ckh23

ckh23 BSN, RN

ER/ICU/STICU

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All Content by ckh23

  1. Does anyone else feel this way?

    ckh23 replied to Seth O Scope's topic in General Nursing

    So when your done school you are going to work for free? Just wanting to help people isn't going to pay the bills. If hospitals don't make any money how are you going to be paid? Let's cut the crap...

  2. RNs tell your hospitals to hire new grads

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

    Yeah that's a great concept have a hospital with nothing but new grads. There is a reason why hospitals aren't just replacing everyone when supply is greater than demand. The cost to train a new grad...

  3. deep tissue injury blanchable?

    ckh23 replied to nursgirl's topic in General Nursing

    no

  4. To strike or not to strike?

    ckh23 replied to hipaacrates's topic in General Nursing

    Depends on if you believe in what they are striking for. Years ago a hospital I used to work for wanted to strike because the hospital didn't want to pay it's home care nurses the same as staff...

  5. Is this common?

    ckh23 replied to sistasoul's topic in General Nursing

    I lump 2000 2100 2200 meds together at 2100 as we have an hour prior and after to give the med. It doesn't make much sense to go into a patient's room every hour to deliver the meds. If you are doing...

  6. Electrolyte Imbalance and Clinical Question(?)

    ckh23 replied to sw122500's topic in General Nursing

    This patient is very hypovolemic. The IV being infiltrated for how long is important because the patient is NPO so they haven't been getting any replacement for as long as the IV has been infiltrated....

  7. Was this a A Violation of Hipaa?

    ckh23 replied to Trekfan's topic in General Nursing

    After doing some more research I retract my previous

  8. What do you think?

    ckh23 replied to cherryblossom88's topic in General Nursing

    Agreed. It seems like the obesity epidemic is being accommodated in today's society instead of

  9. Elevated INR without warfarin

    ckh23 replied to angelcantrell1985's topic in Nursing Student Assistance

    Could be vitamin k deficiency. It's hard to say with the limited information. With a wound I might suspect possible DIC related to sepsis, but I would anticipate the patient being much more sick and...

  10. Calculation question r/t rounding

    ckh23 replied to litchi's topic in Nursing Student Assistance

    You can figure out each one without using a previous answer all of the information you need is given. Figure out each individually. On a side note double check the amount and volume because that...

  11. Protocol for comfort care

    ckh23 replied to MomRN0913's topic in General Nursing

    My last facility I worked at has a end of life protocol where a morphine gtt is started and titrated. The protocol also lists out specific things to be done or not to be

  12. Flushing IV sites?

    ckh23 replied to nycNurse2b's topic in Geriatric, LTC

    The point is to know if your line is still patent or not. Just because you are running continuous IV fluids does not mean it hasn't infiltrated. Same with central lines because the line could very...

  13. push back/cancel with no pay

    ckh23 replied to sweetface18's topic in General Nursing

    I think your best source of info would be your state's labor laws. In some states you are required to be paid for be on call while others you are not. Something sounds fishy here with your policy....

  14. Do you think it matters when a patient tells your instructor...

    ckh23 replied to Despareux's topic in General Students

    I don't know how much it will effect your grades because I'm not sure how your grading system is set up. I'm sure your instructor appreciates to hear feedback from patients because it speaks to your...

  15. HIPAA help

    ckh23 replied to 2greeneyes's topic in HIPAA Challenges

    I agree with the others, there is no HIPPA violation here. To me it sounds like your sister's friends need to do their own research about HIPPA and what it

  16. Patients, Are They really all drug seekers?

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

    I don't dispute that there are people with chronic pain that are not drug seekers such as hospice or LTC. However your previous comment "No, all patients are definitely not drug seekers." is flat out...

  17. Patients, Are They really all drug seekers?

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

    Work in the ER for a few months and see if your perception

  18. Nurse Residency Programs?

    ckh23 replied to pitaya's topic in General Students

    Here is a link to how they work it at my hospital

  19. H1N1 season and not taking the vaccine

    ckh23 replied to somebodyrn's topic in MICU, SICU

    My facility is the same as Dano's. If you don't get the vaccine you have to wear a mask. Did you not get the flu shot this year? H1N1 was included in this season's shot and not two separate shots like...

  20. Got job offer in ICU!!!

    ckh23 replied to Maghunter's topic in MICU, SICU

    Congrats

  21. Were my patient's rights violated?

    ckh23 replied to Nurse-JP's topic in Nurses Recovery

    I'm no expert, but to me it sounds like he had no right to demand such a thing. I think he would have violated doctor patient confidentiality. However, I don't know if he has any obligation to report...

  22. Policy development: Central lines

    ckh23 replied to aCRNAhopeful's topic in MICU, SICU

    I don't have any evidence off hand, but our policy is every 7 days the site must be changed. However, if it's a groin line I believe the max is either 24 or 48

  23. Need help with care plan for someone with pneumonia and C.Diff

    ckh23 replied to abox's topic in General Students

    I don't know why you couldn't use less than body requirements just because they are NPO. Unless they are getting TPN than they are clearly getting less than their body requirements. Having a central...

  24. Test Questions

    ckh23 replied to Determined041's topic in General Students

    First you have to know the types of fluid: isotonic,hypotonic, and hypertonic. Then apply to principle of diffusion. If you have a hypertonic solution you have more solute then in the blood (isotonic)...

  25. Scared of Getting Shots

    ckh23 replied to Kateoh82's topic in General Nursing

    You already have your answer, if you don't have the dates you need to get titers drawn. I had to do this with school and it's not that hard. Just went to my PCP and he drew one tube of blood and a few...