Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. 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
  2. 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...
  3. 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...
  4. 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...
  5. 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...
  6. 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)...
  7. Okami_CCRN

    In Need of Career Advice

    Okami_CCRN replied to CookieRoo9413's topic in General Nursing

    You do whatever your heart desires, if you are content with your urgent care job and have no desire to work in a hospital then don't work in a hospital. I have done ICU, cardiac cath lab,...
  8. Okami_CCRN

    Medication Order

    Okami_CCRN replied to Nurse1282's topic in General Nursing

    In the acute care setting this order requires clarification from the ordering provider before being carried out. Per the ISMP range orders without objective measures to determine the correct dose...
  9. Okami_CCRN

    Interviewing A Nurse : Assignment

    Okami_CCRN replied to iluvshawarma's topic in General Students

    Good morning, welcome to AllNurses! I would encourage you to change your username to something other than your name; for privacy and anonymity. Regarding your assignment, I highly recommend you...
  10. Okami_CCRN

    Does your single state license get deactivated as you apply for your multi-state compact license?

    Okami_CCRN replied to Revolutionaryroad's topic in General Nursing

    No, your license number remains unchanged and active. Once your application to multi-state / compact is approved your status will change from single state to
  11. Okami_CCRN

    Quitting while on orientation

    Okami_CCRN replied to MDelainy's topic in General Nursing

    @babyyoda I notified them in person and submitted a formal letter of resignation. I never elaborate on reasons for resigning, managers do not care and it usually causes more issues than it is
  12. Okami_CCRN

    Is it true that unionized nurses in NYC don't do lab draws, catheters, EKGs, etc.?

    Okami_CCRN replied to Ramona Abramov's topic in General Nursing

    It varies based on hospital. I know one hospital where nurses cannot place NGT/OGT, even in ICU. Another hospital nurses draw timed labs, but STAT labs are done by the
  13. Okami_CCRN

    Is there a place for me?

    Okami_CCRN replied to Shannonv5's topic in General Nursing

    Have you looked into case management?
  14. Okami_CCRN

    How did you get back to bedside after years in a non-clinical position?

    Okami_CCRN replied to Curious1alwys's topic in General Nursing

    I think you have to do some serious soul searching regarding what you want to do next. Bedside nursing and case management are wildly different roles in an inpatient setting. I will offer some...
  15. Okami_CCRN

    Quit my RPN in training position

    Okami_CCRN replied to Novice Nurse's topic in General Nursing

    I want you to understand that you did not fail in any shape, way or form. A new grad should never be hired into a float position, these positions require a few years of experience and solid...
  16. Okami_CCRN

    Advice on which job offer to take!

    Okami_CCRN replied to K. Davis's topic in General Nursing

    Both jobs are drastically different, you have to think about what patient population you want to be working with? Pediatric Oncology will most likely be higher acuity, with intense family...
  17. Okami_CCRN

    Advice on which job offer to take!

    Okami_CCRN replied to K. Davis's topic in General Nursing

    I would avoid any job that requires you to sign a contract, especially if it has a clause requiring financial penalties for leaving early. Usually indicates issues with staff
  18. Okami_CCRN

    Puerto Rico License

    Okami_CCRN replied to islandbsn's topic in General Nursing

    Hey there, You are correct it is difficult to get in contact with someone from the board of nursing in Puerto Rico. A previous discussion on the topic was posted in 2019, although I would go...
  19. Okami_CCRN

    Ageism in Nursing Employment

    Okami_CCRN replied to Jmd623's topic in General Nursing

    error
  20. Okami_CCRN

    NG and OG tube securement in ICU

    Okami_CCRN replied to Tary's topic in Critical Care

    We do not use a brindle securement device for NGT placement in our ICU. We typically opt for OGT and if we anticipate the patient will need enteral nutrition/medication administration we will attempt...
  21. Okami_CCRN

    PICC/Central Line Dressings

    Okami_CCRN replied to staceyp413's topic in General Nursing

    In my experience PICC/Midlines have had STATLock securement devices and triple lumen catheters/introducers have been sutured in
  22. Okami_CCRN

    NCLEXRN After 12 Years

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

    I agree with Klone; the prudent option would be to take a refresher course and update your knowledge to current trends and expectations. I wish you
  23. Okami_CCRN

    Ageism in Nursing Employment

    Okami_CCRN replied to Jmd623's topic in General Nursing

    It is incredibly unfortunate that you are having a difficult time obtaining a position with less time commitment. I do not know if it is necessarily ageism though; my experience is that it is usually...
  24. Okami_CCRN

    Quitting while on orientation

    Okami_CCRN replied to MDelainy's topic in General Nursing

    Emergent put it beautifully, orientation is a two-way street. Just like an employer can terminate your position, you can do the same. I have quit one per-diem position after a few weeks due to the...
  25. Okami_CCRN

    Endorsement in California

    Okami_CCRN replied to MinasMOM's topic in General Nursing

    Your best bet is to call the board of nursing and ask specifically about your school. You will most likely be asked to leave your contact information and someone from the board will return your call....