Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. 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
  2. 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...
  3. 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
  4. 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...
  5. 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...
  6. 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...
  7. 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,...
  8. 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...
  9. 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
  10. 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...
  11. 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...
  12. 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,...
  13. 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...
  14. 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
  15. 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
  16. 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
  17. Okami_CCRN

    Challenge Nursing Board?

    Okami_CCRN replied to cjohnMEDIC's topic in General Nursing

    void**
  18. 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...
  19. 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...
  20. 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...
  21. 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...
  22. 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,...
  23. Okami_CCRN

    Milrinone drip how to declot noncontinuous ports

    Okami_CCRN replied to Mmonroe1's topic in General Nursing

    error.
  24. 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...
  25. 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...