mwboswell

mwboswell

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

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All Content by mwboswell

  1. ENA Conference Baltimore

    mwboswell replied to CraigB-RN's topic in Emergency

    What you mean "sneak in back door" of hospitals??? Just

  2. Works Bomb???

    mwboswell replied to GGT1's topic in Emergency

    Well, it's ON now - I just saw the video and guess what I'm gonna "try" next weekend out on my buddy's "south 40" of his rural property!!!! -that's in addition to shooting our guns which is par for...

  3. Fewer RNs, more support staff in the ED?

    mwboswell posted a topic in Emergency

    Hi all, I went to a con-ed conference about a month ago in Hawaii (yeah, it was tough but someone had to go!)... Anyways, one of the presenters said that they wanted to see an ED that had less RNs and...

  4. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    nope, you're way off base on that one. Just trying to stimulate some deeper thinking and conversation... That being said, do you have something to contribute

  5. ER's Turn Non-Emergencies Away?

    mwboswell replied to mwboswell's topic in Emergency

  6. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    ???????

  7. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    How bout this... What if instead of just declining the "tip" one suggested (as a previous poster did) that they take that tip money and donate it to some charity or non-profit or something like...

  8. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    Nice post Buffkat00. I like how you worked in the "unbiased" concept and the possible less-than-expected care if someone feels that they won't get a tip. As you can see there could be several...

  9. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    I'll go with that as more of the "formal" interpretation, but in today's contemporary society, I don't buy that for the number one reason that we "tip" AFTER the service is given, not before. Now,...

  10. Fewer RNs, more support staff in the ED?

    mwboswell replied to mwboswell's topic in Emergency

    Lisa, I'm not well versed on the acuity rating thing, but I do know the ENA has some "guidelines" for this. I haven't read them myself and I can't speak to them. Maybe if you browse the ENA website...

  11. Fewer RNs, more support staff in the ED?

    mwboswell replied to mwboswell's topic in Emergency

    This was one of the "take home points" from my Master's Thesis years ago. I did a meta-analysis of increased trauma during the full moon period (seriously!) I found no correlation at the end of the...

  12. Fewer RNs, more support staff in the ED?

    mwboswell replied to mwboswell's topic in Emergency

    Those studies were done on inpatient units not the ED. I've read some of these studies and to clarify these were done with inapatient settings not the ED. One could not replicate (nor extrapolate) the...

  13. Fewer RNs, more support staff in the ED?

    mwboswell replied to mwboswell's topic in Emergency

    Right, I understand your point, but what about what the presenter said in that we need to find a way for RN's to quit having to do non-RN "stuff"? And focus on those things that make the RN the RN...

  14. ER's Turn Non-Emergencies Away?

    mwboswell replied to mwboswell's topic in Emergency

    Right, as well, it's also a learned behavior thing too. Alot of our 20-somethings that come in now, were babies during the 80's when THEIR parents started taking them to the ED for inappropriate...

  15. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    Not me. If I did feel that way, then I probably need to be looking for a job that pays

  16. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    That's a great

  17. ER's Turn Non-Emergencies Away?

    mwboswell replied to mwboswell's topic in Emergency

    So did you vote for Obama and universal health care? Do you think she "chose" to have kids? I'm going to pause and give you a big kudos here. MANY people who ***** and moan about "the system"...

  18. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    Okay, I understand that - but I'm challenging you guys to think deeper than "just because I was told not to".... With the recent emphasis on "evidence based" practice, we have called to scrutiny...

  19. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    Thats nice, but my question is "WHY" don't people feel "right" keeping it? Don't you feel "right" getting paid by your employer? Do you feel that you're already getting paid what you're worth and any...

  20. Tipped?

    mwboswell replied to Lunah's topic in Emergency

    janhetherington; Why do you feel it is

  21. ER's Turn Non-Emergencies Away?

    mwboswell replied to mwboswell's topic in Emergency

    Your first point is taken. But your second point - I don't share. I don't mind people coming to the ER for non-emergencies...so long as they can pay for my service and time. I'm just guessing here,...

  22. ER's Turn Non-Emergencies Away?

    mwboswell replied to mwboswell's topic in Emergency

    I "know" of a similar system already in place. It is headed by a "case manager" full-time RN. Her sole purpose is to identify "frequent flyers" or potential "ff's" and intervene while in the...

  23. ER's Turn Non-Emergencies Away?

    mwboswell replied to mwboswell's topic in Emergency

    Good point. This would be the ideal situation, AND, I believe that any ED that incorporates the "non-emergencies-pay-first" policy, SHOULD have this type of referral mechanism in place. The ED's on...

  24. ER's Turn Non-Emergencies Away?

    mwboswell replied to mwboswell's topic in Emergency

    ...oh really? Do you really believe this? Please refer to the VA health care system as your prime example of "universal payor"

  25. ER's Turn Non-Emergencies Away?

    mwboswell replied to mwboswell's topic in Emergency

    I would appeal that to the hospital billing department. Point out that your insurance won't pay for "emergency" servcies and if they can re-code it and re-submit the insurance might pay it. Trust me...