Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. Okami_CCRN

    Changing Nursing Schools

    Okami_CCRN replied to helenj1's topic in Nursing Student Assistance

    Unfortunately you will find that most nursing courses with clinical hours will not transfer. This is multifactorial in that every school has somewhat of a different curriculum, even if there are...
  2. Okami_CCRN

    Maintaining compact licensure

    Okami_CCRN replied to delrionurse's topic in General Nursing

    The NCSBN is clear about the what constitutes a primary state of residence (PSOR); "PSOR is the state where you hold a current driver's license, voter's card, federal income tax return, military...
  3. Okami_CCRN

    Notifying manager of job application internally?

    Okami_CCRN replied to rnm66's topic in General Nursing

    I typically do not let my immediate manager know of any open internal job prospects. In the past, HR has asked me if I prefer they inform my manager of my acceptance of a new position or if I...
  4. Okami_CCRN

    Can I go to a BSN Program after doing in LPN Program after getting an associates degree in pre-nursing?

    Okami_CCRN replied to Beautiful_Star's topic in General Students

    I am sorry you are finding yourself in this situation, unfortunately most nursing programs require that science courses be taken within 5 years. This has been a policy as far back as when I started...
  5. Okami_CCRN

    Need a different job

    Okami_CCRN replied to Nurse_girl's topic in General Nursing

    The thing about nursing is that it is a stressful career choice regardless of setting; the real question is what kind of stress can you handle? For example, I enjoyed critical care and after a...
  6. Okami_CCRN

    CCRN Study Tips

    Okami_CCRN replied to CVICUnurse99's topic in General Nursing

    Hey there, Everyone's style of learning & studying is different, I have always found it difficult to sit down and actually study. I got serious 1 week prior to the exam date. I bought...
  7. Okami_CCRN

    Neurosurgery Floor?

    Okami_CCRN replied to 1234cc00's topic in General Nursing

    You will be expected to provide basic nursing care at the direction of the RN/LPN, this may include, but is not limited to bathing, ambulating, obtaining vital signs/labs, performing 1:1/1:2 clinical...
  8. Okami_CCRN

    Tuition Assistance for CNA to LPN? Need Advice!

    Okami_CCRN replied to JOJO1015's topic in General Nursing

    It's great to hear you want to advance your education and career. However, the questions you ask are employer specific. Your best option would be to speak to your union representative regarding...
  9. Okami_CCRN

    Post discharge care of patients with delayed ride home

    Okami_CCRN replied to Angela Guyer's topic in General Nursing

    The patient remains admitted until they physically leave the hospital and under the care of the attending physician, resident team (if applicable), and nurse. At times a patient may not agree...
  10. Okami_CCRN

    IV bags with foil

    Okami_CCRN replied to Jackie Saunders's topic in General Nursing

    As NRSKaren mentioned, medications that are compounded by pharmacy will often have a small foil covering the medication inject port for tamper proofing. If there is a foil covering the IV spike...
  11. Okami_CCRN

    JTube Issues in homecare

    Okami_CCRN replied to Guest26407's topic in General Nursing

    I think flushing a j-tube every 2 hours in the home care setting is difficult as I imagine the patient does not have 24/7 care. I have attached a pretty good article that outlines how to prevent and...
  12. Okami_CCRN

    Long nails as an ER nurse

    Okami_CCRN replied to kokot pica's topic in General Nursing

    As others mentioned every hospital has different policies and levels of enforcement. With that being said I am not a huge fan of long nails both artificial and natural. They are difficult to...
  13. Okami_CCRN

    Nurse will not give report

    Okami_CCRN replied to Guest26407's topic in General Nursing

    This is now a patient safety concern, you must inform your supervisor / manager and let them know you have tried XYZ avenues of communication to no
  14. Okami_CCRN

    Collecting urine samples

    Okami_CCRN replied to Christina829's topic in General Nursing

    As NRSKarenRN stated, most indwelling urinary catheters have a sampling port that can be cleansed and connected to a leur-lock syringe or vacutainer device for sterile specimen
  15. Okami_CCRN

    Harbor UCLA “Relief RN” New Grad

    Okami_CCRN replied to Mary2456's topic in General Nursing

    Every place is different, you should ask clarifying questions to your recruiter and/or onboarding specialist. In general, some hospitals only consider 1.00 FTE as full time, an employee working...
  16. Okami_CCRN

    Remote case management?

    Okami_CCRN replied to davisRNBSN's topic in General Nursing

    A large chunk of remote case management is done by insurance companies. I briefly worked for one as a remote case manager and did not need CCM, they did encourage staff to obtain but never a...
  17. Okami_CCRN

    ICU or Emergency

    Okami_CCRN replied to Momochi's topic in General Nursing

    I would always choose the controlled chaos of the ICU over the uncontrolled chaos of the ED. I enjoy the patient care of ICU, and following patients through their critical
  18. Okami_CCRN

    Am I jeopardizing my license, or am I overthinking?

    Okami_CCRN replied to NurseyNurseNursey's topic in General Nursing

    It sounds like you are working for an insurance company, typically nurses are utilized in the review process and prior authorization department. In these areas nurses are either reviewing treatment...
  19. Okami_CCRN

    Minimal infusion rates best practice

    Okami_CCRN replied to Courtney Murphy's topic in General Nursing

    I work in adult critical care, typically we use a manifold in these situations with a carrier fluid at 10ml/hr if we are restricting
  20. Okami_CCRN

    Need Advice - Protecting my License

    Okami_CCRN replied to Maltmom0402RN's topic in General Nursing

    If I am being completely honest, I would resign effective immediately based on the situation you
  21. Okami_CCRN

    Non-solicitation agreement

    Okami_CCRN replied to mrr5745's topic in General Nursing

    Did you read the agreement in totality? Usually these agreements/clauses are put in place to prevent an individual from poaching clients after they
  22. Okami_CCRN

    Certification exam reimbursement - Hackensack Meridian

    Okami_CCRN replied to couchbatata's topic in General Nursing

    This is something that can wait until your start date, most facilities have guidelines around when they begin reimbursing for education/certification. Some places only reimburse after the probationary...
  23. Okami_CCRN

    Stable Vtach

    Okami_CCRN replied to Matthew89's topic in General Nursing

    Looks like there was a lot of metabolic derangements that could have caused the tachycardia as a compensatory
  24. Okami_CCRN

    Precepting

    Okami_CCRN replied to Jaydeen's topic in General Nursing

    I might be a bit old school in this regard but 3 years of critical care experience is not enough to be a primary preceptor. However, I know that with the current trend in nursing 3 years would be...
  25. Okami_CCRN

    Stable Vtach

    Okami_CCRN replied to Matthew89's topic in General Nursing

    Agree with offlabel, there is not sufficient history make any sort of determination. With that being said typically VT will be faster than the rate you mentioned, sometimes VT can be confused for a...