Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. Okami_CCRN

    Freezing At A Critical Time

    Okami_CCRN replied to PinkPeony's topic in General Nursing

    I would expect looking for your preceptor during an emergency/unknown situation to be a normal response for a new graduate nurse who is still in orientation, especially if there was other staff...
  2. Okami_CCRN

    How much I pick up affects my yearly evaluation?

    Okami_CCRN replied to Loly23's topic in General Nursing

    I would have politely requested that your manager remove the bit about picking up extra shifts from your evaluation prior to you signing the document, as picking up shifts in excess of your FTE status...
  3. Okami_CCRN

    Can I travel in L&D after only 1 year?

    Okami_CCRN replied to newgrad_13019's topic in General Nursing

    You are absolutely not ready to travel in a high stress specialty such as labor and delivery after one year of experience. As a travel nurse you are expected to be an expert in your specialty,...
  4. Okami_CCRN

    NaCl 23.4% for hyponatremia?

    Okami_CCRN replied to Aloe_sky's topic in General Nursing

    That is highly unusual, we only use 23.4% sodium for neuro patients who are at risk for herniation at my facility and it is reserved for critical care. I would reach out to pharmacy and...
  5. Okami_CCRN

    Feeling burnt out. Looking for advice.

    Okami_CCRN replied to Nurse12390's topic in General Nursing

    When I am feeling burned out, I start to actively look for other jobs. I have also switched to part-time, which has improved my work-life balance and done wonders for my mental health. I know not...
  6. Okami_CCRN

    What if your central monitoring system goes down?

    Okami_CCRN replied to nursetaylor91's topic in General Nursing

    If our central monitoring system in the ICU goes down, each individual monitor stores the vital sign data, you can go into the bedside monitor and print vitals for the desired interval to manually...
  7. Okami_CCRN

    How to support student nurse?

    Okami_CCRN replied to ER.NurseJea's topic in Emergency

    Having such a green nursing student in a high intensity specialty can definitely present some challenges, which you brought up. If this placement is part of a course, reaching out to their...
  8. Okami_CCRN

    No CNAs

    Okami_CCRN replied to PureNurse's topic in General Nursing

    The way you get management to listen is by leaving. Management has seen that a ratio of 1:6 with no nursing support staff hasn't led to a dramatic increase in patient safety events and so they...
  9. Okami_CCRN

    Why are Nurses Leaving the Bedside?

    Okami_CCRN replied to RN WRITER NC's topic in General Nursing

    It is difficult to point to one particular reason that is causing the exodus of staff nurses from hospitals. Work-Life Balance Hospitals across the country have little respect for work-life...
  10. Okami_CCRN

    Code Status- DNR After Resuscitation

    Okami_CCRN replied to newnursemoon's topic in General Nursing

    Thank you for the clarification; based on that answer then the code blue was called appropriately. It is so important that as nurses we have a goals of care/advance directive/healthcare wishes...
  11. Okami_CCRN

    Code Status- DNR After Resuscitation

    Okami_CCRN replied to newnursemoon's topic in General Nursing

    I'm a bit confused regarding this statement; you checked the chart and confirmed there were was not a DNR form, or you checked the chart and it was flagged as DNR, but did not contain the appropriate...
  12. Okami_CCRN

    ICU Experience for CRNA School

    Okami_CCRN replied to jasaye's topic in Student Registered Nurse Anesthetist

    This is completely dependent on the schools you are applying to; for example I know a few programs in my area that will not interview applicants that have community level ICU experience. I know...
  13. Okami_CCRN

    NJ Compact License Questions

    Okami_CCRN replied to PICUNURSE2020's topic in General Nursing

    If your primary state of residence is New Jersey and you hold a NJ Single-State license, then you do not need to re-fingerprint. The board will query your on-file fingerprints. It took me...
  14. Okami_CCRN

    Leaving job after 7 months

    Okami_CCRN replied to typicaltuesdaynight's topic in General Nursing

    I am of the firm belief that you do not owe a facility, management, or even colleagues an explanation as to why you are leaving. Your current position is not serving your current needs and so you are...
  15. Okami_CCRN

    Best and worst things to say/do when your patient dies to support the family/friends?

    Okami_CCRN replied to BeatsPerMinute's topic in General Nursing

    Learning how to approach end of life is such an important skill for nurses to master. I will usually explain to family how the dying process unfolds and what is normal; emphasizing that they can come...
  16. Okami_CCRN

    Should I have done more? Worried about a patient...

    Okami_CCRN replied to Dani_Mila's topic in General Nursing

    Based on the information you provided sounds like the patient may have aspirated, which could have been from the soda, dinner, lunch, etc. A CXR would have helped determine etiology of worsening...
  17. Okami_CCRN

    Continuing to work with patient if change job?

    Okami_CCRN replied to Ms Blue Sky's topic in General Nursing

    I agree with Hoosier, I believe that continuing to work with this patient outside of your new position requirements breaks the nurse-patient therapeutic relationship. I think as nurses we often...
  18. Okami_CCRN

    Can floating experience count as experience on my resume/applications?

    Okami_CCRN replied to lindsayCalifornia's topic in General Nursing

    I cannot agree more, DO NOT list your float experience to NICU as experience. When you are traveling you are expected to be an expert in your speciality that can function with little to no...
  19. Okami_CCRN

    Anyone have seen deline as Dr order?

    Okami_CCRN replied to Nzaus12's topic in General Nursing

    I have not encountered the term in practice, but can see how it can refer to removal of all lines. I most often see notes from infectious disease stating something along the lines of "recommend...
  20. Okami_CCRN

    Old Timer's Take on Fixing the Nursing Shortage

    Okami_CCRN replied to KathyDay's topic in General Nursing

    I think one of the larger issues affecting the nursing profession is that hospitalized patients are getting sicker, yet staffing does not represent that change. Patients who are currently on...
  21. Okami_CCRN

    Telemetry issue Safe and Sound

    Okami_CCRN replied to Nurse Pompom's topic in General Nursing

    New software is always going to have growing pains, you should be forwarding your concerns to the point person identified by your hospital; be that a representative or in-house IT. Regarding...
  22. Okami_CCRN

    Hourly vs Salary Position

    Okami_CCRN replied to Sadnewgrad's topic in General Nursing

    I prefer to be paid hourly; I found that as salaried I usually worked closer to about 45 hours per week and obviously wasn't compensated for that
  23. Okami_CCRN

    Giving False Bad Reference

    Okami_CCRN replied to FutureNurse0201's topic in General Nursing

    I agree, the situation you described is disturbing. However, I am surprised that the job candidate did not provide personal contact information for the reference, but rather the unit phone number....
  24. Okami_CCRN

    Transferring to Another Unit That is Less Stressful

    Okami_CCRN replied to kmarais1982's topic in General Nursing

    One of the things to keep in mind when transferring into a staff position is that usually there will be some other expectations such as attendance in staff meetings, mandatory staff education,...
  25. Okami_CCRN

    Level 3 vs level 1 Trauma Center

    Okami_CCRN replied to Alexxoxox's topic in General Nursing

    Personally, I would never commute more than 40 minutes for a job. I once had a commute that was theoretically 20 minutes, but with traffic would routinely turn into an hour commute that quickly became...