zoidberg BSN, RN

zoidberg has 6 years experience as a BSN, RN and specializes in Critical Care.

zoidberg's Latest Activity

1. 

   Asymptomatic, no known exposure: Should we get tested?

   zoidberg replied to RNrhythm's topic in COVID

   I have cared for covid patients almost every day since may, including 3 months in a closed covid ICU which was PPE on-zone for the whole shift. we intubated everyone with our regular PPE/n95s on, had people on high flow, bipap, bagged people, etc. I have never had symptoms or been tested. I have been very careful in my personal life. me and my family haven’t had close contact with anyone other than a couple other family members who are on the same level of covid safety as we are, and they help us with child care. my kids aren’t in school/day care. I personally think, if you are only taking care of tested, negative patients, AND you are being careful, you don’t need to test unless you get symptoms.
2. 

   How do I trust my judgement after this? First Patient Death

   zoidberg replied to nurse54361's topic in Nursing

   👆 This. I literally am a goldfish with who I take care of. It’s a good skill to have.
3. 

   President Trump and the First Lady Test COVID Positive

   zoidberg replied to NRSKarenRN's topic in Politics

   I begin thinking of the ethical considerations of him getting all the experimental treatments right now compared to my patients who are only getting plasma and remdesivir after they are tubed and sent to me 🧐 then again, I don’t know if getting all the treatments is good or bad yet. will be interested to see how it unfolds
4. 

   What will nursing look like after COVID-19?

   zoidberg replied to Lightning Rose's topic in COVID

   I’m planning my bedside exit. If 3:1 is now acceptable in the ICU... I’m out. You’re delusional if you don’t think admin hasn’t noticed just how “productive” we can be and just how little staff we can run with.
5. 

   Feeling bad

   zoidberg replied to lorias's topic in Nursing

   Right. You should always know if your patient is DNR while continuing medical treatment (do everything you normally would, other than resuscitation, intubation, defib, etc), or strict comfort care with no escalation of care, which would mean morphine for air hunger or ativan for agitation, and so on. I mean... the patient could have just needed some diuresis, so a call to provider and potential inpatient stay may have been appropriate. There is so much gray area in goals of care so remember to ask specifics on what patients and families wishes are, and find out if no one seems to know. Not being critical. Every shift is something to learn from.
6. 

   Covid wedding... am I the bad guy?

   zoidberg replied to zoidberg's topic in COVID

   Thanks for the input everyone.
7. 

   Covid wedding... am I the bad guy?

   zoidberg posted a topic in COVID

   My brother had a wedding planned for august. covid is just now spiking where I live, I work in critical care, and have been taking every precaution to keep myself, my wife, and our two young children safe. We are ‘healthy’ and in our 30s but my wife has asthma. They now are thinking about reducing number of guests (not confirmed). I told him I cannot guarantee my presence at the wedding and he now says he doesn’t want to get married if I can’t come. I am annoyed he’s putting this on me. I get he wants me there but I have to do what’s best for me and my family. Some family friends just all tested positive after a small graduation gathering. I see this as no different. I cannot foresee what life will be like in two months with how rapidly the number of cases and patients has increased in the last couple weeks. Am I the bad guy for telling him to take me out of the equation and he can prop me up on an ipad if we have to? Thanks for any input.
8. 

   I can't believe this - wearing a mask during the test?

   zoidberg replied to guest1059427's topic in NCLEX

   I think you can adapt. If you made it this far you can make it through this hurdle. It’s crazy how fast covid PPE started to feel normal for me. You’ll be just fine!
9. 

   Forearm First!

   zoidberg replied to LibraNurse27's topic in Nursing

   When i train someone on US guided PIV... stick in this order forarm cephalic vein(on top of bicep, not near major arteries or nerves) basilic brachial Do NOT stick the brachial veins until you are experienced enough to know you can find and avoid the brachial artery and nerve. you will probably do lots of basilic and brachial IVs as patients have been stuck over and over. If you are skilled, a good PIV can last several days or even a week or more. This is often enough time to get to discharge without a PICC. of course, if they have an indication for a central line, advocate for one.
10. 

    Patients in Med Surg Needing 1:1

    zoidberg replied to AlmostThere19's topic in Nursing

    Do you have any non restraint Posey brand devices? Posey bed, posey belt, activity vest, etc?
11. 

    CoWorker using a patient's medication

    zoidberg replied to BlondieRN19's topic in Relations

    Anyone else grossed out by someone sharing ANY multi dose topical???🤮
12. 

    Witchcraft Resurgence

    zoidberg replied to HelpfulNatureHopeful's topic in Nursing
13. 

    Internal transfer

    zoidberg replied to tsidnaleri's topic in Nursing

    I cannot speak for your manager, but some like to hear from you before they hear from HR that you are interested in another position. Every situation is different, though.
14. 

    Can a POST-BAC DNP teach at University level?

    zoidberg replied to gkolson's topic in Doctoral

    I would imagine a DNP would be acceptable. MSN or higher at my local college for BSN teaching... and DNP is higher. Try to do some part time teaching on the side, as they will want experience. Ask if you can add specialized education courses on to your degree if you are serious about a teaching role.
15. 

    Getting My Graduate Degree: Is it Worth It?

    zoidberg replied to Brenda F. Johnson's topic in Nursing

    The MSN, regardless of specialty, opens doors to positions (in my hospital at least) that aren’t options for BSN nurses. I think it depends on where you work and what you want to do with the degree. Keep your head up! If you find yourself losing interest in informatics, ask your mentor if you can switch to management!
16. 

    265 questions is almost guaranteed if your a male.

    zoidberg replied to wilderness47's topic in NCLEX

    All anecdotal. I passed at 75. Maybe you should have done more practice questions?