Okami_CCRN BSN, RN

Okami_CCRN has 9 years experience as a BSN, RN and specializes in Critical Care, Capacity/Bed Management.

Latest Activity

1. 

   Pulmonary vs. Cardiac step down

   Okami_CCRN replied to Strugglebus101's topic in General Nursing

   I think either unit would be beneficial in preparing you for a future in critical care. Although a pulmonary/respiratory SDU would probably give you more exposure to a greater amount of diagnoses/conditions.
2. 

   Nurses Salary NJ

   Okami_CCRN replied to Marissa Cummins's topic in General Nursing

   Hey there, in the past year what I have seen for New Jersey has been anywhere from 48-60/hr. Lower on the range for a day shift positions and on the higher end for night shift and weekend differential.
3. 

   Physical Restraint in Critical Care

   Okami_CCRN replied to Yuval Zelkind's topic in Critical

   We typically try to avoid physical restraint in my critical care unit and have pretty good luck with intravenous sedation. However, if the need arises we will start off with bilateral mittens if the patient is just touching or reaching, but not actua...
4. 

   Ventilator Associated Pneumonia Project

   Okami_CCRN replied to G. Bangert's topic in General Nursing

   While VAP is always of concern in our mechanically ventilated patients, the actual incidence of VAP is quite low. One study found an incidence of 1.81% at the national level, or 1-2.5 cases per 1000 ventilator days. Most, if not all critical ca...
5. 

   Cancelled For A Shift

   Okami_CCRN replied to MochaRN424's topic in General Nursing

   If we were cancelled for low census we could opt to use PTO or take it as unpaid time without any consequence to our FTE status. If we called out it would be coded as NPTO (unexcused absence) and we would be required to utilize our time bank.
6. 

   In Need of Career Advice

   Okami_CCRN replied to CookieRoo9413's topic in General Nursing

   You do whatever your heart desires, if you are content with your urgent care job and have no desire to work in a hospital then don't work in a hospital. I have done ICU, cardiac cath lab, insurance case management, inpatient case management, be...
7. 

   Medication Order

   Okami_CCRN replied to Nurse1282's topic in General Nursing

   In the acute care setting this order requires clarification from the ordering provider before being carried out. Per the ISMP range orders without objective measures to determine the correct dose should be excluded from orders as it can lead to error...
8. 

   Interviewing A Nurse : Assignment

   Okami_CCRN replied to iluvshawarma's topic in General Students

   Good morning, welcome to AllNurses! I would encourage you to change your username to something other than your name; for privacy and anonymity. Regarding your assignment, I highly recommend you reach out to people in your life or network that a...
9. 

   Does your single state license get deactivated as you apply for your multi-state compact license?

   Okami_CCRN replied to Revolutionaryroad's topic in General Nursing

   No, your license number remains unchanged and active. Once your application to multi-state / compact is approved your status will change from single state to multi-state.
10. 

    Quitting while on orientation

    Okami_CCRN replied to MDelainy's topic in General Nursing

    @babyyoda I notified them in person and submitted a formal letter of resignation. I never elaborate on reasons for resigning, managers do not care and it usually causes more issues than it is worth.
11. 

    Is it true that unionized nurses in NYC don't do lab draws, catheters, EKGs, etc.?

    Okami_CCRN replied to Ramona Abramov's topic in General Nursing

    It varies based on hospital. I know one hospital where nurses cannot place NGT/OGT, even in ICU. Another hospital nurses draw timed labs, but STAT labs are done by the residents.
12. 

    Is there a place for me?

    Okami_CCRN replied to Shannonv5's topic in General Nursing

    Have you looked into case management? https://journals.lww.com/nursing/fulltext/2019/09000/case_management__an_overview_for_nurses.11.aspx
13. 

    How did you get back to bedside after years in a non-clinical position?

    Okami_CCRN replied to Curious1alwys's topic in General Nursing

    I think you have to do some serious soul searching regarding what you want to do next. Bedside nursing and case management are wildly different roles in an inpatient setting. I will offer some advice, if you want to do bedside nursing I recomme...
14. 

    Vacation denied

    Okami_CCRN replied to nightwake's topic in General Nursing

    PTO: Prepare The Others You are entitled to your PTO, it is outrageous that in 2024 administration is out here denying people their hard earned right to time off. This is a special time for your sister and family, let your manager know tha...
15. 

    Quit my RPN in training position

    Okami_CCRN replied to Novice Nurse's topic in General Nursing

    I want you to understand that you did not fail in any shape, way or form. A new grad should never be hired into a float position, these positions require a few years of experience and solid understanding of a variety of patient conditions. If anythin...