Zaphod

Zaphod BSN, RN

ICU-CCRN, CVICU, SRNA

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All Content by Zaphod

  1. Would you apply regular barrier cream to a resident with a fungal infection?

    Zaphod replied to CoffeemateCNA's topic in Geriatric, LTC

    Both. Bareer cream is just that-bareer to moisture. The reason she has fungal rash is because of the moisture. Apply Nystatin first then bareer the area so when she is incontinent the skin is...

  2. what would you have done?

    Zaphod replied to brownbook's topic in General Nursing

    For some reason I have noticed Dilaudid causing more resp. arrests than any other. Is it just my

  3. Code Brown

    Zaphod replied to johnny depp23's topic in General Nursing

    hahaha, funny stuff. Well yes in the ICU the master nurse is cleaning poo with the BSN and ADN. Usually there are no CNA's in ICU so I dont know where you are gonna get one unless you hire one to...

  4. Turning Patients

    Zaphod replied to Sg0223RN's topic in MICU, SICU

    Lol, yes. Well we can do as much as we can, but I personally do not have a magic wand to turn them if no one is available. The good thing is that we can order bariatric beds that turn them. These beds...

  5. When to transition from non rebreather to bag valve mask?

    Zaphod replied to theodog's topic in MICU, SICU

    If I see the sats dropping, patient is AMS, not effectivly breathing I start bagging right away. I call resp. for ABG, ER doc for intubation(after notyfiing MD) and bag until they come to intubate....

  6. staffing

    Zaphod replied to icunurse1955's topic in General Nursing

    Yes, that sounds unsafe. an ICU RN cant have 1 ICU and few other patients. Maybe just give tele pt to one RN and ICU to other. A secretary to put orders and watch monitors would be a good idea. An ICU...

  7. My First Medication Error

    Zaphod replied to miss_sabrina45`'s topic in Patient Medications

    It will be ok-it happens. Happened to me too. This is probably a good time to examine your med-pass and figure out a system to prevent it from happening. Dont blame only yourself. Perhaps your...

  8. How do I get experience then...

    Zaphod replied to NurseMegh's topic in General Nursing

    Try psych units and drug rehabs. They hire a lot of

  9. New grad starting on Neuro-tele unit... nervous!

    Zaphod replied to brina8615's topic in General Nursing

    que? work as a CNA?Not after spending all that time and money for the RN. I say go for the job-it will be tough and will get even worse. But after a year or two you will be very marketable and it...

  10. Education Needed?

    Zaphod replied to greenfiremajick's topic in General Nursing

    In that situation I would get an RN as quickly and then go to a BSN to MSN program-thats another way to get there. In my area they still do not require a BSN and do not pay more for

  11. Most creative thing you've done or could do as an RN

    Zaphod replied to LuxCalidaNP's topic in General Nursing

    hmm, figuring out how to push 600cc of blood in in 10 min..(of course in a dire emergency)used a big stopcock and a large 60 cc syringe. Probably an old trick, but I take credit for figuring out this...

  12. Phone calls & families <sigh>

    Zaphod replied to nyteshade's topic in General Nursing

    Just last week Hi, this is Dr.Blah-blah, how is patient M. doing hmmm, are you a doctor on his case? No, she is my

  13. RN new to South Florida

    Zaphod replied to Laralynnwright's topic in General Nursing

    think Fresenius is the only dialysis company that trains. Da Vita requires experience. I have no idea how to establish yourself as a VIP private duty RN-only know how to get hospital jobs,

  14. Nursing 101

    Zaphod replied to Copper4's topic in General Nursing

    You have walkers?lol..some nice place. But truly, we dont have gait belts for the

  15. Nursing 101

    Zaphod replied to Copper4's topic in General Nursing

    I agree, although it depends what floor you are on. Where I work most people are on ventilators, so this issue doesn't arise often. And its true about post-ops they need to be out of bed

  16. LPN Internship in Mother/Baby!!!

    Zaphod replied to krltdy's topic in Ob/Gyn

    Your heart is in it and it will show. Listen to the nurses and follow their guidance. You will do just

  17. Nursing 101

    Zaphod replied to Copper4's topic in General Nursing

    Depends. I understand your point, however in the real world of nursing we sometimes have to weigh the risks v benefits. I will put a patient in a chair but will generally try to avoid walking anyone...

  18. I hate nursing..

    Zaphod replied to flygirls2's topic in First Year After Licensure

    I agree. experience is important, but it is a part of every profession as well as education. MBA is great as well as the many nurses who obtain their JD's. It might be just my opinion but I think if...

  19. Terified

    Zaphod replied to Zaphod's topic in CCU, Coronary, Cardiac

    Thank you guys. I expect it to be challenging, lot of work and very rewarding experinece. I will probably use this forum with my novice questions and for support. Now - I have to quit my previous...

  20. Terified

    Zaphod posted a topic in CCU, Coronary, Cardiac

    I just got a job in very well established Open heart unit. I have only 1 1/2 years medium acuity ICU experience and sometimes I have a hard time with IV sticks. On the other hand I have two bachelors...

  21. Terified

    Zaphod replied to Zaphod's topic in CCU, Coronary, Cardiac

    Thank you so much for replying and the encouragment. I really am not so concerned about the IV's, maybe Ill go to the ER once in a while for practice. The unit is very well established but I dont know...

  22. As good as, Better or Worse than you thought it would be...

    Zaphod replied to Krazy4pedsRN's topic in General Nursing

    Lol, I cried every day on my way home for about 3 months. All while applying to jobs at Target:)I also did go as a new grad to ICU and had a hellish preceptor who was on a mission to murder me. (We...

  23. Qualified New Grad RN, No one wants to hire!!!!!

    Zaphod replied to Brownie3085's topic in General Nursing

    Yes, Bethesda definitely. Thats where Im hoping to go too, just a different unit. Good luck. Took me 8 months to find a job as a new grad over 2years

  24. Can a hospital make you repay the cost of training you if you quit?

    Zaphod replied to confusedRN2010's topic in General Nursing

    not really. I personally know few people that left HCA contract positions and never had to pay back and it didnt go on their credit. They are even working for other HCA facilities now and/or their...

  25. what I wish I could say to my AAOX3 patients!

    Zaphod replied to Lola77's topic in General Nursing

    NO, best one. DO NOT have your family call me in the room, to ask me to TURN ON THE FAN ??? Do you people not see the huge ON/OFF switch. Geeez Or to brush your teeth if you have 2 perfectly working...