Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. Okami_CCRN

    What does your school have you wear to the Pinning Ceremony?

    Okami_CCRN replied to KathyVandy's topic in General Students

    The month before we graduated we had to attend a mandatory fitting for our pinning uniform. Women wore a traditional white nurses uniform with white stocking, skirt, jacket and of course a nurse's...
  2. Okami_CCRN

    Y-site issue

    Okami_CCRN replied to InfusionRN30's topic in General Nursing

    I agree; I usually have Levophed, Fentanyl, Propofol and an NS KVO running together and never had an
  3. Okami_CCRN

    Y-site issue

    Okami_CCRN replied to InfusionRN30's topic in General Nursing

    I do not think it's much of an issue as long as both the saline and the medication are on pumps, if there was an issue with fluid backing-up the pump would/should tell you there is an occlusion...
  4. Okami_CCRN

    Continuous ST segment monitoring

    Okami_CCRN replied to enterprisern's topic in Critical Care

    Our monitors have the capability to do both ST segment monitoring and QTc monitoring. The CCU primarily handles ST segment monitoring in the ICU we use QTc monitoring usually for those who have...
  5. Okami_CCRN

    New graduate and working in ICU

    Okami_CCRN replied to prenfrow's topic in Critical Care

    I'm also a new graduate in the ICU, started in April and this is my first week on my own. When I was on orientation during the day shift the first thing I would do when I walked in was print my...
  6. Okami_CCRN

    Patient bathing

    Okami_CCRN replied to texasrn71's topic in General Nursing

    JAMA Network | JAMA | Chlorhexidine Bathing and Health Care–Associated Infections:Â*Â*A Randomized Clinical Trial A few years ago there was a growing body of evidence that CHG...
  7. Okami_CCRN

    Do you talk to your coworkers alot on your lunch break?

    Okami_CCRN replied to Soliloquy's topic in Patient, Colleague Relations

    I work in critical care where the majority of the day senior staff have been working with one another for well over 15 years. They share a lot about family and social events. They have multiple...
  8. Okami_CCRN

    Com'on, you got one...What is your heart wrenching moment?

    Okami_CCRN replied to CrunchBerries's topic in General Nursing

    I was working in the ICU one night and was doing my round of temperature checks when this elderly female patient who was receiving blood grabs my hand, looks me dead in the eye and asks "how much...
  9. Okami_CCRN

    Frustrated, feeling prejudged...

    Okami_CCRN replied to brandiep1982's topic in General Students

    I think the message your mother was trying to convey was that working as medic closes you off to the nursing model of practice. Working as a tech or nurse's aide lets you see the nursing process at...
  10. Okami_CCRN

    At a crossroad and need some advice

    Okami_CCRN replied to Caramels's topic in General Nursing

    I'm a little confused, do you currently hold an RN license or are you considering attending a nursing school? An FNP is an advanced practice nurse (APN) hence the advanced practice part. Most places...
  11. Okami_CCRN

    No calculators allowed as an RN?

    Okami_CCRN replied to dancediva234's topic in General Students

    That is completely untrue, I work in critical care and use a calculator for just about everything from drip calculations to intake and output. Even when I sat for the NCLEX-RN exam a calculator was...
  12. Okami_CCRN

    Burnout/ Compassion fatigue

    Okami_CCRN replied to dec2007's topic in General Nursing

    A precedex gtt is always nice, doesn't knock out their respiratory drive and usually takes care of their tachycardia We might do Ativan 1mg q 15 minutes PRN with something like Ativan 2mg q 2 hours/4...
  13. Okami_CCRN

    MSN at the bedside

    Okami_CCRN replied to nataliehsly's topic in General Nursing

    I work with a large number of bedside nurses (ICU) that hold an MSN degree. A few are NP's that work part-time as both a bedside RN and APRN, the vast majority are nurses with a MSN in nursing...
  14. Okami_CCRN

    Facing a reprimand before I can take NCLEX

    Okami_CCRN replied to dsevier's topic in Licensure: Criminal History

    If you would like to fight this and hopefully have the funds to do so I recommend contacting a lawyer that has experience dealing with your states
  15. Okami_CCRN

    medication errors

    Okami_CCRN replied to nursingrnb's topic in General Students

    I do not understand how something like this would happen, most nursing schools require that the instructor be present during medication administration and co-sign the med that was administered. If...
  16. Okami_CCRN

    5-Wire Telemetry. Which lead tracing do I interpret?

    Okami_CCRN replied to winzer's topic in Cardiac

    I usually use lead II as p waves and QRS complexes tend to be upright. If my patient is doing something funky I tend to look at another lead just to confirm what they are doing or even a 12-lead EKG....
  17. Okami_CCRN

    Failing a&p this summer. Bad GPA. What now?

    Okami_CCRN replied to ilikecorgis's topic in General Students

    You will probably not like what I have to say, but I will give you my advice. Do not blame the professor for making the class difficult, anatomy and physiology is a difficult course because it is one...
  18. Okami_CCRN

    Jobs out of school

    Okami_CCRN replied to cvandyke's topic in General Students

    I graduated in January, passed NCLEX-RN in early March and was offered a FT position in the ICU where I worked as a tech in April. Most of my classmates also scored jobs shortly after passing NCLEX;...
  19. Okami_CCRN

    I'm a sexless nurse

    Okami_CCRN replied to nursingaround1's topic in General Nursing

    I believe when we as professionals start delegating tasks out based on gender and the belief that it will make the patient uncomfortable then we ourselves continue this circle. Do male OB/GYN's have...
  20. Okami_CCRN

    1 minute scrub the hub

    Okami_CCRN replied to sistrmoon's topic in General Nursing

    We use PDI Prevantics which has a 5 second scrub time with a 5 second dry time. Our compliance is very high since switching to this
  21. Okami_CCRN

    Neuro ICU vs ICU job offer

    Okami_CCRN replied to essenm25's topic in Critical Care

    I recommend the ICU position I work in a large community hospital with a Neuro ICU, CCU and ICU (where I work). The ICU can take any patient that needs a bed including neuro and cardiac patients if...
  22. Okami_CCRN

    Confused about lisence requirements

    Okami_CCRN replied to copelaje's topic in NCLEX Exam, Programs

    When applying for licensure in NJ you must submit a copy of your birth certificate to the BON with your application; immigration documentation will eventually be checked off as they manually process...
  23. Okami_CCRN

    Nurse bag for clinicals

    Okami_CCRN replied to pmabraham's topic in Male Nursing Students

    Honestly there is no need to go crazy over what kind of bookbag to use for clinical. I used a JanSport bookbag throughout and found it to be more than enough for what I
  24. Okami_CCRN

    can anyone explain me the rational

    Okami_CCRN replied to NurseP1988's topic in NCLEX Exam, Programs

    This is one of those questions that you need to use something like the Kaplan decision tree to arrive at the correct answer. You can find the decision tree by a quick google image search....
  25. Okami_CCRN

    Commuters- study time saving tips?

    Okami_CCRN replied to Natasha A.'s topic in General Students

    Well the only thing you can do safely in your car is to listen to voice recordings, whether that is you reading the textbook out loud or listening to your professor's lecture is up to