Bobjohnny

Bobjohnny

ER

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All Content by Bobjohnny

  1. RN role in Chest Tube insertion in the ER?

    Bobjohnny replied to x28y31's topic in Emergency

    Sorry, I'm used to having an attending, 1-2 residents, and a med student all around the patient putting in the chest tube. That is why I just pull up a chair and chart. Most of the time the only other...

  2. ER Nursing notes tips

    Bobjohnny replied to Cheripk's topic in Emergency

    Only applicable to when somebody leaves. But, if someone leaves AMA(Against Medical Advice) make sure that you always write that disability, loss of lifestyle and death are risks of doing so. Believe...

  3. RN role in Chest Tube insertion in the ER?

    Bobjohnny replied to x28y31's topic in Emergency

    This isn't all in your chest tube kits? I think the only thing not in ours are the gloves & the pleur-evac. Also, y'all still use trochars routinely? In reply to OP, I typically just pull up a...

  4. What advice would you give your 19 year old self?

    Bobjohnny replied to depalma.amada's topic in General Nursing

    Honestly, there's not a lot I would tell my 19 year old self. Except quit smoking, by 19 I had mostly gotten my act together. Telling my 16 or 17 year old self would do so much more. -End it with B,...

  5. Night shift scheduling!

    Bobjohnny replied to KBRN15's topic in General Nursing

    I'm a big fan of 6 on 8 off. Work Thursday through Tuesday and then Wednesday through Wednesday

  6. First Week - Grave Mistake!

    Bobjohnny replied to DNS.RN78's topic in General Nursing

    I don't know guys there have been nights where I have uttered the "Q" word because I was the "B" word. I even tried saying code, trauma, and everything else I could think of and I was still twiddling...

  7. Would you wait for Dr orders?

    Bobjohnny replied to AcuteCare4Life's topic in General Nursing

    A CAT code is the same thing as a rapid response at some facilities. Same thing, different terminology. We don't know from OPs conveyed story why they were giving Lasix or inserting a foley. But, am I...

  8. So...What Kind of Nursing Task Do You LIKE?

    Bobjohnny replied to VivaLasViejas's topic in General Nursing

    Yeah, I do that too. However, I typically only do it to people that aren't awake. When I was a wee little nurse one my of coworkers put a 20G in somebody's index finger, and I thought to myself "I...

  9. Are ER Patients Getting More Ridiculous?

    Bobjohnny replied to us2uk4u's topic in Emergency

    "10 is as high as it goes. So, you're at a 10? That means you're in so much pain that you are on bed rest, and possibly losing consciousness. Still a 10? Okay. Would you like a warm blanket?" I...

  10. Mens nursing shoes?

    Bobjohnny replied to BumbleBuddy's topic in Men in Nursing

    I currently wear Wolverines Harrison Steel-toe. After seeing a couple of people get their toes ran over by the ED cots and one with a broken toe, that's where the steel toe came in. They have great...

  11. How does your ED address the Observation Unit?

    Bobjohnny replied to RAWells61's topic in Emergency

    The hospital I work at has done it 2 different ways in the time that I have been there. The first way, and the way we are now back to doing it, is we have a dedicated obs unit that has the obs...

  12. New grads in specialties without the basics

    Bobjohnny replied to Emergent's topic in General Nursing

    Unfortunately, it's not always feasible for only the experienced nurses to take the critically ill patients. Our ED has a grand total of 7 nurses on night shift that have been there longer than a year...

  13. Strange CT results

    Bobjohnny replied to SapphireJulzRN's topic in General Nursing

    Our ED uses this. One of our docs has actually started searching this out and is presenting it at the next provider meeting. Imagine if you had to defend that chart in court. Couple of my favorites:...

  14. Day RN going into ER Night shift -- advice please?

    Bobjohnny replied to x28y31's topic in Emergency

    My personal preference is I work 6 nights in a row then have 8 days off. Typically spend the first day off cleaning house/ vegging out. Basically working a week straight sucks, but then I have a week...

  15. Are care plans valuable?

    Bobjohnny replied to Nurse Beth's topic in General Nursing

    Quite honestly when I worked an inpatient unit, I not only thought that care plans didn't contribute to patient care I think they took away from it. The time that I spent working on care plans I could...

  16. What if I chose wrong?!

    Bobjohnny replied to gemmi999's topic in Emergency

    Theres no crying in baseball(the ER)! Really though, just pay attention. You're still going to be learning massive amounts of stuff. If you don't know how to do something, then ask. A preceptor worth...

  17. Is This Behavior Inappropriate?

    Bobjohnny replied to Arizona#1RN's topic in General Nursing

    Have you tried addressing this with your manager face to face OP since your orientation? I see you said that you've sent e-mails, called & texted but didn't see anything about a face to face. If...

  18. Most Ridiculous Med Order

    Bobjohnny replied to fitzfan82's topic in Emergency

    My personal favorite although not in ER, or my patient, was written by a first year was "Notify provider of all abnormal lab results." We went back and counted, he got something like 20 pages that...

  19. Pay grade: experienced nurse vs new grad

    Bobjohnny replied to rehric00's topic in General Nursing

    My area is nearly double. About a 90% increase anyway, based on what a friend's recent new grad NP pay is in primary care. Another friend who went to work in a specialty would be about a 105% increase...

  20. Just got a job as a new grad in ER - need advice

    Bobjohnny replied to tonytorres717's topic in Emergency

    There is some good advice on prioritize tin already posted. A good preceptor can teach that some as well. Example: it is more important (most of the time) to check in a new patient than to discharge...

  21. 8 yrs post nursing school

    Bobjohnny replied to nrsnggirl's topic in General Nursing

    I don't know you particular location but, this guy knows his stuff: Home . Really helped my wife and I when we took our NCLEX, although we took ours right out of

  22. Pediatric sub-Q rehydration therapy (hypodermoclysis)

    Bobjohnny replied to freki's topic in Emergency

    Might sound a little out there, but the big place for literature on SubQ rehydration is Veterinary Medicine. They use it all the time. Unfortunately, I know this doesn't really help with getting you...

  23. Triage

    Bobjohnny replied to hmwaggs's topic in Emergency

    We've got a couple of critical access hospitals in our health system. The minimum staffing any of them goes to for the ER is 2 RNS, an EDT, 1 Doc & a Registrar. There is also a RT for the whole...

  24. The Patient's "Guests"

    Bobjohnny replied to rnsheri's topic in Nursing Humor

    I understand that you want to see your son who was just in a car wreck. It is however, not my fault he decided to load his buddies up in his sports car while intoxicated and then proceed to put it...

  25. This week, I have learned..... (6/13)

    Bobjohnny replied to ixchel's topic in General Nursing

    I haven't been to work yet this week but I did learn something nursing related without reading a journal article or anything. -Wood files will take skin