Okami_CCRN replied to futurenurse09's topic in General Nursing
When pushing small amounts of IV medication (think famotidine 20mg/2ml) it is important to use an appropriate sized syringe (I.e 3ml) because it'll allow you to actually administer at the appropriate rate.
To answer your question, I typically w...
In a situation where you described (IVPB medication being incompatible with primary IVF) I would stop the primary IVF, disconnect primary line, red cap/dead end the line, flush IV and connect the IVPB medication with a compatible solution for the dur...
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.
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.
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...
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...
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.
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...
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...
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...
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.
@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.
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.