Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. 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...
  2. 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...
  3. Okami_CCRN

    Blood withdrawal from peripheral IV

    Okami_CCRN replied to Issa_mohamad's topic in General Nursing

    I occasionally dabble in IV therapy, and our current policy is that blood can be used for labs from a peripheral IV during placement only. In my experience more often than not people tend to blow...
  4. Okami_CCRN

    Tips for delirium behavior management

    Okami_CCRN replied to CCU BSN RN's topic in General Nursing

    On my unit we avoid giving benzo's and benadryl to the older population since it tends to aggravate the problem of psychosis/delirium. We try risperdal/seroquel/haldol instead, some of other things...
  5. Okami_CCRN

    What is a reasonable starting salary to expect?

    Okami_CCRN replied to dinobiceps's topic in Job Search, Interview, Resume

    You have to keep in mind that the standard of living in Florida is much different than that of the Northeast. It would seem that the average salary of a new nurse in Orlando, FL is just shy of 50K,...
  6. Okami_CCRN

    ECCO Training

    Okami_CCRN replied to Brendarn1970's topic in General Nursing

    I did not, I usually did about 2 modules in a day, except some of the more time consuming ones such as hemodynamic monitoring and cardiovascular. I was more concerned with maximizing my time off to...
  7. Okami_CCRN

    ECCO Training

    Okami_CCRN replied to Brendarn1970's topic in General Nursing

    I completed The Essentials of Critical Care Orientation (ECCO) in a month (July 2015). It is not a difficult course at all; my nurse educator allowed us off one shift per week to complete the course,...
  8. Okami_CCRN

    If I have hated home health will I hate critical care?

    Okami_CCRN replied to Green8b's topic in Critical Care

    Hey there, like yourself I too had a dream/goal to become a physician. Unfortunately, or should I say fortunately life brought me into the field of nursing. I attended a small liberal arts college...
  9. Okami_CCRN

    Waffle mattress over ICU bed?

    Okami_CCRN replied to Szbeylik's topic in Critical Care

    Our current standard of practice is to have the least amount of linens/apparatus on the bed as possible as it takes away from the pressure changes/air flow to the patient. This is a pretty good...
  10. Okami_CCRN

    Storing bodies of deceased babies

    Okami_CCRN replied to GR88's topic in General Nursing

    Where I work the maternal child/L&D unit uses small Styrofoam boxes that are lined with blankets; the baby is placed inside clothed and the top is secured with tape. They get their own freezer...
  11. Okami_CCRN

    ICU Question about central line infection control

    Okami_CCRN replied to Benj2610's topic in Critical Care

    Our ICU policy is to change central line dressings q7 days or when dressing is visibly soiled, moist, or no longer intact. (dressing changes done by RN) We provide daily baths with pre-packaged CHG...
  12. Okami_CCRN

    New grad dilemma

    Okami_CCRN replied to lugirl1's topic in General Nursing

    Patients often put us between a rock and a hard place; ideally you want to empower her and tell her to remove herself from a potentially abusive relationship/situation. However, you should NEVER...
  13. Okami_CCRN

    Should I be leery of my new job?

    Okami_CCRN replied to detrelibre's topic in General Nursing

    Most facilities conduct the bulk of precepting nurses during the day shift, mainly because the powers that be are there and can track your performance and progress. Where I came from very few nurses...
  14. Okami_CCRN

    Switching back to primary IV

    Okami_CCRN replied to Jenny9292's topic in General Nursing

    I'm a little confused, why would you want to get rid of the IV tubing and bag if it isn't due to be changed. Research shows that IV tubing should be changed every 96 hours (4 days) and you should...
  15. Okami_CCRN

    Ccrn test dates?

    Okami_CCRN replied to AmejoRoo2's topic in Critical Care

    You register for the CCRN exam through the AACN website, they will email you a code that you then enter into a second website that lets you schedule the exam. There are no national CCRN test dates....
  16. Okami_CCRN

    Understanding different gtts for sedation: Propofol vs Precedex vs Versed vs Fentanyl, etc

    Okami_CCRN replied to Catticus11's topic in Critical Care

    Fentanyl (usual dosage 10-200mcg/hr) is an opiod medication often used as a gtt in critical care not only for its pain relieving properties, but its synergistic effects when combined with propofol...
  17. Okami_CCRN

    New graduate question

    Okami_CCRN replied to jessicarami's topic in First Year After Licensure

    I disagree with the "all new grads should do one year of medical/surgical nursing"; not everyone has a desire or the skill-set to work on a med/surg floor. If a new graduate feels that they want to...
  18. Okami_CCRN

    Going to a Neuro ICU

    Okami_CCRN replied to FDE123's topic in Critical Care

    It really depends on what kind of Neuro ICU you will be working, for example. I worked in a mixed medical/surgical ICU that took the stroke patients from the ER because our Neuro ICU was mainly...
  19. Okami_CCRN

    New Grad RN going into ICU - prepare?

    Okami_CCRN replied to ZrowGz's topic in Critical Care

    I cannot agree with JellyDonut more, every shift has an end! I would not pick up a CCRN book as a new nurse in the ICU, it may be overwhelming. Instead focus on your critical care course and learn as...
  20. Okami_CCRN

    New Grad RN going into ICU - prepare?

    Okami_CCRN replied to ZrowGz's topic in Critical Care

    Unfortunately, I cannot give you any great insider tips. I worked as a tech in the ICU for 6 years, upon receiving my license my manager offered me a position. However, some general things to...
  21. Okami_CCRN

    New Grad RN going into ICU - prepare?

    Okami_CCRN replied to ZrowGz's topic in Critical Care

    Congratulations on your first job as a registered nurse. I too began in the ICU as a new grad through a residency program. Some things you can do to prepare yourself is to brush up on some of the...
  22. Okami_CCRN

    Top 5 Nursing Problems

    Okami_CCRN replied to mkb1038's topic in General Nursing

    1. Staffing As patient become sicker in the acute care setting, bedside nurses have to provide complex and often physical and mental taxing interventions. As an ICU nurse when I am tripled, the level...
  23. Okami_CCRN

    Your First PRN Job

    Okami_CCRN replied to Nurse3242's topic in General Nursing

    I work full-time as a critical care nurse and took on a PRN position 2 years after licensure as same-day surgery
  24. Okami_CCRN

    Lapsed CCRN on resume?

    Okami_CCRN replied to Coffee Nurse's topic in Critical Care

    You should leave it off your resume, you do not currently hold the certification. You wouldn't put an expired ACLS cert on it, this falls in the same
  25. Okami_CCRN

    Hospital policy for Paralytics/Train of 4

    Okami_CCRN replied to SkiRNBABSN's topic in Critical Care

    Our hospital uses Nimbex as the paralytic of choice/stock. As per our policy a baseline TOF is obtained prior to the commencement of gtt. TOF is to be done q15 minutes until therapeutic based on the...