Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. 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...
  2. 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...
  3. 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
  4. 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....
  5. 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,...
  6. 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...
  7. 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...
  8. 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....
  9. 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,...
  10. 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...
  11. 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
  12. 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...
  13. 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...
  14. 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
  15. 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...
  16. 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...
  17. 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)...
  18. 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...
  19. 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
  20. 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...
  21. 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...
  22. 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...
  23. 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...
  24. 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...
  25. 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