Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. So... It's about 10:45PM and I'm about to head out when i hear a very wound Unit Secretary (16yrs) talking about how fun it is to do blood sugars and encouraging our Unite Secretary who is also 16 to...
  2. Okami_CCRN

    Unit Secretary Doesn't Know Scope of Practice!

    I was accused of going beyond my scope of practice because I would get the nurses IV tubing, or Normal Saline flushes. I was just being a Nurse's Assistant. I learned that in order to protect yourself...
  3. Okami_CCRN

    Unit Secretary Doesn't Know Scope of Practice!

    I would just pull the secretary aside and tell her that she should never do anything like that again, explain to her that not only is it dangerous to her and the patient, it can also jeopardize her...
  4. Okami_CCRN

    JCAHO Visit

    Jchao is funny. My hospital just passed flyers and required a mandatory in service for all employees, it was hilarious. Last time they were here they came to my unit pulled a chart and asked the RN...
  5. Okami_CCRN

    What's up with New Jersey Hospitals

    Well most hospital including mine are a hiring freeze for the nursing department because so many RN's are looking for jobs because 3 major hospitals have closed and those RN's need jobs. Columbus...
  6. Okami_CCRN

    CNA jobs for those without diploma?

    Really? I live in Northern NJ and was hired at 15, but I already had my CNA certification from the
  7. Okami_CCRN

    A manager that blocks!

    I must agree, when asked about why you are leaving tele just say you feel that you feel you have taken what you can from it and it is time to move on to something more challenging where your nursing...
  8. Okami_CCRN

    Disposable chux or washable?

    In my facility we trialed for a week disposable pads and I liked them. They helped keep the urine away from the patients skin and held about 1 liter of fluid. We were instructed to use them with a...
  9. Okami_CCRN

    Safety

    well I have been punched and kicked numerous times, but like somebody said it comes with the territory. I pay it no mind since the majority of the patients happen to be confused and disoriented. As...
  10. Okami_CCRN

    CNA jobs for those without diploma?

    I did the exact same thing you are currently doing. I took a CNA class when I was 15 years old and got hired that October at my local hospital. As long as you pass the written exam, get your...
  11. I live and work in NJ and we require 30 hours of CEU, but when renewal comes your CEU's are reviewed at random meaning you may or may not have to prove your CEU time. Its funny watching the RN's...
  12. Okami_CCRN

    New job: Problem with orientation-VENT

    At the facility I work a new nurse is given an 8 to 10 week orientation with a well seasoned and responsible RN. The first week you take a one patient assignment and then gradually work your way up...
  13. Okami_CCRN

    Unit Secretary Abuse

    I would report the situation to your Nurse Manager and explain that the patients constant use of the call bell was interfering with her ability to perform her job adequately. I would then suggest...
  14. Okami_CCRN

    how should this situation be handled?

    The person who did the poking was not in the nursing department from what I understand. The opener said the person who is an employee of the facility opened the med cart and withdrew an insulin...
  15. Okami_CCRN

    Morning Shift

    I used to work morning shifts as a CNA for about a year and half and it was awesome. Everything was done in a timely manner and patients were always helped and the team work was great. About 6 months...
  16. Okami_CCRN

    Morning Shift

    GrumpyRN63 I have worked all 3 shifts and I undersand the stresses of each shift but I find it increasingly annoying that when I come in after morning shift many things are left undone, things that...
  17. Okami_CCRN

    Know-it-alls

    I would totally do that for a patient, if i worked in
  18. Okami_CCRN

    how should this situation be handled?

    Well I believe incident reports and employee injury reports need to be filled out of course. This then needs to be reported the appropriate managers/supervisors. I would imagine Human Resources will...
  19. Okami_CCRN

    Do nurses get mad when..

    Our limit is two in my facility, most of us do not mind three but when you have like five or six then it gets annoying because our rooms are tiny and its hard enough to maneuver without visitors. Btw....
  20. Okami_CCRN

    Rapid Response Team?!?!

    So... my facility has recently implemented the Rapid Response Team which is supposed to be the precursor of a code blue. Only problem is most people either call the RRT to late or call the RRT when...
  21. Okami_CCRN

    Hospital Closing maybe Selling????

    I work for a hospital the acquire the famous Elizabeth General Medical Center in January of 2000 and the majority of the nursing staff on my unit came from the general and they say it was hard for...
  22. Okami_CCRN

    Rapid Response Team?!?!

    We do have specific criterias that need to be meet before calling the RRT such as O2 sat lower than 90%, HR over 140, Resps over 26, etc. It was just implemented on May 27th and many times I hear...
  23. Okami_CCRN

    Techs checking O2 sats

    At my facility we as CNA's and PCA's check vitals signs along with O2 Sats and chart it into the computer as well.
  24. Okami_CCRN

    Question about HIV and patient confidentiality

    Its not a matter of confidentiality being breached because you as a phlebotomist have become involved in the said patient care plan and so should rightfully be made aware of any conditions that could...
  25. Okami_CCRN

    Insubordinate CNAs

    I believe the reason why CNA's do not band together in a united front to administration is because of the fear of being replaced rather easily. If you are an older CNA making 16-18 dollars an hour and...