ckh23

ckh23 BSN, RN

ER/ICU/STICU

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All Content by ckh23

  1. I think it depends on you. Do you learn better in the classroom or are you able to learn the info through the online course? I would also double check to make sure the credits will transfer. Congrats...
  2. Cheating

    I wouldn't feel guilty about it. Why should she get to coast by getting answers from people when you are busting your butt doing the assignments. She chose not to do the assignment until the last...
  3. Maintenance IV fluids?

    It's hypertonic while it's in the bag. Once infused the dextrose is quickly metabolized and you are left with 1/2 NS in circulation. So even though it starts off hypertonic, it turns to 1/2 NS...
  4. ACLS....is the exam hard?

    It can be hard if you don't prepare. Make sure you review rhythm strips and study the
  5. Diagnosis??

    It could be a few things. It could be a EP, a spont abortion, or it might be a normal IUP. I'm guessing she is being transferred to the hospital for further workup and an U/S. When I worked in the ED...
  6. Does a pressure ulcer = incident report???

    In my hospital every pressure ulcer requires an incident report to be filled out and the wound nurse to be contacted. I think in the hospital it has a lot to do with reimbursement because medicare...
  7. Community College? You must be stupid.

    When I run into this type of situation I remind them that I'm the one laughing all the way to the bank because I paid for my education out of pocket and they are thousands in
  8. Wasn't the School Nurse right?

    The loss of bladder was probably a physiological response to what had happened mentally and emotionally. Sort of like you see on TV when the person has a gun to their head and wets them
  9. Wasn't the School Nurse right?

    I say it's the right call. They removed all the other students and had someone guard the door while she got cleaned up. Let's face it, kids can be very cruel to each other. This child had to be...
  10. Why am I not getting a call to do my physical??

    The background check can take some time depending on what company they use and what they are checking. They may just be waiting for you to clear the background check before spending anymore resources...
  11. As the PP mentioned, this sounds like an issue with your job/boss. Perhaps it is time to move on. I understand that the job market is saturated, but it doesn't have to stop you from looking and...
  12. Ativan IVP vs Propofol gtt

    As Dano said Diprivan can severely depress respiratory effort. However from your post it seems that the patient was tolerating PS while on both propofol and Fentanyl. I can understand the cutting back...
  13. Have you tried looking in Jersey or
  14. Think about the body's single biggest defense against infection. Once you figure that out you can apply it to your patient. Hint: If you get poop on your arm why do you not get an infection or septic?...
  15. beta blocker function question

    First look up different receptor sites and where they are located (Alpha1, Alpha 2, Beta1, Beta 2). Once you have this information you should be able to figure out how they lower BP. You are correct...
  16. mistake on heparin??

    So why is this other nurse off the hook? It is as much Her responsibility to make sure it was done. And she would have figured out when she went to look at the ptt results from the am. Double check...
  17. Advice for "seasoned" individual going for RN

    It will really depend on your situation financially. I'll give you the route I took and I was just accepted into CRNA school. I did my ADN and worked ER a few years before I decided I wanted to do...
  18. Nurse manager write up, the SEQUEL

    You should tell the NM and the ICU attending if they don't like it than they should create a policy on it. I sometimes find that these situations are a communication and chain of command issue. Does...
  19. My painfully long orientation

    I say follow through with the NM and let her know you are ready to be on your own. Of course she likes being your preceptor. Your are the best kind of orientee because you have experience and know...
  20. How soon have you quit a job?

    I don't think you are over reacting, it sounds like a tough patient load. I would carefully word your email to the DON or you might find yourself without a job. Perhaps it may be better to ask for a...
  21. TOO OLD

    Last time I checked nurses didn't make medical diagnosis. Sure we can assess and try to influence the MD, but that doesn't mean they are going to listen. And to blame it on nurses because they are...
  22. TOO OLD

    I'm just offering a possibility of what the problem could be, not solving it. If this is what is happening then there is no getting around it. In this market the employers have the advantage and not...
  23. TOO OLD

    It might not be so much as the age as it is the years of experience. The more experience you have, it usually comes with higher pay. In this economy employers may be able to find someone just as...
  24. Calories

    Sure it is, especially if the person is sick. The body needs energy to heal and if a person is under nourished than they won't heal and can get
  25. Calling Nurse Managers for jobs

    It's not being pushy, it's called taking the initiative. I think by doing this you also stand out in the Managers eyes. I'm not a manager, but if I were I would be more likely to remember someone who...