Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

Member

  • Content

    949

  • Visitors

    17,074

  • Followers

    0

  • Likes

    434

All Content by Okami_CCRN

  1. Okami_CCRN

    Critical Care RN vs Infection control RN

    Okami_CCRN replied to sportstoy2's topic in Critical Care

    There are a multitude of devices you can use to draw blood from a central without increasing risk of infection/adverse events to the patient. The one that comes to mind is the VAMP systems, which are...
  2. Okami_CCRN

    Scope of Practice Issue?

    Okami_CCRN replied to TUBSNRN21's topic in General Nursing

    I don't know how it works in NYS, but in NJ you have the option of signing a waiver provided by your employer. You should ask them about it. I know a few techs who signed it since they had to continue...
  3. Okami_CCRN

    Seeking Financial advice

    Okami_CCRN replied to HalfBoiled's topic in General Nursing

    Congratulations on being able to have a high income with relatively low monthly bill commitment. A couple of months ago I stumbled upon a "Finances in your 20's for Dummies" book and found it to be a...
  4. Okami_CCRN

    Some questions about agencies.

    Okami_CCRN replied to Jharton's topic in Agency Nurses

    I would not recommend a new graduate nurse to pursue any agency work for at least 2 years of full-time equivalent experience. In agency nursing you are usually given 1-2 days of orientation and...
  5. Okami_CCRN

    CVC mess-up?

    Okami_CCRN replied to arieseff's topic in General Nursing

    I am a little confused, you mentioned that you removed the needless access device and flushed and clamped. Did the lumen remain open to air? meaning there was no cap on the opening? If so that is a...
  6. Okami_CCRN

    CVICU step down vs. LTACH

    Okami_CCRN replied to Wedahayes's topic in General Nursing

    I would go with the step-down
  7. Okami_CCRN

    Rationale behind exam test question?

    Okami_CCRN replied to Tdc8250's topic in General Students

    This patient would be at risk for compartment syndrome and thus a pain that is unrelieved by interventions and decreased venous return are all signs of compartment syndrome (Think 5 P's). Pulse...
  8. Okami_CCRN

    Wrong choice

    Okami_CCRN replied to lgrn4ever's topic in General Nursing

    Have you talked to your previous manager and inquired as to whether there was an open position available. There is no shame in admitting that something didn't work
  9. Okami_CCRN

    What is the grossest thing that's happened to you???

    Okami_CCRN replied to PrincessAlexis's topic in General Nursing

    A couple of years ago we had a patient who was on continuous bladder irrigation and was throwing these massive clots, so I was helping the primary nurse irrigate the catheter manually. Well, she was a...
  10. Okami_CCRN

    Hired in ICU Full time; should i keep current place of work PRN

    Okami_CCRN replied to ECRNICU's topic in General Nursing

    I have a concern, is the whole orientation 9 weeks long? If so, that is not enough time to transition from a medical/surgical unit to a level I ICU. I have previous critical care experience and...
  11. Okami_CCRN

    CCRN Help

    Okami_CCRN replied to USNRN90's topic in Critical Care

    I'm sorry that you are having such a difficult time with this material; here are some study tips. -Know the blueprint; figure out what is the percentage for each category and focus on your weak...
  12. Okami_CCRN

    How does your unit do vacations?

    Okami_CCRN replied to brwneyegrl46's topic in General Nursing

    Summer vacation (memorial day thru labor day) is prime time and thus goes by seniority; 2 people are allowed vacation on the same week. Anything outside of summer vacation goes by first come first...
  13. Okami_CCRN

    Accusation Against Male Nurse (Me)

    Okami_CCRN replied to Lapzs's topic in General Nursing

    I, unfortunately cannot agree with how you handled the situation both regarding the covering of the IV and your conversation with Jen. 1. A family member requested the IV to be covered so that the...
  14. Okami_CCRN

    IV extensions

    Okami_CCRN replied to Dubs3035's topic in General Nursing

    Where I work we do not use double/triple lumen extension sets for peripheral IV's, but doing a quick search I see that such products are available, in that case you would prime each lumen with NS and...
  15. Okami_CCRN

    Sharing Health Information with Teachers

    Okami_CCRN replied to Schmidtnurse's topic in School

    I will preface this by saying I am not a school nurse and have never worked as a school nurse and such do not know the policies and protocols in place. I, however would not be forthcoming with health...
  16. Okami_CCRN

    IV extensions

    Okami_CCRN replied to Dubs3035's topic in General Nursing

    When you have one peripheral IV with an extension set and you must add other medications that are compatible with one another you would connect them at the Y-site of the IV tubing closest to the hub....
  17. Okami_CCRN

    Pencil and paper for CCRN exam?

    Okami_CCRN replied to eashton72's topic in Critical Care

    You are given one blank piece of paper and a pencil, which you must return to the proctor at the end of your
  18. Okami_CCRN

    Why is Keppra and Dilantin given 1 hour apart?

    Okami_CCRN replied to LPNwithBIGdreams's topic in General Nursing

    anti-epileptic medications tend to cause CNS depression, with some people being more sensitive than others. It could be that the physician wants to decrease this
  19. Okami_CCRN

    12-Leads on CCRN Exam

    Okami_CCRN replied to DNP2020's topic in Critical Care

    I have mentioned this before, but I highly encourage you to look up the AACN's review course as they give you the latest test plan with testable content, as Cvepo mentioned cardiac is a rather large...
  20. Okami_CCRN

    Intensive Care Nursing Role

    Okami_CCRN replied to pjsrav's topic in Critical Care

    We manage ventilators in collaboration with a respiratory therapist, if I receive new ventilator changes I make them aware and will change change simple stuff like an increase of FiO2 or increase in...
  21. Okami_CCRN

    Intensive Care Nursing Role

    Okami_CCRN replied to pjsrav's topic in Critical Care

    It depends on the facility that you will be working for. When I worked in a large teaching hospital everything was computerized, but there was no connectivity between bedside monitors and the...
  22. Okami_CCRN

    Committees creeping into time off

    Okami_CCRN replied to Lennonninja's topic in General Nursing

    There is power in numbers, if all of you put your foot down then it speaks volumes. Are you being paid while on committee time. We are not compensated for committee time if we are pursuing increasing...
  23. Okami_CCRN

    Committees creeping into time off

    Okami_CCRN replied to Lennonninja's topic in General Nursing

    Oh my, I would definitely object to a committee that meets for that length of time. Like yourself, the facility for which I work for encourages nurses to participate in unit-based and hospital-wide...
  24. Okami_CCRN

    Intensive Care Nursing Role

    Okami_CCRN replied to pjsrav's topic in Critical Care

    That's a little better information about what you want to know. I work on the east coast in a mixed medical/surgical ICU. We have respiratory therapists who manage ventilators/respiratory treatments...
  25. Okami_CCRN

    Intensive Care Nursing Role

    Okami_CCRN replied to pjsrav's topic in Critical Care

    You should have received a document with a detailed explanation of your job description, you should read that over carefully as well as the CA Nurse Practice Act to aide you in what is your role as an...