Bobjohnny

Bobjohnny

ER

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All Content by Bobjohnny

  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...

  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...

  3. "I'm a nurse!"

    Bobjohnny replied to applesxoranges's topic in Emergency

    Your story actually made me lol Ruby

  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...

  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...

  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...

  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...

  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...

  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...

  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...

  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

  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...

  13. CEN 2016!

    Bobjohnny replied to Lev's topic in Emergency

    As others have indicated, Sheehy's is

  14. creating resume for entry level leadership/management positions

    Bobjohnny replied to Yuppers21's topic in Nurse 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...

  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

  16. Why white shoes?

    Bobjohnny replied to oldsockventriloquist's topic in General Nursing

    My wife had an allergic reaction to them. After an hour of her first shift wearing them, I had to take her different shoes. Her feet were swollen several sizes beyond normal, with hives, and only on...

  17. Why white shoes?

    Bobjohnny replied to oldsockventriloquist's topic in General Nursing

    As other posters as indicated it's a combination of factors: #1) They can. #2) It's tradition As for the post I quoted. I feel your pain, I basically bought the cheapest white shoes possible that...

  18. New Nurse IV Struggles

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

    Neither of those is an option at my facility on shift. Although we can do extended length (40mm) peripheral angios to access a Basilic or Cephalic. But, if a provider insists a patient needs...

  19. New Nurse; To start a New IV or not?

    Bobjohnny replied to carebear1980's topic in First Year After Licensure

    This is the same thing I always suggest. We did this with one of our new grads in our ED. She just started IVs for a full 12 hour shift & she go it in about 45 sticks or

  20. What is the Registered Nurse Patient Ratio at your hospital?

    Bobjohnny replied to LinenP's topic in General Nursing

    I don't see anything addressing the triage nurse with 25 patients in the lobby. Plus, limiting a fast track nurse to 4 patients is a waste of resources. Note: I did not look in additional locations...

  21. Codes

    Bobjohnny replied to applesxoranges's topic in Emergency

    There was a facility that I used to work contingent at, that when the code button was pushed it would send a notification to the iPhones assigned to House Supervisor, ED Charge, ICU charge &...

  22. What is the Registered Nurse Patient Ratio at your hospital?

    Bobjohnny replied to LinenP's topic in General Nursing

    Med/Surg 5:1 ICU 2:1, 1:1 or 1:2 depending on acuity etc Icu Stepdown 1:3 ED we generally staff 1:3/1:4 occasionally it'll end up at 1:5 if it's terrible. Although the triage nurse can sometimes be...

  23. Triage Protocols

    Bobjohnny replied to ERRN4's topic in Emergency

    We currently do not have any ED protocols. The only facility wide protocols that we have are to d/c a foley post-op, and send a stool for c-diff if the patient has loose BM. We switched medical...

  24. Codes

    Bobjohnny replied to applesxoranges's topic in Emergency

    I've noticed that crowd control during codes (& traumas) are an issue at both facilities Where I've worked in the ED. However, at one facility charges & staff were empowered to kick...

  25. 2016 ENA Conference

    Bobjohnny replied to Lunah's topic in Emergency

    My employer always pays for about 5 or 6 people to go. They CNO is mandating that 4 of 6 people in managerial/Director level positions from our 3 hospitals must go this year. I'm really hoping I don't...