Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. Okami_CCRN

    How often do you work overtime?

    Okami_CCRN replied to Convoy2022_TrumpSupporter's topic in General Nursing

    I rarely pick up overtime, only when it benefits me. I usually haggle and say I will work today if I can have off x day. If they say no, I let them know I cannot work overtime. I learned a long...
  2. Okami_CCRN

    Stay or go?

    Okami_CCRN replied to summertx's topic in General Specialties

    You are not alone, so many people have been in similar situations myself included. I once took a job at a level one trauma center working in their SICU, I very quickly realized it was a toxic...
  3. Okami_CCRN

    Peripheral pressors

    Okami_CCRN replied to Leah8183's topic in MICU, SICU

    Ideally we try to use less concentrated vasopressors in PIV's (I.e Norepi 4mg/250ml / Phenylephrine 25mg/250ml ). However, what is actually important is a good PIV that has blood return and is being...
  4. Okami_CCRN

    working as a nursing assistant with RN license

    Okami_CCRN replied to Sweetme2's topic in General Nursing

    I highly encourage you to look into an RN refresher course, you have been out of school for 7 years. As others mentioned working in a UAP role while holding an LPN/RN license is not the greatest...
  5. Okami_CCRN

    Safe Staffing Saves Lives

    Okami_CCRN replied to Heather Radder's topic in General Nursing

    Safe staffing is something that I am incredibly passionate about and was always the topic of my capstones both at the diploma and baccalaureate levels of my education. The data is abundant and...
  6. Okami_CCRN

    Raises for RN certifications

    Okami_CCRN replied to ICURN2177's topic in General Nursing

    I earned an extra dollar an hour for CCRN, some places give a yearly bonus of 1k for certification; it really just depends. However, as NRSKarenRN I have not seen anyone get paid or encouraged to...
  7. 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...
  8. 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...
  9. 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...
  10. 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...
  11. 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...
  12. 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
  13. 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...
  14. 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...
  15. 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...
  16. 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...
  17. 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...
  18. 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...
  19. 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....
  20. 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...
  21. 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...
  22. 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
  23. 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....
  24. 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
  25. 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...