Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. Okami_CCRN

    Should I do MSN education?

    Okami_CCRN replied to penny186's topic in General Nursing

    Hey there, I am currently in an MSN program with a focus on nursing education. It is an online program from my state university. Most programs will either be online or a hybrid model. My...
  2. Okami_CCRN

    Questions to ask about ICU

    Okami_CCRN replied to mango3456's topic in MICU, SICU

    I know your interview has probably come and gone, but here are some things that are important, especially for a new nurse -what is the turnover rate for the unit? -how long is the typical new...
  3. Okami_CCRN

    RN to BSN

    Okami_CCRN replied to Michelle7175's topic in General Nursing

    I cannot speak for Capella, but I did an RN-to-BSN program through my state college that was all online. I did have to do a clinical component for the public health nursing course, but it wasn't...
  4. Okami_CCRN

    Is this a HIPAA violation?

    Okami_CCRN replied to samurphy's topic in HIPAA Challenges

    No, sometimes working in a small community hospital you will inevitably care for someone who is in your sphere of friendship/family. Discussion of the connection with the patient is not a HIPAA...
  5. Okami_CCRN

    Nosy question?

    Okami_CCRN replied to guest1200295's topic in General Nursing

    I think you handled that appropriately, there have been multiple times where I have had people inquire about a patient out of curiosity or just wondering about an update and like yourself my response...
  6. Okami_CCRN

    NYCHHC+ Bellevue, ICU RN salary?

    Okami_CCRN replied to lrRN7's topic in General Nursing

    NYC has salary transparency laws in effect. The salary range should be posted on the job description. Hope that
  7. Okami_CCRN

    Education department access to employee health

    Okami_CCRN replied to dechospital's topic in General Nursing

    I had a very similar incident occur almost 10 years ago when I worked in an emergency department. I had completed my yearly PPD testing at a different employer and provided documentation to...
  8. Okami_CCRN

    Why do some fairly new nurses talk down about bedside nursing?

    Okami_CCRN replied to Googlenurse's topic in General Nursing

    I actually see bedside nursing as unsustainable in the long term. I have worked bedside MICU/SICU for a little over eight years and am burned out. I have seen co-workers have their PTO requests...
  9. Okami_CCRN

    Should I Be Worried On How I Handled Phone Call From State?

    Okami_CCRN replied to uniteddemclub's topic in Nursing Career

    Handling a call from the state is way above staff nursing pay grade. I would have politely declined the call and provided the telephone number to administration and ended the call. Also, do not...
  10. Okami_CCRN

    Looking for 3x12s, but not typical bedside position

    Okami_CCRN replied to mz330301's topic in Nursing Career

    I currently work full time (12 hours) in a non-clinical role. I work in bed management for a large urban hospital. My position consists of reviewing charts and assigning them to the appropriate...
  11. Okami_CCRN

    CRRT: negative patient fluid removal

    Okami_CCRN replied to Kate96's topic in MICU, SICU

    Sounds like the patient had an unintended fluid gain, this can come from the post filter fluid if you are running CVVH, CVVHD, or CVVHDF and are having access issues with frequent alarms stopping...
  12. Okami_CCRN

    How many I.V.'s

    Okami_CCRN replied to summertx's topic in Critical Care

    Like Marienm said some of the sickest patients I have cared for have 12-14 drips infusing, CRRT, art line, etc. In situations like this I will be using a triple lumen and probably 2-3 PIVs as well. It...
  13. Okami_CCRN

    Dialysis catheters

    Okami_CCRN replied to Aloe_sky's topic in General Nursing

    A lot of times nurses will call different catheters by their brand names, this especially rings true with "patient has a cordis", in reality patient has an introducer, but we know what it means....
  14. Okami_CCRN

    Hands-on skills course

    Okami_CCRN replied to FFEMTRNED's topic in Critical Care

    Exposure definitely helps, most of the hospitals in my area will not assign devices to new critical care nurses regardless of previous experience until they have about a year in. Also most of the...
  15. Okami_CCRN

    Hands-on skills course

    Okami_CCRN replied to FFEMTRNED's topic in Critical Care

    To be honest I have not heard of any refresher classes that will go over critical care skills. However, if you are looking to get into critical care (not ED), a reputable hospital will offer you 6-8...
  16. Okami_CCRN

    Charting Medications

    Okami_CCRN replied to thisnurse123's topic in General Nursing

    My favorite comment to use workload priority or bundled care for when meds are scheduled at 0800/2000, 0900/2100, and 1000/2200
  17. Okami_CCRN

    Charting Medications

    Okami_CCRN replied to thisnurse123's topic in General Nursing

    medication administration needs to be documented in real time to prevent medication errors. If a medication is administered late it is prudent to include a comment explaining the situation; I.e....
  18. Okami_CCRN

    Why do so many nurses work multiple jobs?

    Okami_CCRN replied to Lunah's topic in General Nursing

    I like to work multiple jobs because it keeps my burnout in check and offers me the flexibility to work in one position more/less frequently. It also is nice to make the extra
  19. Okami_CCRN

    Nxstage CRRT Documentation

    Okami_CCRN replied to Aloe_sky's topic in General Nursing

    I also let Epic calculate my IVF/Drip totals, and verify them for accuracy. We keep everything in the EMR because nephrology can view the CRRT progress remotely and call/secure message the primary RN...
  20. Okami_CCRN

    Delayed pain management before change of shift?

    Okami_CCRN replied to kpmadden83's topic in General Nursing

    What you describe definitely necessitates follow up. In our documentation system when a PRN medication is pulled from Omnicell/Pyxis it shows up in the eMAR as being pulled and "due" to be given. Our...
  21. Okami_CCRN

    Nxstage CRRT Documentation

    Okami_CCRN replied to Aloe_sky's topic in General Nursing

    I use Epic for CRRT documentation, our critical care wide policy is to document on the hour (2200, 2300, 0000, etc), what was pulled the previous hour, as well as machine pressures, warming devices,...
  22. Okami_CCRN

    IV Drug Compatibility

    Okami_CCRN replied to Adang93's topic in General Nursing

    I generally like to give albumin by itself or through a saline line; since most albumin (5% and 25%) goes in within 10-30 minutes. As other people posted when in doubt always refer to your...
  23. Okami_CCRN

    Delayed pain management before change of shift?

    Okami_CCRN replied to kpmadden83's topic in General Nursing

    There probably isn't much, if any research on the topic because it would be inappropriate to withhold pain medication that is requested by the patient solely so that the next shift can give it....
  24. Okami_CCRN

    Switched Jobs and Made A Huge Mistake....

    Okami_CCRN replied to Mckinneyhog's topic in General Nursing

    I have learned that the grass is not always greener on the other side after MANY attempts at escaping to the other patch. I think one of the major issues in their eyes was when you...
  25. Okami_CCRN

    Hospitals charging nurses $100/month for parking?

    Okami_CCRN replied to kubelkabondy's topic in General Nursing

    I purposefully avoid hospitals that charge staff to park on campus. I recall a few years back I applied to a well known hospital and when they offered me the job they mentioned that if I chose to...