mwboswell

mwboswell

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

Member

  • Content

    561

  • Visitors

    14,260

  • Followers

    0

  • Likes

    0

All Content by mwboswell

  1. CEN

    mwboswell replied to GleeGum's topic in Emergency

    Hi! Good luck with your studying - I wish you the best! To your question: "yes" and "no" I too teach a CEN review course in a 2 day lecture format and have researched all the leading review guides and...

  2. Bad experience at the ER

    mwboswell replied to SillyPinkBunny's topic in Emergency

    .. my point

  3. Bad experience at the ER

    mwboswell replied to SillyPinkBunny's topic in Emergency

    ... However, just because the enzymes to elevate, does not mean that it is acute pancreatitis either. Many people with chronic pancreatitis have elevated enzymes all the time. So it is important to...

  4. Bad experience at the ER

    mwboswell replied to SillyPinkBunny's topic in Emergency

    Not necessarily. I see patients wait for even longer than four hours sometimes due to reasons other than being "busy". I disagree. And my experiences I have seen just as many drug seekers...

  5. am i eligible to take the CEN?

    mwboswell replied to chengzz_1110's topic in Emergency

    For ANYONE preparing/considering taking their CEN exam, I've got some FREE sample questions and study aids on my blog at http://bemetweb.blogspot.com/

  6. What gauge IV to use?

    mwboswell replied to Hilinenursegrl's topic in Emergency

    I agree, but unfortunately the debate exists at the BON level and no clear consensus has evolved as of

  7. What gauge IV to use?

    mwboswell replied to Hilinenursegrl's topic in Emergency

    You don't really believe that do you? You know your patients dont' even believe that, just ask them, they know many reasons for visiting are not emergencies...

  8. What gauge IV to use?

    mwboswell replied to Hilinenursegrl's topic in Emergency

    That's all good in the OR, but outside of the OR, there is very limited use of local anesth. for IV insertion by staff RN's. It is an ongoing issue of whether the RN can administer a parenteral (IE:...

  9. What gauge IV to use?

    mwboswell replied to Hilinenursegrl's topic in Emergency

    Just a word of caution to those who are posting that they will put in whatever size the vein can handle, and to those that are "suggesting" that their FF's get bigger IV's.... This is a slippery...

  10. Alternative Airway Knowledge

    mwboswell replied to GilaRRT's topic in Emergency

    "Scope of practice"?... I disagree, I think the reason that there isn't a dedicated airway course for nurses is that most people feel the paltry exposure they get during ACLS is adequate - and...

  11. Alternative Airway Knowledge

    mwboswell replied to GilaRRT's topic in Emergency

    I agree with the above posters - ACLS airway content needs to be straightforward and simple; defaulting to the "if you get effective ventilations with the BVM -then carry on".... TNCC/TANTC is not...

  12. Biggest hospitals in each Branch?

    mwboswell posted a topic in Government, Military

    Hey all, Just wondering, where are the biggest hospitals/medical installations for each banch of the service? IE: the "biggest" Army hospital, Navy hospital, Airforce etc. I know some are "combined"...

  13. Any NP interest in an EM residency?

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

    ...huh? Can you be more specific and cite some examples rather than just

  14. ED Interview Questions?

    mwboswell replied to star77's topic in Emergency

    I would recommend you ask them all! More ED nurses (especially the ones who complain a lot) should have asked these questions.... Most people are disillusioned by ED nursing - it's a lot different...

  15. ANPs & FNP's what do you think of this?

    mwboswell replied to NPs4health's topic in Nurse Practitioners, NP

    While the "track" may be the same, the difference will be during the individual precepting courses. Acute Care should be doing more time with IM folks and Hospitalists or critical care settings. FNP...

  16. ED Interview Questions?

    mwboswell replied to star77's topic in Emergency

    I would ask THEM: A) What is the maximum number of pt's you'd have to care for at one time? B) What if you got more than that? (1, 2, 3, 4, 5 etc) C) Will they guarantee you lunch/bathroom breaks? D)...

  17. What was the MOST ridiculous thing a patient came to the ER for?

    mwboswell replied to JUSTYSMOM's topic in Emergency

    I know that. I didn't ask how/why the ambulance came... I asked why she took it. (Just b/c an ambulance is called and arrives, does not mandate that you have to ride with

  18. What was the MOST ridiculous thing a patient came to the ER for?

    mwboswell replied to JUSTYSMOM's topic in Emergency

    Why did you take an ambulance? Why not take yourself? Or call a friend? Obviously it was not life or death right? I don't know, I wasn't there - but I am most interested in the ambulance thing...

  19. CEN EXAM

    mwboswell replied to xxJohnnyTxx's topic in Emergency

    If you look up several of the "big"/popular CEN review books at Amazon - you will see that I've written reviews of all of them. If I don't own it, I won't review it. I own 10 different CEN...

  20. CEN EXAM

    mwboswell replied to xxJohnnyTxx's topic in Emergency

    I do not recommend Gasparis (Vonfrolio). Her material is outdated and several years old. The CEN exam was updated in 2007 -her most recent book is way before that...... I have read and reviewed the...

  21. CEN EXAM

    mwboswell replied to xxJohnnyTxx's topic in Emergency

    As I posted earlier....the ENA white book "CEN review manual" is not so much a study book but more of a test-yourself book. It's just a big book with 5 sample/practice exams. Not a lot of people are...

  22. CEN EXAM

    mwboswell replied to xxJohnnyTxx's topic in Emergency

    The white CEN Review manual that you are talking about but all it is is 5 practice exams. kinda hard for people to "study" from a book full of

  23. Paramedics saying they are nurses---is this legal?

    mwboswell replied to nursebrandie28's topic in Emergency

    Yep, every state is different. In some states "Registered Nurse" is a protected title and there is legislation (at that particular state's level) making it illegal for someone to use the title...

  24. Things you would like the ICU to understand

    mwboswell replied to I_LOVE_TRAUMA's topic in Emergency

    Regulatory means something that is legislated and affects a license or a right to practice. If you violated this you wouldn't just get "gigged" you'd be investigated and risk loosing licensure....

  25. PIXIS and Narcotics

    mwboswell replied to needsmore$'s topic in Emergency

    That's exactly how it was where i've worked with automatic dispensing stations in the past. Sometimes (in the larger hospitals) the Pharm techs didn't get the nurse, but then there were TWO pharm...