and a confused lady on room air. So, I was in airborne precautions wearing PAPR for two of my patients and contact/droplet for one patient. N95s are only available in the Go-Bags for intubation (codes). I normally work a progressive care unit (cardiac) as charge. The house is 50% capacity right now (like most of you). We closed the unit below us. Those patients went to the floor above us and those nurses are sharing hours with the normal staff of the 6th floor. ED is also down. At one point on Saturday night, we only had 5 patients in the whole ED and by 7am, the ED was empty. It is eerie. There is still a lot of mixed messages when it comes to making a patient "rule out" Covid. I know our nurses have been exposed due to sluggish responses of doctors not following decision trees. We have had one death that we know is Covid, but because she was DNR-CC, it was not worth it to test her (according to the doctors). That lady was taken out of precautions at one point, had a roommate...it was a mess. And we have seen that same error repeated over and again. This is how our frontline staff (RT, PT/OT, nurses, Lab, dietary, EVS, etc) will become ill.
  2. Kharis

    Nurses and Germ Warfare

    Our huddles at the beginning of shift do not exactly meet Trump's "10 people or less" guideline. We meet in a moderately sized break room and 15 of us barely squeeze in there. Often it's standing room only on nights when we are fully staffed with nearly 20. The manager was there last night helping relay the latest policy changes. She also addressed the rising panic, anxiety, and fear that is palpable among patients and staff. So...she led us in some deep breathing exercises. Yup. You get the idea: "In through the nose and out through the mouth." We were all darting our eyes at one another like..."Seriously? We're going to share our germs right here TOGETHER?!" It was almost funny. Several had very tight lips for the "...and out through the mouth" part of her relaxation routine.
  3. Kharis

    COVID-19 and Faith Community Nurses

    As Team Lead last night, I tried to encourage my team with this passage from Psalm 91: "Whoever dwells in the shelter of the Most High will rest in the shadow of the Almighty. I will say of the Lord, “He is my refuge and my fortress, my God, in whom I trust.” Surely he will save you from the fowler’s snare and from the deadly pestilence. He will cover you with his feathers, and under his wings you will find refuge; his faithfulness will be your shield and rampart. You will not fear the terror of night, nor the arrow that flies by day, nor the pestilence that stalks in the darkness, nor the plague that destroys at midday."
  4. Kharis

    University of Cincinnati WHNP Spring 2020

    Getting close now! I just ordered my books. So excited. I know, I'm a nerd, right? :)
  5. Kharis

    University of Cincinnati WHNP Spring 2020

    My success coordinator emailed me and I have a phone call scheduled w/ her tomorrow afternoon! She also emailed a copy of my semester class schedule for the entire program. Woohoo!
  6. Kharis

    University of Cincinnati WHNP Spring 2020

    I have not. I received her name on Monday and have checked my UC email daily to be sure I didn't miss it. I was able "pre register" on Catalyst - put my classes in the shopping cart and validate them but am not registered, yet. So...one step closer I think. And I submitted my application for tuition assistance with my employer. Hopefully the coordinator will contact us soon to iron out the details.
  7. Kharis

    In BSN/RN program, work as EMT or CNA

    I have done both jobs: CNA and EMT (certified at all three levels). It depends on your goals and how much bandwidth you have. CNA is the quickest cert to get and you can start working right away. As previously mentioned, it will get you experience in hospital. EMT (at least in my area) is a much longer program, 8-12 weeks and more rigorous. And positions can be competitive based on how the fire departments are run. You may also have to get your Level I fire. I got my Level II. But...if you want experience intubating patients in emergent situations - EMT will give you that, if you certify at the highest level (paramedic). This will take a year. At least it does in my area (Ohio). Can you juggle both nursing and EMT classes? Plus ride time and getting on a department in your area? Pay is terrible but hands-on experience cannot be beat - especially if you are running for a busy urban district. So...it just depends on what you are looking for. Instant job experience: CNA. Intubation experience: EMT-P.
  8. Kharis

    What is "Up-to-Date" ?

    You also get CEUs each time you click or open an article. Extra-awesome!
  9. Kharis

    Is MSN informatics worth it?

    Maybe check other school programs? For me, it came down to class offerings and what I wanted out of the degree. I want to be marketable - no matter what. That meant considering Healthcare Informatics rather than just Nursing Informatics and comparing degree programs between the two. There's a difference! Also, I met with the Director of Clinical Informatics where I currently work and told her of my career aspirations. She was able to outline how to get "from here to there" including things I can work on now, on my unit, in my organization and how make myself stand out as a candidate to be placed on her team when I'm ready. I value that input. It feels like I have a plan - in addition to completing grad school - and I feel a little more secure in moving forward. I know I can reach out to her for advice and she will be my Sponsor for the Capstone Project required in a couple years. I have shadowed with several people so I have a better understanding of what I am getting myself into: Facility Analysts (entry level), Senior Analysts (MS required), and Quality (dream job). Is there someone in your organization you can reach out to and have a conversation with before you jettison the hard work you've already started?
  10. Transferring from Med-Surg/Stepdown to ICU is not going to give you that much wider of a base of experience from a workflow/informatics perspective. As the previous respondents pointed out - informatics will be looking at different departments entirely such as L&D, OR, Oncology, RT/ST/OT/PT, Rads, Ambulatory Care, ED, Outpatient Testing, etc. You would have to transfer to a completely different type of care setting to gain the experience and knowledge you are seeking. In some cases, this would be impossible (are you a certified therapist?) not to mention you would run out of time....
  11. Kharis

    Am I headed in the right direction??

    I did the same. I was the first RN hired by a tech company as an analyst/consultant/SME. It was invigorating work. I traveled the nation and was given amazing opportunities. I stayed on the vendor side for several years and learned a lot. It also built my resume and I became more well-rounded; leveraging experience I could not have gotten elsewhere. You may decide to build a career with them or simply use it as a stepping stone. Obviously, too soon to tell. As for me, I eventually returned to bedside nursing and am now enrolled in grad school to complete a master's in healthcare informatics. The sky is the limit in this field.
  12. Kharis

    University of Cincinnati WHNP Spring 2020

    Is your advisor your "success coordinator"? Still waiting to "meet" mine.
  13. Kharis

    University of Cincinnati WHNP Spring 2020

    I start MSHI Spring 2020 - just waiting for class registration to open! Should be soon.
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