ckh23

ckh23 BSN, RN

ER/ICU/STICU

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All Content by ckh23

  1. Hemodialysis with low BP on pressors?

    ckh23 replied to IheartICUnursing's topic in MICU, SICU

    Like the PP said it depends on why they are getting the HD. I have had patients on pressors getting HD or CRRT, however I don't think you were wrong here. If they are on MULTIPLE pressors they...

  2. Caring for paraplegic patients?

    ckh23 replied to mell260's topic in General Nursing

    Doesn't affect the CV system. The legs would be atrophied. Also look for any abd distention and bladder

  3. which nursing specialty get to deal with lots of cool gadgets/equipments

    ckh23 replied to sourapril's topic in General Nursing

    Cut me a break. Health care is always advancing and so is the technology. Just because someone is interested in the "gadgets" they get to use doesn't mean they don't care about the patient. This could...

  4. New grad hired into Trauma ICU in a Level 1 Trauma hospital

    ckh23 replied to rnfeb2011's topic in Critical Care

    Other than the usual stuff I would start brushing up on in depth neuro assessments especially in the summer time as all the motorcycle accidents are starting to come in with the warmer

  5. Salary on offer letter different than verbal offer

    ckh23 replied to ibme's topic in General Nursing

    If they catch it down the road they can change his rate back to the original but they can't back date

  6. Health care costs are RIDICULOUS!!!!

    ckh23 replied to OhioCCRN's topic in General Nursing

    Glad to see I'm not the only one who thought $2900 for an ER visit isn't that bad. I mean it's still a pretty penny, but could have been a lot more, especially if you get a doctor that runs...

  7. My friend was fired - Was she wrong?

    ckh23 replied to ravenshroud's topic in General Nursing

    Like others have said there seems to be more to this that is missing. I think termination is a bit severe, but for all you know she could have several disciplines in her file for other things and this...

  8. Is this legal?

    ckh23 replied to MADDOG70's topic in General Nursing

    I don't see any discrimination. This employer was willing to hold this position for you for a month. Now your situation has changed and they obviously can't hold it for you for 6 months. I think you...

  9. Risk of exposure doing CPR

    ckh23 replied to DemonWings's topic in General Nursing

    We all have 20/20 hindsight and I'm sure when you are caught up in the moment you might not be thinking about it. Just take it as a lesson learned and do what you need to to put your mind at

  10. Sorry, helping is just not an option.

    ckh23 replied to sno963's topic in Activism, Healthcare

    I do find this unprofessional. Reading your post, and correct me if I'm wrong, you were cold calling these people trying to get them to work? Like a telemarketer? Their employer may be listening to...

  11. Risk of exposure doing CPR

    ckh23 replied to DemonWings's topic in General Nursing

    They can't tell you anything. However it might be better to err on the side of caution here based on your description of track marks on his

  12. Risk of exposure doing CPR

    ckh23 replied to DemonWings's topic in General Nursing

    As the first poster said, he can't sue you because you are covered under the good Samaritan law. The risk of contracting anything is low unless there was direct blood to blood contact. You can go to...

  13. Worst Interview......so far

    ckh23 replied to LoveMyBugs's topic in General Nursing

    Never ceases to amaze me the time these people waste. They obviously knew they didn't want to hire you for the position and instead of just denying your application they waste your time. Quite frankly...

  14. Credit check along with background? *****??

    ckh23 replied to choc0late's topic in Job Search, Interview, Resume

    No way to know for sure. You should call the employer and ask about it. When I accepted my last job they ran a background check that included a credit check as part of it, but the HR women told me...

  15. New Grad: two ICU job offers. Which one to choose?

    ckh23 replied to newgradinicu's topic in First Year After Licensure

    The only part that concerns me about job #1 is that they don't guarantee you will be enrolled in the critical care course. Also it is only temporary at first so what happens in 6 months if they start...

  16. How fast does dopamine work?

    ckh23 replied to ornurse25's topic in General Nursing

    The person has new onset afib and dopamine can very easily push them into AF with RVR. If the issue is raising BP why not go with an alpha1 agonist instead of an alpha1 beta1

  17. How fast does dopamine work?

    ckh23 replied to ornurse25's topic in General Nursing

    Also, I know the ER loves dopamine but if you really wanted to start something on someone in a rapid or new onset AF neo may have been a better

  18. How fast does dopamine work?

    ckh23 replied to ornurse25's topic in General Nursing

    Very possible. Like others have said I would necessarily have jumped to a dopamine for that BP. If he is septic maybe a few fluid challenges first, but not to go over board because of his renal...

  19. Are some people just not cut out for ICU?

    ckh23 replied to TigerGalLE's topic in MICU, SICU

    No not everyone is cut out for the ICU. Not every nurse is cut out to be a good nurse is every field. I for one never like pysch, OB, or peds and I don't think I would do very well in those areas....

  20. NGT on Upper GI Bleed?

    ckh23 replied to Claudia89139's topic in Critical Care

    Does the patient actually have varices? Or is just a concern for putting in the NGT? If they do have varices that are bleeding and that is the source of the UGI bleed than you would more commonly see...

  21. Surgeon's Error?

    ckh23 replied to Lahryn04's topic in General Nursing

    I think it's just a risk of surgery. All surgery's carry risk, even the risk of

  22. Help with Pharmacology homework

    ckh23 replied to futurenurse505's topic in Nursing Student Assistance

    How about coumadin? It was originally marketed and used in rat poison before humans started using

  23. Charge nurse has it out for me...kind of a rant

    ckh23 replied to Jenni811's topic in Patient, Colleague Relations

    I think your only recourse is to talk to your manager. Quite frankly I would have raised the BS flag as soon as I came on. If she still insisted on that type of assignment, my next call would be the...

  24. My 5-Year-Old Son

    ckh23 replied to chuckz's topic in General Nursing

    Good

  25. Pharmacology

    ckh23 replied to ashonman's topic in Critical Care

    This smells like homework to me. You should recheck your answer for #2 it's a lot more than