Okami_CCRN BSN, RN

When pushing small amounts of IV medication (think famotidine 20mg/2ml) it is important to use an appropriate sized syringe (I.e 3ml) because it'll allow you to actually administer at the appropriate rate. To answer your question, I typically w...

In a situation where you described (IVPB medication being incompatible with primary IVF) I would stop the primary IVF, disconnect primary line, red cap/dead end the line, flush IV and connect the IVPB medication with a compatible solution for the dur...

Typically an LPN may supervise an RN in an administrative capacity only, you should refer to your state's Nurse Practice Act for further guidance.

I think either unit would be beneficial in preparing you for a future in critical care. Although a pulmonary/respiratory SDU would probably give you more exposure to a greater amount of diagnoses/conditions.

Hey there, in the past year what I have seen for New Jersey has been anywhere from 48-60/hr. Lower on the range for a day shift positions and on the higher end for night shift and weekend differential.

We typically try to avoid physical restraint in my critical care unit and have pretty good luck with intravenous sedation. However, if the need arises we will start off with bilateral mittens if the patient is just touching or reaching, but not actua...

While VAP is always of concern in our mechanically ventilated patients, the actual incidence of VAP is quite low. One study found an incidence of 1.81% at the national level, or 1-2.5 cases per 1000 ventilator days. Most, if not all critical ca...

If we were cancelled for low census we could opt to use PTO or take it as unpaid time without any consequence to our FTE status. If we called out it would be coded as NPTO (unexcused absence) and we would be required to utilize our time bank.

You do whatever your heart desires, if you are content with your urgent care job and have no desire to work in a hospital then don't work in a hospital. I have done ICU, cardiac cath lab, insurance case management, inpatient case management, be...

In the acute care setting this order requires clarification from the ordering provider before being carried out. Per the ISMP range orders without objective measures to determine the correct dose should be excluded from orders as it can lead to error...

Good morning, welcome to AllNurses! I would encourage you to change your username to something other than your name; for privacy and anonymity. Regarding your assignment, I highly recommend you reach out to people in your life or network that a...

No, your license number remains unchanged and active. Once your application to multi-state / compact is approved your status will change from single state to multi-state.

@babyyoda I notified them in person and submitted a formal letter of resignation. I never elaborate on reasons for resigning, managers do not care and it usually causes more issues than it is worth.

It varies based on hospital. I know one hospital where nurses cannot place NGT/OGT, even in ICU. Another hospital nurses draw timed labs, but STAT labs are done by the residents.

Have you looked into case management? https://journals.lww.com/nursing/fulltext/2019/09000/case_management__an_overview_for_nurses.11.aspx

I think you have to do some serious soul searching regarding what you want to do next. Bedside nursing and case management are wildly different roles in an inpatient setting. I will offer some advice, if you want to do bedside nursing I recomme...

PTO: Prepare The Others You are entitled to your PTO, it is outrageous that in 2024 administration is out here denying people their hard earned right to time off. This is a special time for your sister and family, let your manager know tha...

I want you to understand that you did not fail in any shape, way or form. A new grad should never be hired into a float position, these positions require a few years of experience and solid understanding of a variety of patient conditions. If anythin...

Both jobs are drastically different, you have to think about what patient population you want to be working with? Pediatric Oncology will most likely be higher acuity, with intense family dynamics. Some of these children will not be getting bett...

I would avoid any job that requires you to sign a contract, especially if it has a clause requiring financial penalties for leaving early. Usually indicates issues with staff retention.

Hey there, You are correct it is difficult to get in contact with someone from the board of nursing in Puerto Rico. A previous discussion on the topic was posted in 2019, although I would go to the Departmento de Salud - Junta Examinadoras s...

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We do not use a brindle securement device for NGT placement in our ICU. We typically opt for OGT and if we anticipate the patient will need enteral nutrition/medication administration we will attempt to swap out the OGT for NGT prior to extubation. ...

In my experience PICC/Midlines have had STATLock securement devices and triple lumen catheters/introducers have been sutured in place.

I agree with Klone; the prudent option would be to take a refresher course and update your knowledge to current trends and expectations. I wish you luck!