mwboswell

mwboswell

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

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All Content by mwboswell

  1. ER's Turn Non-Emergencies Away?

    I don't think that it "had to get like this"..."This" was the way it was intended to be. At least that's what the Federal EMTALA standard guaranteed - that everyone would get a "medical screening...
  2. ER's Turn Non-Emergencies Away?

    You shouldn't be treated any differently. They would probably ask you for your "ER" co-pay that your plan has as well as any deductibles. Remember, even if the self-payor pt doesn't have an emergency,...
  3. jobless new grad NP

    That's my point exactly. Too many people have these "pipe dreams" of what job they will have after grad school only to be dismayed that they have to take "whatever is out there" and that it's not what...
  4. jobless new grad NP

    I think that you can't go to grad school and think of it as a "junior college". You MUST go into grad school realizing that the option of moving/relocating for a professional job of this degree is a...
  5. Salaries for FNP

    Crystal - don't let just a few posters on here cause you to change your outlook. Remember for everyone of us here there are thousands more out there with their opinions also. And, some of our...
  6. Salaries for FNP

    Don't ever take a job for less money just because it might be "given to someone else" -!!!! That's a poor excuse to take a job that wouldn't pay what you believe you're worth. You also mentioned some...
  7. Salaries for FNP

    Interesting... A quick review at Salary.com shows: Arkansas/RN AVG salary: $56,000 Range: $45,800 - $66,600 Arkansas/NP AVG salary: $75,000 Range: $63,670 - $87,230 So I'd say either you're getting...
  8. Salaries for FNP

    As an FNP are employed or a contractor? Do you collect your own billing per patient or do you work for a salary? Are you eligible for production bonuses? Do you get any money/time for...
  9. 12 Lead ECG in CEN

    In the classes we teach, the assessment for RVI does fall into the "generic" ISAL under discussion of IWMI. One would be remiss if they didn't discuss it as part of that. We don't teach just doing V4R...
  10. best CEN review

    Hmmm, that would be a hard question to answer, you' have to know what "Best" means to you. For some "best" means most likely to help them pass. For others it means most value for your dollar, For...
  11. 12 Lead ECG in CEN

    Please explain the "V4R question" - ? However I can assure people that there are no "new" questions on the CEN exam since Mid 2007. The next revision is probably 3-4 years from now -that's when new...
  12. 12 Lead ECG in CEN

    Most everybody has done a good job responding. I've done quite a bit of reading/reviewing on this while writing and publishing our CEN review course/manual. The majority of 12-lead "core" ED nurse...
  13. Stressing myself in the ER...do I suck or what??

    ahem (clearning throat)...I am in the South, and I have NEVER had this problem. Currently in 2009 - the phrase is "protocols"; your Emergency Nurses' Association STRONGLY advocates for this to be in...
  14. Salaries for FNP

    Yeah, it's hard to compare. I think you also need to compare your specific job role with that of others. For example, it would be hard to compare an office/practice based NP with that of a NP in a...
  15. Emergency Room NP

    It depends on the ED role that you would be doing. If you would be relegated to a "fast track" or more "intermediate" type care, then FNP should do. Contrary to the other posters there are Emergency...
  16. If you're wanting to provide a "news feed" with updates, maybe you should consider starting a NEW thread/discussion dedicated SOLELY to flu updates and one in which posts must be
  17. I can't tell if you are being sarcastic or joking or just what.... I was looking for serious, thought-provoking
  18. Bariatric Patients

    I thought I had edited this cause I went back and thought about just that scenario. I guess I forgot to hit "ENTER" before posting the edited version. But I also contend that these cases are far...
  19. Bariatric Patients

    ...AND people who have had any form of STD's, even a genital wart - I would consider it was their "lifestyle" "choice" also (IE: failure to use protection or failure to consider abstinence until...
  20. I just wanted to comment on this one statement - Do we REALLY think this is a realistic request...to not travel if you're sick or not to fly.... How many people will be out of town/away from home,...
  21. patient ratios in the ER

    We're discussing this on another thread also, you may want to check it under: Specialty/Nursing Specialties/Emergency Nursing/Nurse-to-patient-ratio Hope this
  22. Nurse to Patient Ratio

    We have a hospital in our region that has "Areas" and each area has 5 rooms, HOWEVER, in each area there is room for 2-3 stretchers in the hallway!!!! So each RN could have up to 8 patients each!
  23. EKGs in triage

    Really? I guess that is okay if you can find a bed and get them in it and do the EKG w/in the time limit. You do know that the current AHA "Get with the guidelines" recommendation is to have the EKG...
  24. Nurse to Patient Ratio

    There really is no "normal" nurse to pt ratio; it varies widely. From my own personal experience I can tell you I've worked in places where the ratio is as low as 3:1 up to 8,9,10:1 ...!!! It really...
  25. Congrats on your endeavours! Personally, I DID do EMT and RN school at same time - wasn't that bad, more of a time crunch than anything, BUT - I was: young, single and had a VERY flexible part time...