Bobjohnny

Bobjohnny specializes in ER.

Latest Activity

1. The Lamentations of a Distressed RN (New Grad)

   Bobjohnny replied to deebee20's topic in General Nursing

   I know an ED Attending that just started there. From what he said, they just went from a non-leveled to a Level 2 Trauma center with crap-all around besides them. I remember seeing a sign-on bonus for them not too awful long ago, $10,000 sign on bonu...

2. Ultrasound Guided IV insertions

   Bobjohnny replied to pluckyduck's topic in Emergency

   Ultrasound Guided Peripheral IV? No idea what an HCAHP is. Y'all really use lido for every IV insertion? That seems excessive, at least to me, but to each their own. My thought process for this has always been, "Why get stuck twice when you can get s...

3. "I'm a nurse!"

   Bobjohnny replied to applesxoranges's topic in Emergency

   Your story actually made me lol Ruby Vee

4. Why did you decide to become a nurse?

   Bobjohnny replied to sd610's topic in General Nursing

   That is completely how I ended up in nursing. It was a 2 year degree that made decent money. Fortunately it's something I'm not terrible at, and only hate my job a couple days a week. Although I am a bit of a nurse nerd now, and occasionally read Upt...

5. What is the difference between TCRN and TNCC?

   Bobjohnny replied to qcbrink's topic in Emergency

   TCRN is s specialty certification much like CEN, CPEN, etc. These specialty certifications are supposed to indicate that you've achieved an advanced level of competence in the specialty area. I can only speak specifically for the CEN as that is the o...

6. Which Trauma ER??

   Bobjohnny replied to pdiddle's topic in Emergency

   I've never worked at a leveled trauma facility (my state only does 1, 2 & 3). But, I can say with confidence that you will see plenty of crap shows at any facility. What kind of volume does the level 4 see? From many of the nurses I've spoken to ...

7. Transporting Patients from ER to Floor. Your Process?

   Bobjohnny replied to melmacrn's topic in Emergency

   The way that it helped level load this a facility I previously worked at was that during the 'Golden Hour' ED was required to transport all patients. From 0600-0800 & 1800-2000 all admits were required to be transported by the ED RN. The rest of ...

8. "I'm a nurse!"

   Bobjohnny replied to applesxoranges's topic in Emergency

   The two things I've seen that work well when people show up unwanted at your door are: imply that you're a polygamist & answer with a firearm in sight. In neither case have the unwanted visitors returned.

9. Studying for CEN

   Bobjohnny replied to dee789's topic in Emergency

   If you haven't taken those classes or ACLS, PALS, etc. for some reason take them close to when you test. I took my PALS renewal on a Friday and took my CEN on the following Monday. I knew my pediatric algorithms backward and forward. I'm uncertain a...

10. Subtle deterioration on the floor

    Bobjohnny replied to Lev's topic in General Nursing

    This seems to be the biggest factor that our facility has identified in regards to patients deteriorating without being noted. We had a relatively high proportion of new grads (about a year ago we had somebody that had been a nurse for 5 months doing...

11. Phenergan dilution

    Bobjohnny replied to EDnatasha's topic in Emergency

    Seems like an awful lot to waste if you're giving it IM. Or is it coming from pharmacy at 25mg in 50ml? I'd hate to stick a patient that many times.

12. $15 Min Wage - Effect on RNs

    Bobjohnny replied to FutureDNP2021's topic in General Nursing

    I do believe the amount of money that the indicated CEOs are making is ridiculous. The CEO of my hospital is an absolute idiot, he is a super nice guy but still an imbecile. But a fair wage is what you choose to work for. If the minimum wage was $15 ...

13. CEN 2016!

    Bobjohnny replied to Lev's topic in Emergency

    As others have indicated, Sheehy's is good.

14. creating resume for entry level leadership/management positions

    Bobjohnny replied to Yuppers21's topic in Management

    Also make sure that you talk up being a resource to fellow staff and how you perform service recovery in this position. Make sure to have examples in mind of the normal off the shelf questions if you get an interview. Ex: Tell me about a difficult s...

15. Reason for IV fluids

    Bobjohnny replied to Matt8700's topic in Emergency

    I've seen on numerous occasions where we give patient satisfaction IVF, Duonebs, etc. Heard a provider call it that one time, and the term has stuck and pervaded our ED for such treatments.