Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. Okami_CCRN

    Workers Comp Case

    Okami_CCRN replied to maddieebobaddiee's topic in General Nursing

    No, this is not something discussed in the interview process. It may come up during your pre-employment physical, but even then it may not even come
  2. Okami_CCRN

    6 in a row new grad

    Okami_CCRN replied to Kennakenna's topic in General Nursing

    I would just let the scheduler know that as a new graduate nurse you do not feel comfortable with doing six shifts in a row and would prefer there be some time off between them, Ideally one to two...
  3. Okami_CCRN

    6 in a row new grad

    Okami_CCRN replied to Kennakenna's topic in General Nursing

    I am a little confused by your post, are you a 1.00 FTE or 0.96 FTE employee? The reason for this is that 1.00 FTE employees typically have to work a 4th shift once a month to account for the 36...
  4. Okami_CCRN

    OR to ICU

    Okami_CCRN replied to CL381's topic in General Nursing

    I worked in a mixed medical and surgical ICU when I graduated nursing, and absolutely loved working in critical care. With that being said, ICU has a high burnout rate and I found myself burned out...
  5. Okami_CCRN

    I have a medsurg stigma and can't get hired in any other specialty

    Okami_CCRN replied to Nurse4lifewithparrots's topic in General Nursing

    You should absolutely put that in your resume, that is involvement. Also remember your resume is a marketing tool, you are trying to sell yourself to a company. Never forget that an interview is a two...
  6. Okami_CCRN

    I have a medsurg stigma and can't get hired in any other specialty

    Okami_CCRN replied to Nurse4lifewithparrots's topic in General Nursing

    I will be honest, being on hiring panels I look for candidates that have unit involvement in improving processes or EBP projects. I like to see specialty certification and an added bonus is...
  7. Okami_CCRN

    I have a medsurg stigma and can't get hired in any other specialty

    Okami_CCRN replied to Nurse4lifewithparrots's topic in General Nursing

    Have you thought about taking a look at your resume and working on marketing yourself for higher acuity units. Have you gotten involved in unit/hospital-wide committees? Are you certified in...
  8. Okami_CCRN

    Rocephin and D5LR

    Okami_CCRN replied to MomRn3's topic in General Nursing

    The main concern with ceftriaxone and lactated ringer's is that there is an increased risk of forming calcium precipitates in the line, this is especially concerning in neonates as it has been linked...
  9. Okami_CCRN

    Clinical Educator or Risk Management? Which Would You Choose?

    Okami_CCRN replied to bluenurse10's topic in General Nursing

    I cannot agree more, I am currently in an educator role and working with a difficult nurse manager/administrator that continuously undermines your professional opinion or does not respond in a timely...
  10. Okami_CCRN

    pharm tech or volunteer at hospital?

    Okami_CCRN replied to jcn's topic in General Nursing

    I highly recommend working as a PCT/CNA, it will give you a real life example of how care is structured and delivered at the bedside in an acute setting. Pharmacy tech will probably help with...
  11. Okami_CCRN

    Moving as a nurse

    Okami_CCRN replied to Mike Epps's topic in General Nursing

    I agree, focus on reaching the finish line. If your school is nationally accredited through the CCNE or other credentialing body you should be fine for licensure via endorsement. I was an ADN...
  12. Okami_CCRN

    Remote RN Case Management Question

    Okami_CCRN replied to jenny3dean's topic in General Nursing

    They do not monitor you via camera, but as previously stated they care about your case load and how many active cases you have open. If I remember correctly, when I worked for insurance case...
  13. Okami_CCRN

    Training in Chest X-Ray Interpretation for PICC Tip Position?

    Okami_CCRN replied to erwy's topic in General Nursing

    We are not trained in CXR interpretation; if placement cannot be confirmed via 3CG then we place an order for a STAT CXR per protocol and wait until a formal read is provided by the
  14. Okami_CCRN

    Question about PEG Tube Charting

    Okami_CCRN replied to Moe12PMs's topic in General Nursing

    We do not chart PEG tube
  15. Okami_CCRN

    Foley ordered for patient able to void on own?

    Okami_CCRN replied to tinycrocsodile's topic in General Nursing

    I would have bladder scanned q4h - q6h and done post-void residual checks and avoided placing the foley and explained my rationale to the medical team with data from bladder scans as supporting...
  16. Okami_CCRN

    Tpn and lab draws

    Okami_CCRN replied to Wolfmoon_'s topic in General Nursing

    It is advised to not draw labs from the dedicated TPN lumen. If the patient were to have a TL CVC or DL/TL PICC then we typically stop the TPN 2-3 minutes before drawing
  17. Okami_CCRN

    Mask During PICC line removal

    Okami_CCRN replied to Manjeet's topic in General Nursing

    As previously stated, you should refer to your organization's policy and procedures for PICC line removal. For example, at my facility PICC line removal is treated as a sterile dressing change and we...
  18. Okami_CCRN

    IV PUSH- if anyone can help please

    Okami_CCRN replied to futurenurse09's topic in General Nursing

    When pushing small amounts of IV medication (think famotidine 20mg/2ml) it is important to use an appropriate sized syringe (I.e 3ml) because it'll allow you to actually administer at the appropriate...
  19. Okami_CCRN

    Question about IV piggyback

    Okami_CCRN replied to ppppf's topic in General Nursing

    In a situation where you described (IVPB medication being incompatible with primary IVF) I would stop the primary IVF, disconnect primary line, red cap/dead end the line, flush IV and connect the IVPB...
  20. Okami_CCRN

    LPN supervising RNs

    Okami_CCRN replied to RN UNDER DOG's topic in General Nursing

    Typically an LPN may supervise an RN in an administrative capacity only, you should refer to your state's Nurse Practice Act for further
  21. Okami_CCRN

    Pulmonary vs. Cardiac step down

    Okami_CCRN replied to Strugglebus101's topic in General Nursing

    I think either unit would be beneficial in preparing you for a future in critical care. Although a pulmonary/respiratory SDU would probably give you more exposure to a greater amount of...
  22. Okami_CCRN

    Nurses Salary NJ

    Okami_CCRN replied to Marissa Cummins's topic in General Nursing

    Hey there, in the past year what I have seen for New Jersey has been anywhere from 48-60/hr. Lower on the range for a day shift positions and on the higher end for night shift and weekend...
  23. Okami_CCRN

    Physical Restraint in Critical Care

    Okami_CCRN replied to Yuval Zelkind's topic in Critical Care

    We typically try to avoid physical restraint in my critical care unit and have pretty good luck with intravenous sedation. However, if the need arises we will start off with bilateral mittens if the...
  24. Okami_CCRN

    Ventilator Associated Pneumonia Project

    Okami_CCRN replied to G. Bangert's topic in General Nursing

    While VAP is always of concern in our mechanically ventilated patients, the actual incidence of VAP is quite low. One study found an incidence of 1.81% at the national level, or 1-2.5 cases per 1000...
  25. Okami_CCRN

    Cancelled For A Shift

    Okami_CCRN replied to MochaRN424's topic in General Nursing

    If we were cancelled for low census we could opt to use PTO or take it as unpaid time without any consequence to our FTE status. If we called out it would be coded as NPTO (unexcused absence)...