Brian grinning with two thumbs up in the emergency department
JOHNSON, BRIAN FALL RISK: LOW · FUN RISK: HIGH

Triage note · Arrived via conference hallway

Brian Johnson

Emergency nurse leader who makes work genuinely fun and builds practical AI tools that give nurses time back.

Chief complaint
“I want to build fun, useful things with good people. Are you good people?”
Acuity
ESI 1 Immediate collaboration
Location
Fairfield, California
BED 1 · BRIAN LIVE
  • HR72bpm · steady in chaos
  • SpO₂100%optimism saturation
  • BP120/80unflappable
  • TEMP98.6°cool under pressure

HPI

History of present illness

Pt is a 19-year emergency nurse and nurse leader who presents with a chronic, progressive belief that work can be excellent and fun at the same time.

Onset: 2007, at the bedside. Symptoms progressed through charge nurse, educator, and trauma performance-improvement roles. On November 1, 2021 (mid-pandemic) pt took over two emergency departments, an observation unit, and a critical care resource team, about 250 staff in all, with 19 travel nurses on the schedule.

Interventions: recruit, retain, grow people, and make the department somewhere people want to be. That meant recognition, shared governance, pickleball tournaments in full costume, and a willingness to wear MAST trousers for the sake of education.

Response to treatment: zero travel nurses since May 2024. Staff now wait for open seats on committees. A new vertical-care model moves 40–50% of daily ED volume.

Comorbidities: incurable curiosity about AI. Builds practical, human-in-the-loop AI tools for nursing leadership, presented them at the 2025 ANCC National Magnet Conference, and is now in Penn State Smeal’s Master of Applied AI for Business Transformation.

Assessment: Joy-forward nurse leader with innovation tendencies. Plan: collaborate. See orders →

Labs

Results

Resulted from real work. Flags are good news.

TestResultReferenceFlag
Travel nurses on the schedule0Inherited: 19↓ RESOLVED
Performance reviews done on time95%Historically: months lateH
Staff self-review participation81%Baseline: 40%H
Peer-feedback participation83%—H
Manager hours saved (AI-assisted reviews)160+Management teamH
Daily ED volume through vertical care40–50%New model★ NEW
Team members led~2502 EDs + Obs + CCRRNWNL*

*Within Nutty Limits. Review results come from an AI-assisted workflow where managers kept final judgment, piloted in 2024 and scaled to the whole department in 2025–2026.

Imaging

Studies on file

Tap a film to read the report.

Active orders

What I’m building

Projects that need good collaborators. Several are open to partners.

Speak Up: I've Got Your Back! ER huddle card game artwork

Seeking pilot sites & partners

Safety Huddle Collab

Games that turn safety huddles into something teams look forward to. First up is Speak Up: I’ve Got Your Back!, a card game for practicing the hard conversations, with psychological-safety measurement built in. AIDET Carnival is next. Organizations can brand the games with their own logo and colors.

  • Scaled · ~250 staff

    AI-assisted performance reviews

    Combines seven sources of performance data against organizational values to draft reviews, and managers make the final call. On-time completion rose to 95%. Presented at Magnet 2025.

  • Implemented · 2 EDs

    AI interpretation for language access

    Helped evaluate and roll out AI-powered interpretation (Jaide Health) with staff champions. Presented as a Magnet 2025 poster, and the company has since been acquired.

  • In the lab

    TactfulTalk

    A de-escalation practice simulator with AI patient personas, so staff can rehearse tough conversations before they happen for real.

  • In the lab

    CodeBravo

    Reads supervisor shift reports and turns the wins buried in them into staff recognition: shout-outs, scripts, and emails.

  • In the lab

    Incident → microlearning

    Turns a de-identified safety event into a 2-minute lesson, a knowledge check, and a huddle script, so the team learns from it fast.

  • Awaiting your order

    Your idea here

    Got a healthcare problem that should be easier, safer, or more fun? Let’s build the fix together. Write the order →

MAR

Active medications

The toolkit, as administered.

  • Claude1 tab daily · building prototypes, PRDs & games
  • Microsoft Copilotper hospital formulary · work agents
  • ChatGPT · GeminiPRN · second opinions
  • Power BI · ExcelBID · turning data into decisions
  • Humorapply liberally · no max dose
  • Coffeeq2h while awake
  • CostumesPRN for morale · see Imaging

Allergies

Known allergies

Verified. Reactions documented.

  • “We’ve always done it that way”Reaction: hives, spontaneous whiteboardingSEVERE
  • Burnout cultureReaction: launches a recognition programSEVERE
  • Meetings without an agendaReaction: writes one on the spotMODERATE
  • Death by PowerPointReaction: builds a game insteadMODERATE
  • AI hype without guardrailsReaction: “Where’s the human in the loop?”MODERATE

PMH · PSH · Social

History

The traditional résumé, for anyone who needs it.

  1. 2026
    Graduate student, Penn State Smeal · Master of Applied AI for Business Transformation (expected 2028). Dr. Karlene Kerfoot Education Grant recipient.
  2. 2025
    Harvard Medical School Executive Education · AI in Health Care: From Strategies to Implementation. Magnet podium + poster.
  3. 2021–now
    Clinical Manager, Emergency Services · NorthBay Health · Two EDs (Level II Trauma, STEMI Receiving, Primary Stroke), Observation Care Unit, Critical Care Resource RN Team. AI Steering Committee and Innovation Pathway Review Committee member.
  4. 2021–now
    Critical Care Transport RN · Eagle Ambulance (concurrent)
  5. 2021
    ED/Trauma Performance Improvement & Patient Safety Nurse · NorthBay Medical Center
  6. 2016–2021
    Clinical Nurse Educator, ED · NorthBay. Also contract Clinical Educator for Teleflex and ENPC Course Director.
  7. 2013–2016
    Clinical Nurse Supervisor (Team Lead RN), ED · NorthBay Medical Center
  8. 2010–2013
    ED RN & relief charge · Cayuga Medical Center, Ithaca NY; travel ED RN in CA & NY
  9. 2007
    Clinical RN, ED · NorthBay. Where it all started.
Certifications & licenses
  • CNML: Certified Nurse Manager and Leader (AONL)
  • CCRN: Critical Care Registered Nurse, Adult (AACN)
  • Registered Nurse, California (since 2006)
  • ENPC & TNCC Course Faculty · PALS · ACLS · BLS
Presentations
  • ANCC Magnet 2025, podium: “Use of AI in the Development of Meaningful Performance Reviews”
  • ANCC Magnet 2025, poster: “Implementing AI-Powered Interpretation in the Emergency Department”
  • ACNL 2024, poster: “Unveiling the AI Shortcut: Elevating Staff Morale”
  • ENA National 2016, podium: “It’s My Data, Darn It! Providing Patients with THEIR Test Results”
  • ENA National 2015, podium: “When the Skin Hits the Road: Motorcycle Trauma Considerations”
Education
  • MS, Applied AI for Business Transformation, Penn State Smeal (in progress)
  • BS, Nursing, Western Governors University (2016)
  • AS, Nursing, Pacific Union College (2006)
  • BS, Biology, La Sierra University (1995)
Awards & affiliations
  • 2026 Dr. Karlene Kerfoot Education Grant (AONL · symplr · DAISY Foundation)
  • 2016 BCEN Distinguished CPEN Award
  • AONL · ACNL · AACN · ENA (CA State Delegate 2008–09)

Plan of care

Order set: Collaborate with Brian

Check what fits, sign it, and it opens an email to me. Takes 20 seconds.

Orders

Or reach me directly: send2brianjohnson [at] gmail [dot] com · LinkedIn ↗

Disposition Discharged to collaboration in good condition. Follow up: at the next conference, or sooner.

STUDY

IMPRESSION