ckh23

ckh23 BSN, RN

ER/ICU/STICU

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All Content by ckh23

  1. NGT/aspiration pneumonia/shot nerves

    You would know if you had been dumping tube feeds into his lungs all night long. Yes a CXR should have been done, but you can't write the order for it and if your facility doesn't have a policy in...
  2. why is celebrex no longer preferred?

    This is what the FDA has on it. COX-2 Selective (includes Bextra, Celebrex, and Vioxx) and Non-Selective Non-Steroidal Anti-Inflammatory Drugs
  3. Ethical Dilemma

    The bottom line is the patient refused. In this situation you would need to come up with an alternative plan. Perhaps taking the blood transfusion out of the equation and just approaching the patient...
  4. RNs being drafted during World War 3

    If it comes to that, I doubt you would be drafted as an RN. Doesn't matter to me, sign me
  5. Do you give mag off pump?

    It has to do with efficacy and how fast it is eliminated by the kidneys. Our protocol is over 4 hours unless they are on dialysis, in which case we still give it over 30
  6. I'm SO ******!!!

    Why do you need to go to the director? You let your instructor know so let her deal with it. At the very least give him/her a chance to deal with
  7. Stethoscope Question.

    The longer the better. You don't want to be in the line of fire when they start hacking and send spit and sputum your
  8. Try putting the information into a PICO format and it should help you come up with something. Here is a link for more information on PICO.
  9. This is a good
  10. edited
  11. Flu Shots anyone?

    The alternative of having to wear a mask for 12.5 hours was motivation enough for
  12. CCRN after ADN

    As others have stated, you need to have experience in order to sit for this exam. However, it does not need to be critical care experience it just needs to be acute care experience. I wouldn't speak...
  13. It appears the Florida BON considers each application on a case by case basis. Check out this PDF and on page 13 it will give you an explanation of what is needed....
  14. Talk to a recruiter. In the reserves the need for certain MOS's depends on the area of the country you live in. The need for nurses in Florida is different then the need in California. They should be...
  15. Three Mass. ERs cited for denial of care

    A surgeon didn't want to come in in the middle of the night.
  16. Was this a fair consequence?

    Yes. You stole and you got caught. From the employers stand point you are thief and they have to wonder what else you took without getting caught and what else you might steal in the future. Almost...
  17. Emergency vs Critical Care nursing

    You can't really say one is harder or more stressful than the other. You are comparing apples to oranges. Each specialty comes with it's own challenges and stress. I have worked both and there are...
  18. Arterial line vs. cuff pressure.

    With your added information. I would have just let the MD know the situation about the A line and the waveform and that you would be trending pressures by cuff. I would leave it up to them to replace...
  19. The charge
  20. Taking an IV out and then taking bp?

    Sure if it was a big IV. If I had to guess I would say that the pressure from the BP cuff just caused blood to back up into the vein and the pressure just blew out the clot covering the insertion...
  21. Pneumothorax vs. hypovolemia.

    I wouldn't say the symptoms are the same, but they can be similar. They both can present with tachycardia and hypotension, but they also both have different symptoms that help differentiate each...
  22. is it too soon to ask???

    It's not too soon. Just inform them are interested in working there full-time instead of part time and leave it at that. They don't need to know the reasoning behind
  23. Med Shortages

    Not only do we have a shortage of drugs, but we now how a shortage of the glass syringes for PCA pumps. How hard is it to make
  24. To add on to what others have said, you have to think about how this employer will treat agreements in the future. For example, setting a vacation date. As others have said, how can you trust this...
  25. biggest gauge IV??

    Usually the AC, but sometimes the forearm. Sometimes you get those young skinny patients that have pipes that look like they would support a