Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. Okami_CCRN

    COPD Patient Question

    Okami_CCRN replied to cubsfan16's topic in General Nursing

    Unfortunately it happens, especially in cases of exacerbation. The good thing is he/she was able to expectorate whatever was causing irritation. Sometimes, chest physiotherapy and vibration help break...
  2. Okami_CCRN

    Dextrose 50% in water. good or bad?

    Okami_CCRN replied to markjohnson's topic in Patient Medications

    Well think about it, what kind of solution is D50, what would it do to a patient with neurological compromise? Also what should you check before administering an Amp of
  3. Okami_CCRN

    CCRN prep - Laura Gasparis review worth it?

    Okami_CCRN replied to DesertSky's topic in Critical Care

    I took the CCRN exam on Friday and passed, I had studied for about two weeks by doing the online CCRN review and watching the Laura Gasparis DVD's. I recommend you ask someone on the unit to borrow...
  4. Okami_CCRN

    racist patients

    Okami_CCRN replied to Rn 1979's topic in Patient, Colleague Relations

    Unfortunately it happens more often than not, what you have to realize is it you have done NOTHING wrong. There is something intrinsically wrong with their perception of a group based on the actions...
  5. Okami_CCRN

    What would you do?!

    Okami_CCRN replied to Jess122713's topic in General Nursing

    You have every right to be concerned and upset, a series of errors were made 1) someone received an unnecessary stick due to a medication error 2) someone else "drew" up the medication 3)...
  6. Okami_CCRN

    Should I take Med-Surg job or ICU job working near ex-husband?

    Okami_CCRN replied to UnicoRN611's topic in General Nursing

    To be quite honest I would not have an ex-husband pull strings for me to interview/work in a place where they also work. Nursing at the bedside is incredibly taxing and stress inducing, you do not...
  7. Okami_CCRN

    Enoxaprin and bruises

    Okami_CCRN replied to brownbook's topic in Patient Medications

    Unfortunately, this is a side effect of lovenox and heparin SQ. In the ICU we may give Lovenox q12 or q24h and by the end of the ICU stay they have this row of bruising along their pannus. With...
  8. Okami_CCRN

    Titrating and weaning pressors do you follow the same order ?

    Okami_CCRN replied to tableed's topic in General Nursing

    Like others have mentioned physicians must write an order as to what parameter we are to titrate vasopressors. For example: Norepinephrine 4mg/250ml, titrate to MAP of 65mmHg, max dose 30mcg. You do...
  9. Okami_CCRN

    Move from Medsurg to ICU?

    Okami_CCRN replied to CafeduMonde4Breakfast's topic in Critical Care

    The only person who truly knows if they are ready to move on to a different specialty is yourself. Trauma ICU is exactly what it sounds like, trauma. MVA's, falls, GSW's, etc. These patients are...
  10. Okami_CCRN

    Shock Trauma ICU?

    Okami_CCRN replied to rthomp17's topic in Critical Care

    Welcome to the wonderful world of critical care nursing! 1. Read up and understand the mechanism of action behind vasopressors (dopamine, dobutamine, norepinephrine, neosynephrine, vasopressin, and...
  11. Okami_CCRN

    CRNA School

    Okami_CCRN replied to blakee123's topic in General Nursing

    Most, if not all CRNA curriculum are extremely competitive. That being said most prefer a GPA of 3.7 and above, GRE testing, 1+ year in a high acuity critical care unit (ER/PACU usually does not...
  12. Okami_CCRN

    Admission Process in ICU

    Okami_CCRN replied to Jlucasrn92's topic in Critical Care

    We do not have roles assigned. If a flex nurse is schedule, he or she would complete paperwork (advanced directive form, flu/pneumonia vaccine screen, contact information, initial assessment, etc)....
  13. Okami_CCRN

    Poor Judgment, Didn't notice Compartment?

    Okami_CCRN replied to morningland's topic in General Nursing

    I don't think you did anything wrong and acted in a reasonable manner. The patient complained of numbness, but you did not notice any other signs associated with compartment syndrome. You notified the...
  14. Okami_CCRN

    ECG require MD order?

    Okami_CCRN replied to alle0400's topic in General Nursing

    Our facility requires a physician order for an EKG, to further reinforce this our EKG machines are set up that the you cannot perform an EKG without selective the patient from the database of ordered...
  15. Okami_CCRN

    New Charge Nurse

    Okami_CCRN replied to Chilled1121's topic in Critical Care

    Switching an assignment because a nurse does not get along/like their pod-mate is ridiculous. There are plenty of nurses on my unit that I do not particularly care for, but I put on my big boy pants...
  16. Okami_CCRN

    Transferring fron Med-Surg/Tele to ICU advice please

    Okami_CCRN replied to tele queen's topic in Critical Care

    Congratulations on your new position and what will hopefully be a positive move in your career. Your transition to ICU nursing will undoubtedly be stressful, but remember no one ever just dropped into...
  17. Okami_CCRN

    Use of backup saline infusions for medication infusions in ICU

    Okami_CCRN replied to taif1's topic in Critical Care

    I also like to use a stopcock, but it seems that whenever I put one on a patient another nurse takes it off because they dont like using them. Quite annoying when you're working back to back with the...
  18. Okami_CCRN

    Wound VAC

    Okami_CCRN replied to TaylorLauren's topic in General Nursing

    I deal with wound vacs all the time, some tricks and tips are to soak the dressing with NS; -grab a 1L bottle of the stuff and just pour. -It also helps to pre-medicate the patient with some PRN...
  19. Okami_CCRN

    Refusing to float

    Okami_CCRN replied to NurseKC123's topic in General Nursing

    When you are asked to float to another unit, you only perform duties you are comfortable with and have knowledge of, you must make that explicitly clear to the nursing supervisor on paper and retain a...
  20. Okami_CCRN

    New to ICU. What do you hate to see a new ICU nurse do?

    Okami_CCRN replied to IPMC15's topic in Critical Care

    With that school of thought you would think pumps failed all the time. I piggyback K+ cause all of our patients have central lines so no burning
  21. Okami_CCRN

    New to ICU. What do you hate to see a new ICU nurse do?

    Okami_CCRN replied to IPMC15's topic in Critical Care

    Just out of curiosity, why wouldn't you piggyback K-riders... Many of us do it all the time. If I have an open line i'll just hang 40 meQ's/100ml over 4 hours and call it a day instead of priming a...
  22. Okami_CCRN

    Use of backup saline infusions for medication infusions in ICU

    Okami_CCRN replied to taif1's topic in Critical Care

    I was always taught that any drip should have a saline KVO to facilitate delivery. Often times we will have Norepi, Fentanyl, Propofol and NS at 15 going through one port. It also makes giving abx...
  23. Okami_CCRN

    Trade schools

    Okami_CCRN replied to sk8erboi9405's topic in General Students

    Are you looking at for profit/private universities? That will skew your numbers towards the higher end. I recommend going to an in-state public university. There is no point in going to an ivy league...
  24. Okami_CCRN

    NJ NEW RN looking for JOB! Help

    Okami_CCRN replied to natalciapl's topic in General Nursing

    As a NJ RN, I can tell you the market is saturated with new graduates. Many times the only way to secure an RN position is to have worked previously a nurse extern or tech/aide. With that being said...
  25. Okami_CCRN

    Trade schools

    Okami_CCRN replied to sk8erboi9405's topic in General Students

    To put it simply, there are no good student loan companies. I would try to avoid student loans at all costs, but if you have to the stafford loans offered by the federal government have some...