mwboswell

mwboswell

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

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All Content by mwboswell

  1. ADENOSINE ??

    mwboswell replied to laurainri's topic in Emergency

    ...but DOES IT REALLY MATTER???? PS: Does my IVF run faster if I elevate the

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

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

    Also your original question is to "pre-hospital" scope of practice....? Not sure what you are asking - RN scope of practice is not defined by the work environment; but by the board of nursing; thus...

  3. Ethical/Professional situation....

    mwboswell posted a topic in Emergency

    Okay, here's your "hypothetical" situation. If "normally" your assignment is "X" patients and due to an "overwhelming census" you are now expected to care for "X" + 25% number of patients, and...

  4. Stress/Panic Before Going to Work

    mwboswell replied to rn-n- 2005's topic in Emergency

    Are you sure about that - it would be kind of hard to take care of 4 pts on vasoactive

  5. Ethical/Professional situation....

    mwboswell replied to mwboswell's topic in Emergency

    Let me shift the focus of this question just a bit... I'd like to apply this "safe staffing" question to the Emergency Dept. and not the wards or floors. Some of the replies you all have given sound...

  6. Ethical/Professional situation....

    mwboswell replied to mwboswell's topic in Emergency

    I like your implementation of the "give them an inch they'll take it a mile" theorem! That being said, when you "work over" a bit to help in a pinch --- what if "they" come to start expecting that...

  7. Ethical/Professional situation....

    mwboswell replied to mwboswell's topic in Emergency

    But why must you wait for something to be "legal" to say NO. Why not just say NO when you know it's unsafe? Follow up point: If YOU don't take the patient, then what happens to the Emergency Dept RN...

  8. Ethical/Professional situation....

    mwboswell replied to mwboswell's topic in Emergency

    That's probably the BEST statement overall! Patient safety even trumps our own license although the two are intrinsically

  9. tiny vent

    mwboswell replied to Guest219794's topic in Emergency

    What YOU posted was FUNNY

  10. tiny vent

    mwboswell replied to Guest219794's topic in Emergency

    Yeah, I'd wait it out and see. See how this person "fits" in to your EM setting. From personal experience both at the Staff-RN level and the NP level - I've seen many differences in different ED's....

  11. Computerized Charting ...

    mwboswell replied to Lunah's topic in Emergency

    Yep, that's the same one as IBEX. Overall not bad, I do get really tired of constantly having to go from hand-on-the-mouse to the keyboard to type something. If it was set up quicker to "TAB" through...

  12. Management of violent Patient's in ED ?

    mwboswell replied to fawnsternurse's topic in Emergency

    Matt, Having "been there, done that" as far as the P &P goes, I'm gonna tell you when it comes to this topic, the BEST place for you to start for guidelines (and probably in this order) is: 1)...

  13. Computerized Charting ...

    mwboswell replied to Lunah's topic in Emergency

    Lunah, what program are you using? We went to "IBEX" in 2004. Not bad transition at first - it went in steps. For like 6 months all we did was dispo/discahrge stuff, nothing else, everything else...

  14. Possible ER position

    mwboswell replied to BeachyRNn08's topic in Emergency

    Congratulations on your "possible" new position - In response to your question it's kind of hard to say if this is a good job or not. It's one thing to have 4 (four) RNs on duty at a given time, but...

  15. Surface Transport Nursing

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

    Nick; WOW - great aspirations you have! I say "go for it" while you have time, energy etc - I wish everyone had such a passion for self development and ongoing education. But back to your point. To...

  16. CEN-Emergency Nursing Content Review/Self Assessment

    mwboswell replied to mwboswell's topic in Emergency

    answers with rationales the "average" score was 63% two people got 100% here's the question breakdown: 1) 100% got it right 2) 31% got it right 3) 54% got it right 4) 77% got it right 5) 46% got it...

  17. CEN question

    mwboswell replied to bjaeram's topic in Emergency

    Hi bjaeram, I think I can help you - over the past two years I've been working on and have recently just published some new CEN review material as well as a CEN review course that we do on-site. Part...

  18. NPs at SNFs as a huge element of health reform

    mwboswell replied to 3rdcareerRN's topic in Nurse Practitioners, NP

    I don't think this is a "novel" idea. There are already NP's and MD's taking "call" for nursing home (NH) "issues". I think the system improvement as it stands would be just to actually go in and see...

  19. Autism and the Nurse Practitioner

    mwboswell replied to BJ_RichardsBSN's topic in Nurse Practitioners, NP

    Question for the group... All the talk about autism, yet I have, as of yet, seen adults with "autism".... In other words, what happens to all these kids with autism when they grow up? I don't get...

  20. ER nurse/pt. ratio,triage times, & EHS pt. responsibility?

    mwboswell replied to nursegoodlove's topic in Emergency

    Are you at Brookwood? If so, we're coming in July to do a CEN review class at Brookwood - we're looking forward to it!!!! Keep up the good

  21. Paramedics as primary care givers in ED

    mwboswell replied to ntg's topic in Emergency

    that's cool (the total care thing-y), BUT are they the ultimate responsible party for the pt's outcomes? IE: isn't there an RN delegating them? Follow up question - how is their practice regulated?...

  22. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    true

  23. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    heh, heh, you said

  24. Paramedics as primary care givers in ED

    mwboswell replied to ntg's topic in Emergency

    I think a little one-on-one conference with the nurse manager/director about this, WITH documented facts/incidents, would be in order to help "hold" them to that

  25. ENA Conference Baltimore

    mwboswell replied to CraigB-RN's topic in Emergency

    Here's the official ENA website... From here you can download or look over the brochure which includes the sessions and prices....