The Calm Amid the Chaos

“He’s standing there with his wife and having a lot of chest pain. I said, ‘Okay, let’s get you back here and get an EKG on you.’ And as we’re starting to walk back, he grabs his chest and he falls to the ground.”

Khay examines a patient's eyes with a light to help diagnose their condition in the emergency room.
“I work the night shift and I'm the charge nurse on the weekends. That's usually the busiest time.”

That’s just part of a standard shift at UK HealthCare’s emergency department for charge nurse Khay Douangdara. Khay ended up doing chest compressions in the lobby, then worked with other nurses to continue doing CPR through the halls of the hospital to get the patient to the cath lab at Gill Heart & Vascular Institute. Thanks to their rapid care, the patient survived and returned home with his wife.

The entrance to the Trauma unit at UK HealthCare. Ambulances are parked in front of it.
“We provide the care that some other smaller hospitals aren't able to provide, so they send them here.”

UK HealthCare’s emergency department is one of only two Level 1 Trauma Centers in the statethe highest level of trauma care available. It means that Khay’s department sees the most serious cases from across eastern, central and southern Kentucky. As a charge nurse, he’s in charge of managing those incoming patients, as well as handling issues within the department.

Khay works at a desktop work station in the emergency room.
As a charge nurse, Khay manages incoming ambulances, flights, and issues within the ED.

Working in the emergency department is demanding and unpredictable. The conditions Khay and his coworkers see are incredibly varied. The only constant is the need for immediate, high-quality care. It’s work that not just anyone can do, and Khay has been doing it for more than a decade.

Khay focuses on diagnosing his patient's condition.
“You work with all types of patients. You see the sickest of the sick.”

“Psychologically, it wears on you. I come back every single day because I know I’m providing good service and helping out people that really need it. I work with a great group of people and without the support from each other I wouldn’t keep coming back. You have to find different ways to cope. If you let it wear you down, you will never survive in the emergency department.”

Khay smiles while talking to two other emergency room nurses.
“I work with a great bunch of people here. Without them to support each other, I wouldn't come back.”

Even outside work, Khay is driven to serve. A child of Laotian immigrants, he travels to Laos every couple years to perform service projects: re-roofing a school, donating scrubs to a hospital, distributing school supplies.

Khay regularly returns to Laos to serve the communities there. He's helping hand out supplies to young school children.
Khay’s regular trips to Laos allow him to give back and serve in a different way.

“I always wanted to go into a career that was focused on helping other people. In my culture, you want to do what is good for other people, to help and serve. My mom really instilled that in me: we want to do better and leave the world a better place.” 

Khay smiles while wearing his blue UK HealthCare nursing scrubs.
From the UK ED to hospitals in Laos, Khay is drawn to help and serve those around him.

Learn more about how nurses like Khay care for patients at

UK HealthCare.

Dr. Adkins crosses his arms and smiles on the sidelines of a UK game.