Okami_CCRN BSN, RN

Critical Care, Capacity/Bed Management

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All Content by Okami_CCRN

  1. 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...
  2. 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...
  3. Okami_CCRN

    What do they want??

    Okami_CCRN replied to Forest2's topic in General Nursing

    I can tell you from personal experience that it is neither. Having recently taken several management and leadership courses I had to interview several of my coordinators and managers. When the topic...
  4. Okami_CCRN

    CNA Active Status?

    Okami_CCRN replied to KayeC's topic in Medical Assistant, CNA/MA

    It's not a stupid question. However, you should seek clarification from the LPN program for which you have
  5. Okami_CCRN

    Trouble with New Grad Orientee

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

    I agree with SpankedinPittsburgh, the best course of action would be for the new hire to orient with another nurse. I would reach out to the nurse educator overseeing the orientation and ask that...
  6. Okami_CCRN

    Workplace Drug Test

    Okami_CCRN replied to lexca's topic in General Nursing

    Very few facilities utilize hair for drug testing, I have always had to submit a urine
  7. Okami_CCRN

    Fall prevention

    Okami_CCRN replied to dontbetachy90's topic in Patient Safety Issues

    As MunoRN mentioned, delirium is a huge component to falls. Assessing your patients for delirium and instituting ways to cut down excessive noise and stimuli may help decrease your fall rates. With...
  8. Okami_CCRN

    Delegation/Legally responsible

    Okami_CCRN replied to Misstika's topic in General Nursing

    As the license holder you are ultimately responsible for the tasks you delegate. It is important that you evaluate the skill and competence of the person you are delegating to. What I usually do is...
  9. Okami_CCRN

    ACLS &PALS, Tax Deduction?

    Okami_CCRN replied to smc5127's topic in General Nursing

    usually your employer pays for BLS/PAL/ACLS certifications. Usually they say something like must obtain ACLS & PALS within 6 months of
  10. Okami_CCRN

    Nursing in Compact States

    Okami_CCRN replied to Ang11's topic in General Nursing

    Wherever you plan to practice is where you should seek
  11. Okami_CCRN

    Thoughts on Caldwell University

    Okami_CCRN replied to ashelly's topic in School, College Programs

    Before transferring to a school make sure you look at their tuition and fees. Caldwell University is a private college and as such has a pretty high tuition for both resident and commuting students....
  12. Okami_CCRN

    Break nurse residency contract

    Okami_CCRN replied to AdM1994's topic in General Nursing

    If you break your contract chances are you will owe some type of monetary compensation to the institution for the time and money they invested in you. If I were in your shoes I would stick it out and...
  13. Okami_CCRN

    Non opioid pain options

    Okami_CCRN replied to JBMmom's topic in General Nursing

    Ofirmev or IV acetaminophen works quite well, especially in the post operative patient. I have seen huge ex-laps on 1 gram q6h and rate their pain 1-2. Of course as other people mentioned ofirmev is...
  14. Okami_CCRN

    Taking the NCLEX in Texas

    Okami_CCRN replied to JamieNicholeRN's topic in NCLEX Exam, Programs

    Where you take the exam does not affect the types of questions you will be
  15. Okami_CCRN

    Best way into ICU

    Okami_CCRN replied to nps07's topic in General Nursing

    There are a lot of factors to consider, one of course would be to transition straight to ICU. Some places will hire and orient new graduate nurses for about 6 months with multiple classes to aide in...
  16. Okami_CCRN

    Returning nclex examiner

    Okami_CCRN replied to robato0002's topic in Nurse Registration

    I am a little confused, you mentioned receiving an ATT number in 2009, but not taking the NCLEX exam. This would mean that you do not a valid nursing license, how are you practicing
  17. Okami_CCRN

    Returning nclex examiner

    Okami_CCRN replied to robato0002's topic in Nurse Registration

    You should contact the board of nursing in the state you are seeking licensure; you may need to take a refresher course before being allowed to sit for the NCLEX exam. You will most likely need to...
  18. Okami_CCRN

    Can I be a nurse if I hate science?!

    Okami_CCRN replied to shayjulia's topic in Nursing Career

    Nurses are required to take college level chemistry, microbiology, anatomy & physiology I & II, as well as pathophysiology and nutrition. Beginning in an LPN program and transitioning to an...
  19. Okami_CCRN

    Can you titrate these drips?

    Okami_CCRN replied to MeganC012's topic in MICU, SICU

    Like Jdub6 mention, Narcan has a specific assessment that goes along with titration, we rarely use narcan as a drip. Pentobarb we do not use often, we prefer to use Versed for our status epilepticus...
  20. Okami_CCRN

    Quitting first RN job

    Okami_CCRN replied to hnwarden's topic in Nursing Career

    Being afraid and feeling incompetent is quite normal, especially when working in a high acuity setting such as the ICU. I hated, and I mean hated coming into work my first 9 months. I would have...
  21. Okami_CCRN

    Ventilator oral care

    Okami_CCRN replied to smf0903's topic in General Nursing

    Our facility was using the sage products as well, we were able to contract another company for some oral care packets, but I will say I miss the sage
  22. Okami_CCRN

    Ethical Dilemma

    Okami_CCRN replied to brandidiane1's topic in Nursing Student Assistance

    I don't think that is an ethical dilemma, that is more of exerting some control in a situation where they have little to no
  23. Okami_CCRN

    Power points in nursing school? And number?

    Okami_CCRN replied to Beldar_the_Cenobite's topic in General Students

    I never printed power point slides; instead I would bring my laptop to class and type up my notes within the power point program. The cost of ink and environmental factors of utilizing so much paper...
  24. Okami_CCRN

    TPN PICC Line Occlusion

    Okami_CCRN replied to Sunshine716's topic in General Nursing

    I would attempt to alteplase (tPA) the line as per protocol/policy. If it isn't patent and the patient no longer requires central venous access I would discuss with the team about discontinuing the...
  25. Okami_CCRN

    Can one obtain both a radiology and nursing license?

    Okami_CCRN replied to SweetLola648's topic in General Nursing

    I know of someone who first became an RN, didn't care for it and went back to school to become a radiology tech and worked as one for quite a long time. I'm sure someone could do it, but the amount of...