zoidberg BSN, RN

Critical Care

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All Content by zoidberg

  1. zoidberg

    Stressed as a nurse. Experience needed to be a Nurse Educator?

    zoidberg replied to Jennifer George's topic in Nursing Career

    Several Things... -Honestly nurse educators at my institution are more paper pushers than anything else. Figure out the role at your place of work. -At least an MSN in education is what you...
  2. zoidberg

    New Nurse

    zoidberg replied to WickedSmahtRN's topic in School

    Agree with other poster. I have a close friend who enjoyed a long career in an elementary school. You need to be able to act quick and trust your instincts. If you don't like 12 hr shifts, explore...
  3. zoidberg

    Incident Report

    zoidberg replied to beeble's topic in General Nursing

    I honestly agree with what you did and here is why. I disagree with safety systems being used this way. It rarely solves anything. If that nurse had an issue, why not bring it up during report? "hey,...
  4. zoidberg

    School Not Allowing Us to Take NCLEX

    zoidberg replied to JDS's topic in NCLEX Exam, Programs

    My program also had required testing but it was just ATI. Then ATI based review questions for those who didn't pass. ATI was much harder than NCLEX. Maybe you can provide data showing how likely it is...
  5. zoidberg

    How to Start an IV with an Ultrasound Machine: Transverse Mode

    zoidberg replied to Damon McGill's topic in Critical Care

    Please note: refer to state BON and facility policies before performing skill, some locations require additional education and/or supervised insertions prior to using this
  6. zoidberg

    One Year in and I’m done

    zoidberg replied to paraRN's topic in General Nursing

    True. Though I do not know what experience OP has from being a Medic, so I figured I may throw it out
  7. zoidberg

    One Year in and I’m done

    zoidberg replied to paraRN's topic in General Nursing

    Look into flight/transport. If you get an RN transport job it will pay better than medic jobs but be as far away from bedside as you can
  8. zoidberg

    Eighteen Days: My COVID Story

    zoidberg replied to mperry's topic in Disaster Preparation

    So sorry you went through this. To be honest I too stopped giving as much hope as usual because I was broken and had no hope myself. Every time I was remotely positive when it looked like a patient...
  9. zoidberg

    Addressing the Nursing Burnout Crisis

    zoidberg replied to Nursing CE Central's topic in Nursing News

    I think its not that simple, and its more of an individual journey to burnout, not as a workplace. Yes, workplace conditions greatly influence it, but we all see different people burn out at different...
  10. zoidberg

    Writing “poop” is unprofessional?

    zoidberg replied to guest1143647's topic in General Nursing

    not as bad as the less correct alternative to purulent either
  11. zoidberg

    Bedside Nurse- Wants to leave/anxiety/stress

    zoidberg replied to Nurse123321's topic in Nursing Career

    You have endless options. Case Management or Utilization Review may be a good thing to look into. You stay in the hospital usually but no hands on patient care. Do you have your BSN? It is often...
  12. zoidberg

    The Nursing Experience: Defining Moments That Change Us

    zoidberg replied to Tina Hayes's topic in General Nursing

    Great post. It took me a while to accept that those I have been with when they passed on (too many to remember) and the host of emotions that come with them, isn't something I can "recover" from, it...
  13. zoidberg

    Epic HIPAA violation

    zoidberg replied to EmNightShamala's topic in HIPAA Challenges

    It is really easy to technically open the chart in EPIC. Even hovering or performing a search which populates certain patient information can qualify as a violation. Be very careful. Side note,...
  14. zoidberg

    New Grad Stuck In Orientation In A Covid MICU. Help!

    zoidberg replied to themurse's topic in General Nursing

    Don't dwell on it. If you have been with covid ARDS patients for a bit you know they need a crap ton of sedation. Just take note of what the orders say on paper so you can chart pretty (titrate by 5...
  15. zoidberg

    The Wage Gap Myth

    zoidberg replied to car48's topic in Men in Nursing

    Whoa there. Who will answer the phones and file papers if its only us guys ? Seriously though, its about having a mix of different people and backgrounds to make a team able to connect with and...
  16. zoidberg

    Restraint use in ICU

    zoidberg replied to Abetterway's topic in MICU, SICU

    IMO, it is a safety issue to not have restraints. Anything can happen in the ICU, and I am leaving them on just in case. If you have them on the correct way, they will not harm the
  17. zoidberg

    Do you work with PA lines often? Are they really a thing of the past?

    zoidberg replied to BeatsPerMinute's topic in Critical Care

    We use them often in our MICU for pulm htn patients and in CTICU/CCU for most patients. Depends on the unit, but we regularly wedge (q4 for cards patients) and calculate CO #s and have available for...
  18. zoidberg

    The Gap Between East Coast & West Coast Nursing

    zoidberg replied to ArticulateRN's topic in General Nursing

    I think I work at said waterlogged hospital you speak of. I spent the last year in the covid/overflow ICU. I am not OK. I should stop so I don't say too much and get fired. Glad you are out. I am away...
  19. zoidberg

    Chaining Stopcocks instead of Y-Siting Multiple Lines?

    zoidberg replied to BiscuitStripes's topic in Critical Care

    I couldn’t live without manifolds. If I walk into my patients room and things are y-ED together then it is now tubing change day and I get new everything and start over. cant stand the IV
  20. zoidberg

    Asymptomatic, no known exposure: Should we get tested?

    zoidberg replied to RNrhythm's topic in Disaster Preparation

    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...
  21. zoidberg

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

    zoidberg replied to nurse54361's topic in General Nursing

    ? This. I literally am a goldfish with who I take care of. It’s a good skill to
  22. zoidberg

    President Trump and the First Lady Test COVID Positive

    zoidberg replied to NRSKarenRN's topic in U.S. Politics's Talk 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...
  23. zoidberg

    What are your covid + medical floor/non ICU nurse patient ratios? And other questions..

    zoidberg replied to justjRN's topic in Disaster Preparation

    Our med surg nurses get typically 4 patients, 5 if they are short. One tech per about 10 patients, sometimes less patients. We use a new n95, gown, gloves, shoe and hair covers, and eye protection for...
  24. zoidberg

    FFP Transfusion Rate

    zoidberg replied to RN_007's topic in Disaster Preparation

    we run RBC and FFP at 150ml/hr, cryo and platelets run as fast as patient/access can handle. I would say treat it like you are infusing regular ffp, follow your usual
  25. zoidberg

    Feeling bad

    zoidberg replied to lorias's topic in General 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...