mwboswell

mwboswell

ER, Trauma, ICU/CCU/NICU, EMS, Transport

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All Content by mwboswell

  1. I Feel So Dirty and Used! - An ER doc unloads his frustrations

    mwboswell replied to Anxious Patient's topic in Emergency

    did you read the original source article or just the clip that was posted here on allnurses.com? did you research the author? dr ed leap is a peer-respected em physician. he writes and contributes to...

  2. I Feel So Dirty and Used! - An ER doc unloads his frustrations

    mwboswell replied to Anxious Patient's topic in Emergency

    What??

  3. HELP! ED interview in acouple of days

    mwboswell replied to g61j's topic in Emergency

    I don't have a "scenario" question but i do have some "other" questions you should be asking of a possible future nurse manager in the ED setting... 1) How many patients will you be required to care...

  4. Studer-Style in the ER...?

    mwboswell posted a topic in Emergency

    Just looking for people's opinion on implementing the Studer philosophy/plan in their ED. If you have worked in an ED where the Studer plan was implemented, please let us know how it went....

  5. New Pain Med...

    mwboswell posted a topic in Emergency

    Has anyone heard or been using a new Schedule II Opiod pain med "Nucynta" yet? It's being promoted by Ortho-McNeil. Apparently it has Mu-opioid as well as non-opiod properties. Anything

  6. Inmates as Patients in Hospital

    mwboswell replied to 4cas2's topic in General Nursing

    Interesting, I wonder when "ambulation is a necessary part of their health care" is not

  7. Certifications in the ED

    mwboswell replied to traumaRUs's topic in Emergency

    CEN is going to be your standard of competency in the ER. As we're requiring MD's to be boarded in EM, so too nursing is going to require some specialty competency sooner rather than

  8. Discharge phone calls....

    mwboswell posted a topic in Emergency

    Would like to hear from Emergency Department nurses who are involved personally in doing "discharge phone calls" to their patients. I would like to know how it's going. Specifically: 1) What was the...

  9. Studer Group: anybody dealt with them?

    mwboswell replied to lpnadmin's topic in General Nursing

    I just wanted to post here to "revive" this thread to generate more discussion.... Question: does anyone have experience whereby a facility or management team decided to 'go it' on their own and NOT...

  10. An interesting policy

    mwboswell replied to Guest219794's topic in Emergency

    I think the key phrase to all of this discussion is "chronic" which means, ongoing-over time, persistent. this is kind of like hypertension; chronic, ongoing, over time --- in the ED we don't manage...

  11. An interesting policy

    mwboswell replied to Guest219794's topic in Emergency

    With an electronic health record (EHR) this can be done in seconds! Matter of fact, I typically review ALL my patients for prior visits before even seeing the patient as part of my history...

  12. An interesting policy

    mwboswell replied to Guest219794's topic in Emergency

    This is a great effort - to actually have it spelled out in policy form so there is guidance and people know what to do. Also to see admin support for this by putting it in force! This is a step in...

  13. Specialty Nursing Certification in Today's Environment

    mwboswell posted a topic in General Nursing

    The Economy and Specialty (CEN) Certification...? So I was sitting down tonight watching President Obama's first press conference (8:00 pm EST ????)....Anyways, as he was explaining his take on...

  14. Emergency Nurse Practitioner programs?

    mwboswell replied to CraigBSN02's topic in Student Nurse Practitioner

    Hmmm, that very interesting. I would say if the "intent" in seeing PEDS ER pt's is for "PEDS ER" exposure, then it does not fulfill the clinical for FNP PEDS. I would think that ANCC "assumes" that if...

  15. Emergency Nurse Practitioner programs?

    mwboswell replied to CraigBSN02's topic in Student Nurse Practitioner

    i disagree here.... because you are "certified" as an fnp you would have full privledges (sp) to practice as an fnp - trust me all those third party payor forms (blue cross, state farm, railroad,...

  16. EMS abuse: The Ride to get High

    mwboswell replied to Roy Fokker's topic in Emergency

    WE call it an EMERGENCY department, but the community doesn't. I think anyone who gets into Emergency medicine/nursing these days , has to know that they will NOT be dealing with EMERGENCIES for the...

  17. EMS abuse: The Ride to get High

    mwboswell replied to Roy Fokker's topic in Emergency

    Okay, so let me ask the question, "why do you continue to transport the above-mentioned people in your ambulance?"..... "Why do you allow precious 911 resources to be tied up transporting them in the...

  18. EMS abuse: The Ride to get High

    mwboswell replied to Roy Fokker's topic in Emergency

    Nice.......

  19. non-verbal signs of painlesness

    mwboswell replied to Guest219794's topic in Emergency

    THE MOST POWERFUL form of behavior modification is "INTERMITTENT POSITIVE RENIFORCEMENT".... This would be the ED where 90% of the ED MD's DO NOT Rx narcs for your frequent flyers; but that 10% that...

  20. EMS abuse: The Ride to get High

    mwboswell replied to Roy Fokker's topic in Emergency

    "People without insurance tend to use the ED less than any other group" JAMA 2008; 300:

  21. non-verbal signs of painlesness

    mwboswell replied to Guest219794's topic in Emergency

    what we need is a better word other than "pain".... i will typically ask my patient's not how strong their pain is between 1-10 but rather how much it is bothering them. if they report higher than...

  22. What is your incentive for obtaining your CEN?

    mwboswell replied to Lunah's topic in Emergency

    In my job category - we get nothing financially. The staff RN's can use the "specialty certification in their area of practice" as part of their clinical ladder. "They" can get $1.50/hour worked in...

  23. What states have a prehospital RN scope of practice??

    mwboswell replied to hopefullICUnurse77's topic in Flight, Surface Transport

    I think we're talking apples and oranges here... If you define the purpose of a "Prehospital RN" to be that of a RN who is employed by a free standing (non-hospital-based) State licensed EMS provider;...

  24. What states have a prehospital RN scope of practice??

    mwboswell replied to hopefullICUnurse77's topic in Flight, Surface Transport

    Nursing practice is regulated by your board of nursing - period. You probably won't see that happen; it's much cheaper to put a paramedic on there, requires less training, and is directly...

  25. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    I don't know if I understand when you say "which one does PG say to give the attention to?".... Side note: When patients and families were surveyed in a research study, the #1 thing they most often...