Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. Okami_CCRN

    Arguing Over a Patient Assignment

    Okami_CCRN replied to SilverBells's topic in General Nursing

    I am deeply troubled by this statement; patients deserve attention and care regardless of their insurance carrier and income. I think this is an opportunity to do some introspection and attempt to...
  2. Okami_CCRN

    Question About Vaccines

    Okami_CCRN replied to CommunityRNBSN's topic in General Nursing

    I agree completely with Wuzzie, you have to follow your policy and procedure; and you did the right thing by requesting that the assigned doctor (who is being paid) to be present for the vaccination....
  3. Okami_CCRN

    Kindred ICU

    Okami_CCRN replied to Doruko's topic in Critical Care

    Like Ghillbert mentioned, it is not an intensive care unit; what they are offering is post-ICU care for a select patient population (I.e. have a stable airway (trach) that cannot wean from ventilator,...
  4. Okami_CCRN

    Advice? The Ole' Bait & Switch (bonus shift)

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

    I have had this happen once to twice before, to remedy the situation I only make changes that benefit my schedule. When asked to make changes or pick up extra I ask if they are offering any...
  5. Okami_CCRN

    Kindred ICU

    Okami_CCRN replied to Doruko's topic in Critical Care

    I may be confused, but I am under the impression that Kindred facilities offer LTACH
  6. Okami_CCRN

    Nervous About Requesting a Transfer

    Okami_CCRN replied to UrbanHealthRN's topic in General Nursing

    I'm sure they did their due diligence and reviewed my employee file, evaluations, and contacted my references. In the initial stages HR and the hiring manager asked me if my director was aware that I...
  7. Okami_CCRN

    Nervous About Requesting a Transfer

    Okami_CCRN replied to UrbanHealthRN's topic in General Nursing

    I once transferred to another department, I did not tell my director until I had received the offer notice from Human Resources. At which time, the recruiter instructed me to inform my director, in...
  8. Okami_CCRN

    How often is Vecuronium given in the ICU setting?

    Okami_CCRN replied to Turtle in scrubs's topic in General Nursing

    My facility has the same policy; we only use vecuronium when our cisatracurium supply is low due to drug
  9. Okami_CCRN

    New ICU nurse, feeling depressed

    Okami_CCRN replied to nicegreen99's topic in General Nursing

    I think JBMmom gave you some great insight into what is currently happening in critical care across the country, as well as solid advice to promote mental health. I want to echo the importance of...
  10. Okami_CCRN

    Just now started job but received better offer?

    Okami_CCRN replied to Googlenurse's topic in General Nursing

    I have left two jobs within one month of starting; both reasons for leaving centered on a work culture that was not compatible with my own. However, I am sure I am not re-hireable at either location...
  11. Okami_CCRN

    New nurse burnout

    Okami_CCRN replied to nursetinabelcher's topic in First Year After Licensure

    I hear you loud and clear, I go through peaks and valleys in my specialty. These are some of the things I do to combat burnout: -Therapy (helps to evaluate and reflect on my feelings/situation)...
  12. Okami_CCRN

    Feeling Humiliated and Discouraged

    Okami_CCRN replied to missnursingstudent19's topic in General Nursing

    I understand that you are feeling dejected, and I hope that management used more tact than you described, when informing you that you are not a match for the charge/resource role at this time. With...
  13. Okami_CCRN

    PRN with little specialty experience…

    Okami_CCRN replied to Madi RN's topic in Critical Care

    I would not recommend working per-diem in an unknown specialty area. As per-diem staff you will receive at most 3-4 shifts of unit based orientation and be expected to function on your
  14. Okami_CCRN

    PRN holidays

    Okami_CCRN replied to holly150's topic in General Nursing

    The hospital I work for requires per diem staff to work a minimum of four shifts per month, one Summer, and one Winter holiday. It has been this way for over 15 years; so managers are lax on the four...
  15. Okami_CCRN

    Posting on Social Media

    Okami_CCRN replied to Kellyjustkelly's topic in General Nursing

    I do not see the point in involving your manager, let alone human resources in this matter. What I will suggest is excluding colleagues from your social media. I make it a habit to keep my work and...
  16. Okami_CCRN

    ED Nurse To Cath Lab

    Okami_CCRN replied to ely42's topic in General Nursing

    I did a quick stint in cath lab a few years ago, and I definitely recommend doing a shadow day. Some questions to ask: - who makes up the call team (usually it is a 3-4 person team of 2 RNs/2...
  17. Okami_CCRN

    Resignation Question

    Okami_CCRN replied to DSG28's topic in General Nursing

    Sounds like a less than ideal working situation, a few things: -Are you still on orientation? If so, do not be surprised if you are asked not to return. A few years back I resigned from a...
  18. Okami_CCRN

    Career Change

    Okami_CCRN replied to ICUnurse990's topic in General Nursing

    I worked as a bedside nurse in medical and surgical ICU's for about 6 years, after the third COVID wave I left for case management. I deeply dislike case management and the 9-5 lifestyle. In a few...
  19. Okami_CCRN

    Salary NJ

    Okami_CCRN replied to Nurseybl06's topic in General Nursing

    This is multifactorial; North NJ tends to pay more than South NJ, same thing applies to hospital system. Based on some new grad salaries you can expect around 36-40 an hour as a base
  20. Okami_CCRN

    Salary - Cardiac Cath Lab Nurse

    Okami_CCRN replied to clintonjohnson13's topic in General Nursing

    I worked cath lab for a bit and my pay was the same as when I worked in the ICU. My facility did not change pay based on
  21. Okami_CCRN

    Switching from part time to per diem during pandemic

    Okami_CCRN replied to RNthereyet?'s topic in General Nursing

    I do not want to discourage anyone from doing what is best for them and their families. However, many nurses in my state have reported employers informing them that if they were to resign to do...
  22. Okami_CCRN

    Not Getting Paid Overtime. Is This Illegal?

    Okami_CCRN replied to AnaBanana.RN's topic in General Nursing

    Overtime pay in healthcare facilities is anything over 40 hours/week. Not 8 hours/day. I have been working in various positions within healthcare for 17 years and it has always been this
  23. Okami_CCRN

    Similarities/differences between Trauma ICU/Regular ICU?

    Okami_CCRN replied to Guest1157033's topic in General Nursing

    This is a great student project to help you understand the patient population, diagnosis, and level of care patients require in different critical care areas. When you mention traditional ICU, I think...
  24. Okami_CCRN

    Any advice on when to put in 2-wk notice??

    Okami_CCRN replied to SweetBabyJames's topic in General Nursing

    Make sure you read your healthcare organization's policy regarding resignation. Most places in healthcare actually require a 4-week notice instead of the standard 2-week notice in the general...
  25. Okami_CCRN

    Mean nurse?

    Okami_CCRN replied to will_power27's topic in Patient, Colleague Relations

    I’ve worked 5 years of critical care and I don’t normally ask many questions when I’m getting report as I can read the chart quickly and figure it out most times. When giving report I only go...