Bobjohnny

Bobjohnny

ER

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All Content by Bobjohnny

  1. ER Wishlist Items!

    Bobjohnny replied to HappyKYRN's topic in Emergency

    Manual BP cuffs. Or the capability to to do CVP monitoring. Either would suffice. Something more accurate for BP monitoring when it's crunch time. But, finally got an (one) ETCO2 monitor so I should...

  2. Advice for nursing student

    Bobjohnny replied to guest901464's topic in Emergency

    The flip side of working in a small ED without ancillary staff means that you have to do everything yourself. You may get more experience from doing so, but you have to do most stuff yourself. Ex: No...

  3. Best one sentence handoff report

    Bobjohnny replied to emtb2rn's topic in Emergency

    "All your rooms are empty. You should probably go get some KY." "So and so is back, and still needs his leg chopped off." I'm sure there are more, but those are the recent ones that I

  4. Finally Got the Job I've always wanted and now i'm nervous

    Bobjohnny replied to MMDEC's topic in Emergency

    Massive understatement. Anyone with peds experience going to the ED isn't worth their weight in gold, they're worth their weight in platinum. The vast majority of ED nurses seem to have primarily...

  5. 50 Things New Nurses Need to Know About Calling Doctors and Other Providers

    Bobjohnny replied to Lynda Lampert, RN's topic in First Year After Licensure

    Sounds like somebody, somewhere wrote a notify provider if parameter. We routinely have patients here with notify provider if patient has a temp >100.5. I've also seen somebody write a parameter...

  6. ENP or Emergency Physician?

    Bobjohnny replied to level1's topic in Emergency

    Trust me, even as an RN you will be making plenty of critical decisions. Vast majority of the time I already know what the patient's diagnosis will be before my provider even sees the patient....

  7. Lessons Learned as an Expert Nurse Witness

    Bobjohnny replied to ElizabethStoneRN's topic in General Nursing

    Absolutely, make sure you document well enough you'll know what happened later. This was recently reinforced to me, when I got subpoenaed for a case as a witness. Had to read the chart twice before I...

  8. Sliding scale insulin...give or hold?

    Bobjohnny replied to Annie Wilkes RN's topic in Long Term Acute Care

    In addition to the 2 examples you provided: DKA, TPN. Diabetic patient that is post-op but still NPO. Those are the easy ones, I'm sure there's something I'm not thinking of in my current sleepy...

  9. Sliding scale insulin...give or hold?

    Bobjohnny replied to Annie Wilkes RN's topic in Long Term Acute Care

    Sorry, but I have to disagree with this. There are many situations that patients are NPO & should still receive insulin, even with a BG under 200. It's not a rule, more like a general guideline....

  10. New grad in underserved, urban ER?

    Bobjohnny replied to melc0305's topic in Emergency

    The is absolutely on point, find out their orientation program. My employer only gives people 6 weeks for orientation(even though policy allows for up to 12!), even if a new grad. It is not nearly...

  11. How do you sign your name?

    Bobjohnny replied to ohiobobcat's topic in General Nursing

    I sign my name as "B. completely illegible scribble

  12. Overflow in the er

    Bobjohnny replied to medic978's topic in Emergency

    I quit apologizing a long time ago, and now I tell people I have absolutely no control over how quickly they get an inpatient bed. Typically that with a promise that I will update them as soon as I...

  13. Overflow in the er

    Bobjohnny replied to medic978's topic in Emergency

    I'm fortunate that my ER manager has recently made it the standard for us to not do holds. Which is great because the only people in our ER that can do holds are people that moved from inpatient(like...

  14. Nurses can eat properly if they manage their time

    Bobjohnny replied to Brian's topic in General Nursing

    If I recall correctly, according to the department of labor we're all supposed to get a 30 minute unpaid lunch and three 15 minute paid breaks, at least if we're working twelves. I don't remember that...

  15. What is the maximum number of patients per nurse?

    Bobjohnny replied to Info(RN)matics's topic in Medical-Surgical

    We have 30 beds. Supposed ot be a max of 5:1 with charge out of an assignment, and we get a third tech at 23 patients, second tech at 14. I've seen us as high as 6:1 and 7:1, I work nights. Day shift...

  16. You make the decisions on YOUR shift and I'll make the decisions on MINE

    Bobjohnny replied to CrazierThanYou's topic in Patient, Colleague Relations

    Just a little background I work on Med/Surg-Tele unit which at my hospital is designated to get all of patients receiving inpatient chemo. We by far use the most pain meds of any floor in the entire...