Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. Okami_CCRN

    Use of Bedside Supply Carts

    Okami_CCRN replied to NCline9's topic in General Nursing

    Just like Hoosier said, if the cart is kept inside the room it is considered contaminated, we place ours right outside the room. It is a six drawer cart where we keep IV primary/secondary tubing,...
  2. Okami_CCRN

    Use of Bedside Supply Carts

    Okami_CCRN replied to NCline9's topic in General Nursing

    Hey there, I was involved years ago with a project to utilize supply carts outside of our ICU rooms. I had to do a cost analysis to determine if supply cart utilization made financial sense, after the...
  3. Okami_CCRN

    ICU Nursing

    Okami_CCRN replied to CardiacDork's topic in General Nursing

    I’m also feeling very much the same way, looking to leave critical care
  4. Okami_CCRN

    OG tube securement, or NG?

    Okami_CCRN replied to JBMmom's topic in Critical Care

    If a patient is intubated we usually insert an OGT and secure it to the ETT using clear tape (transpore) so that the markings on the ETT can be visualized easily. Some of the literature out there...
  5. Okami_CCRN

    Would you hang these IVs?

    Okami_CCRN replied to Christina_'s topic in Nursing Student Assistance

    LR vs NS is a topic of debate when it comes to fluid resuscitation. While LR can make an alkalosis worse with the metabolism of lactate it usually arises when it is administered as a bolus. NS on the...
  6. Okami_CCRN

    Conflicted with New Grad ED/ICU job offer

    Okami_CCRN replied to handersRN's topic in Nursing Career

    Any specialty, be it medical/surgical, mother/baby, emergency, critical care has it's share of anxiety and skill set. It's absolutely normal to feel overwhelmed. I started my career in critical care,...
  7. Okami_CCRN

    Conflicted with New Grad ED/ICU job offer

    Okami_CCRN replied to handersRN's topic in Nursing Career

    Congratulations on the two possible job offers! Only you can truly decide what is important for yourself. With that being said some of the things that are important when starting a new position for...
  8. Okami_CCRN

    Bare bones staffing

    Okami_CCRN replied to smf0903's topic in Critical Care

    If there are only 1-2 patients in the ICU we are required to have at least 2 RN's present at all times. If an RN has to go off the unit another nurse must be present for
  9. Okami_CCRN

    How long did it take you to find out your dream specialty?

    Okami_CCRN replied to hp131071's topic in General Nursing

    I think we all go through something similar, I started off in critical care four years ago, now I am burned out. I'm actually thinking of making a switch to OR
  10. Okami_CCRN

    Infusion times....in a pickle...

    Okami_CCRN replied to mi_dreamin's topic in General Nursing

    You should follow your hospital's policy regarding medication administration. With that being said our current policy and practice is to infuse Zosyn over 30 minutes both the 4.5g and 2.25g
  11. Okami_CCRN

    Challenge Nursing Board?

    Okami_CCRN replied to cjohnMEDIC's topic in General Nursing

    void**
  12. Okami_CCRN

    Pts refusing to weigh

    Okami_CCRN replied to T-Bird78's topic in General Nursing

    We do our daily weights on the bed, so often patients don't even know they are being weighed. One of the most important things you can do is explain the importance of being weighed, from management of...
  13. Okami_CCRN

    Writing doctors orders without an actual doctors order

    Okami_CCRN replied to Toadroad's topic in Critical Care

    I have witnessed nurses who thought they were doing right by their patients by placing order for lactates, ABG's, and chest x-rays when they were "missing". Well a nurse once placed an order for a...
  14. Okami_CCRN

    Please Help! Abandonment and Retro Pay

    Okami_CCRN replied to YellowBirdz's topic in General Nursing

    You should look up what your state's board of nursing considers abandonment; more often than not you must have to accept a patient assignment and then abandon your patients by not reporting off to...
  15. Okami_CCRN

    Can PT or CNA feed a stroke pt

    Okami_CCRN replied to BSN_Studnt's topic in General Nursing

    Legally, yes the CNA and PCT have the ability to feed patients. The real question here is should they? If a stroke patient has such difficulty swallowing that they require more assistance than...
  16. Okami_CCRN

    A and P over Summer?

    Okami_CCRN replied to Broadstreetbully24's topic in Pre-Nursing Students

    When I was in nursing school we were advised not to take any classes with clinical nursing classes. I had classmates that decided not to listen to the advice and they either failed the nursing course,...
  17. Okami_CCRN

    Milrinone drip how to declot noncontinuous ports

    Okami_CCRN replied to Mmonroe1's topic in General Nursing

    error.
  18. Okami_CCRN

    Transfers out of ICU

    Okami_CCRN replied to jamielynn0802's topic in MICU, SICU

    In order to satisfy throughput our target time is one hour from the moment the patient is assigned a bed. Obviously this doesn't always work out especially if the floor cannot take report, but our ICU...
  19. Okami_CCRN

    Critical care med drips

    Okami_CCRN replied to rn1255's topic in Critical Care

    If you are already working in a critical care unit your best bet is to contact the pharmacy for policy and procedure regarding drip concentration and max rates. You will find that many facilities...
  20. Okami_CCRN

    New Grad interested in CCRN

    Okami_CCRN replied to RN28KtGold's topic in Critical Care

    I commend you for wanting to pursue certification in your specialty, however I wouldn't recommend studying until you have been in critical care for at least 2 years. At this time in your career you...
  21. Okami_CCRN

    I have a Low GPA Bachelor's Degree (2.26), and an Associates of Science(GPA 3.13) Options?

    Okami_CCRN replied to Nursingiq's topic in General Students

    My best advise is to do what is best in your situation, but also look at the costs versus benefit. Shop around before you commit to any single
  22. Okami_CCRN

    Seeking Advice about ADN. Please Help!!

    Okami_CCRN replied to brynryn17's topic in Pre-Nursing Students

    Error in
  23. Okami_CCRN

    Drawing up liquid medication

    Okami_CCRN replied to staceywilliams's topic in General Specialties

    I would draw up the medication with a 10ml syringe, there are .1ml markings so it would not be difficult to draw up the full 9.7ml
  24. Okami_CCRN

    Tips/tricks voiding trial

    Okami_CCRN replied to neogirl's topic in General Nursing

    I generally ask if they feel the urge to void, I attempt to get them into a more natural position if safe. If they can get out of bed safely I will stand males at the toilet/commode with some running...
  25. Okami_CCRN

    My First Day at the Neuro ICU

    Okami_CCRN replied to chemshark's topic in General Students

    Interesting that you bring up doing neuro checks while the patient is sedated, When I work in the Neuro ICU patients are sedated to a RASS score of 0 to -2. We usually pause sedation for a few minutes...