Bobjohnny

Bobjohnny

ER

Member

  • Content

    99

  • Visitors

    2,418

  • Followers

    0

  • Likes

    2

All Content by Bobjohnny

  1. Suture kit advice-what do you use?

    Bobjohnny replied to Regal95's topic in Emergency

    We unfortunately have slowly had to switch to the disposable suture kits. For some reason the residents kept discarding the reusable ones, so we got away from the terrible expense. I know Medline...

  2. Working on our STEMI policy

    Bobjohnny replied to Sully Nurse's topic in General Nursing

    Are you looking to rework the policy for ED, inpatient, or both? Do you have hospitalists if reworking the inpatient side? We currently do something similar to what you indicated. Only a provider(Doc,...

  3. New ER nurse.. Any tips?

    Bobjohnny replied to emergencynursy's topic in Emergency

    Our facility will hire new grads. Typically we only hire new grads that have either done a preceptorship in our department or already work there in some capacity (EDT or US). I've seen us hire a...

  4. New ER nurse.. Any tips?

    Bobjohnny replied to emergencynursy's topic in Emergency

    Study for boards. Passing them is not a given. Passing, or not, is not a reflection of competence of the individual who takes the test though. Badically, worry about passing boards

  5. External Jugular Cannulation Procedure

    Bobjohnny replied to sarah.cutting's topic in Emergency

    Sorry to derail the thread, but I have seen an instance where EMS brought a guy in with a tourniquet around his neck. They didn't put it on, of course. The Nurse at the jail did, after a guy's cellie...

  6. What is the drug of choice in your area?

    Bobjohnny replied to Momma1RN's topic in Emergency

    Rural Ohio is full of heroin & ETOH. Our ED averages about 130-145 volume a day a probably sees 5-6 overdoses a day. Think we saw our first two cases of flakka about 2 weeks ago. The female half...

  7. New Nurse IV Struggles

    Bobjohnny replied to mer015's topic in First Year After Licensure

    A point that I forgot to bring up previously. Most people have a really good vein in at least 1 of 4 places. Their index fingers or their thumbs. This is not intended to be cruel or a punishment to...

  8. New Nurse IV Struggles

    Bobjohnny replied to mer015's topic in First Year After Licensure

    Another suggestion that our facility occasionally uses, if available, see if you can spend a day in Pre-op or the ED. Just spend the day starting IVs. If that could be available to you, ask your...

  9. CEN Study Recommendations

    Bobjohnny replied to apBSNRN15's topic in Emergency

    None of the stuff I used was helpful except for Boswell's videos. The "Pass CEN!" prep book was probably good once upon a time. But, is now dated. There is an app called "CEN" by a company called...

  10. ICU RN considering moving to ER

    Bobjohnny replied to DesertSky's topic in Emergency

    Others have already hit this nail on the head. Bundle care & look at Pixie's quote below. Absolutely on point. Priorities shift all the time. There are some exceptions to eyeballing new...

  11. ICU RN considering moving to ER

    Bobjohnny replied to DesertSky's topic in Emergency

    Not being phenomenal at starting IVs doesn't matter, you'll get plenty of practice. If you're really concerned about, depending on facility policy, see if you can IV ultrasound trained and/or IO...

  12. RN's in my ED are having a problem with a tech, need advice

    Bobjohnny replied to LyndsaySRN's topic in Emergency

    Something I point out to my staff is, please don't just talk to me about it. Send me an email, then I have written documentation. Without that written documentation, I can't do jack squat. Make sure...

  13. CEN 2016!

    Bobjohnny replied to Lev's topic in Emergency

    I took my CEN yesterday and passed with the minimum 105(talk about close). But, the reason for the quote. If nothing else watch Boswell's videos. I also picked up the (outdated) Pass CEN! book....

  14. Does Level of Trauma Center matter?

    Bobjohnny replied to NurseMedic28's topic in Emergency

    It is at the community hospitals and the non-leveled facilities that you often get the patient before they even go to a trauma center. I've seen us run all 6 units of O neg that our facility keeps on...

  15. CEN 2016!

    Bobjohnny replied to Lev's topic in Emergency

    Mine is here in about 2 weeks. I definitely haven't studied enough. I'm taking it on a Monday, have PALS on the Friday before and then I'm off all weekend. The Mrs. is working all weekend as well, I...

  16. Where do I belong?

    Bobjohnny replied to Jrhemming's topic in Emergency

    It get slightly more interesting once you've been a nurse long enough to be in Triage. Deciding in 2 minutes of talking to a patient, doing a set of vitals and an observational assessment if a patient...

  17. Newbie in ER, feeling hopeless

    Bobjohnny replied to MsPebbles's topic in Emergency

    I know our facility requires a two week notice, regardless of if you're on orientation. Although we will give you an immediate release of you are on orientation because it is of no benefit to have you...

  18. Interview

    Bobjohnny replied to ccocker's topic in Emergency

    It's a legitimate question, I was this question in my initial interview for ER & now I ask it. What sets you apart? Are you somebody who is passionate about working in this clinical area? Why? I...

  19. Administering Tylenol to a friend

    Bobjohnny replied to Em31200's topic in General Nursing

    The post prior to the one that you quoted stated that the person they would be checking the pulse ox on was a patient. So I must agree, not checking a pulse ox on a patient (if you think that you need...

  20. ER NURSE PEEVES

    Bobjohnny replied to wojoRN's topic in Emergency

    In the same grain "Oh, hey Bobjohnny. I haven't seen you in a few days." I reply "Hey, Patient. Your birthday is still x/xx/xx right?" When receiving them as a squad into the EMR. If you're here so...

  21. Verbal Hand-off Reports - Are they no longer necessary?

    Bobjohnny replied to yr.pedsnurse's topic in General Nursing

    It's also unsafe for the patient to sit in the ED. Patient morbidity and mortality increases for every hour they spend in the ED after they are admitted as an inpatient. Additionally, every minute...

  22. Charge RN Shift Summary/Report?

    Bobjohnny replied to ievent2's topic in General Nursing

    Our Charge report typically consists of "Any inpatient holds? Anybody going down the tubes fast?" "Are there 5 squads currently inbound? No? Really?! And the lobby is almost empty!" "See ya in the...

  23. What was the MOST ridiculous thing a patient came to the ER for?

    Bobjohnny replied to JUSTYSMOM's topic in Emergency

    Amp of salt Peter stat! The part that gets me is: I don't even understand. I guess it is better to not know

  24. Does it get "easier"?

    Bobjohnny replied to Momma1RN's topic in Emergency

    I know the feeling. I'm always in 1 of 3 places (partly because our department has hardly anybody with any experience anymore): trauma bay, triage or in charge. OP: Freezing just means you need more...

  25. ER - How to stay calm

    Bobjohnny replied to Lev's topic in Emergency

    In the same grain, if you have residents, don't be in a hurry to run to a room as soon as they put an order in. Especially lower level residents, because you will likely have another order or two in...