mwboswell

mwboswell

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

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All Content by mwboswell

  1. CEN Challenge

    mwboswell replied to m_chatelaine's topic in Emergency

    i waited until i had about 7 years of experience, but had i only known i only needed a 75% to pass, i would have done it much sooner!!!! a good review class will "refresh" what you already know, but...

  2. Tips on how NOT to appear like a Drug seeker

    mwboswell replied to WillowBrook's topic in Emergency

    Great question and good of you for being so astute and observant. Absolutely there is something you can do..... I understand your concerns about pt privacy and information sharing, however, know this,...

  3. paramedic nursing

    mwboswell replied to mcgill01's topic in Flight, Surface Transport

    Hi all, I was just re-reading some of the posts on this thread going back earlier this year. At one point someone asked the difference between Paramedics and Nurses; I don't think we ever went down...

  4. Worst doctors orders ever received

    mwboswell replied to jenfromjersey's topic in Emergency

    WOW, I re-read my post and I BLEW it, I was actually muti-tasking at the time and got my posts/wires crossed..... You are CORRECT; IWMI/RSMI nearly ALWAYS require fluid resuscitation to prevent...

  5. Worst doctors orders ever received

    mwboswell replied to jenfromjersey's topic in Emergency

    I'm interested about the "fluid in the lungs"... Did they see "fluid" in the CXR? If so it probably wasn't from an allergic reaction. When listening to the lungs; "fluid" would be rales probably,...

  6. Largest ED in the US

    mwboswell replied to TeresaEDRN06's topic in Emergency

    Are you at Detroit

  7. FNP salary

    mwboswell replied to ragincajun24's topic in Nurse Practitioners, NP

    at salary.com the basic information is based on base salary/pay...however, you can plug in the other stuff too like bonuses, time off, taxes

  8. Anyone currently studying for the CEN exam??

    mwboswell replied to deeDawntee's topic in Emergency

    I've got a course that I put on as well. Big, small, local, nationwide - just get in touch with me. right now we're taking registrations for one in Greenville SC Jan 31-Feb1, 2009. Send me a private...

  9. Viral meningitis - precautions?

    mwboswell replied to JennyAS's topic in Emergency

    ....hmmm Well the Gram's Stain is designed to tell you which family of BACTERIA are predominate. If it's VIRAL your results are difficult to draw conclusions from. What you can get back within 10-30...

  10. Not fast enough

    mwboswell replied to RiverNurse's topic in Emergency

    I agree to your original post - I think your priorities (based on the limited clinical info you gave; were right on)..... I echo some of my other peers who have posted, like: who is your "back up"?,...

  11. FNP salary

    mwboswell replied to ragincajun24's topic in Nurse Practitioners, NP

    Go to Salary.com They've got pretty good tools for looking at local, regional, state, and specialty salaries. They even go as far as to adjust for total compensation (insurance, 401, vacation,...

  12. ER mid-levels - how to get along with MDs.....

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

    You couldn't have asked a more COMPLEX question..."yes" to all of the above and then MORE!! I only do nights (7p-7a), here's how it breaks down... 7pm: Clock in, get report from the OFF-going midlevel...

  13. ER mid-levels - how to get along with MDs.....

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

    Hmmm, sounds like a good starting point. Hang in there, do your job well and things will turn around for you. from my personal experience, in my current ER practice, after 7 YEARS, I have about 4-5...

  14. Advice

    mwboswell replied to xos4eva's topic in Nurse Practitioners, NP

    That's a GREAT suggestion! I like it!

  15. Largest ED in the US

    mwboswell replied to TeresaEDRN06's topic in Emergency

    Someone asked abuot staffing... CC: 4 RNS, 1 charge, 1 trauma float IMC: 4 RN's, 1 RN charge CEC: 3 RN's, 1 RN Charge CPC: 2-3 RN's FT: 1 RN OBS: 1-2 RN's BEhavioral 2 RN's 1 shift charge RN 3-5 Nurse...

  16. Largest ED in the US

    mwboswell replied to TeresaEDRN06's topic in Emergency

    I think I posted this a while back but one thing you have to always be careful of when they cite bed #'s is which are "ROOMS" versus stretchers in the hallway. There's a difference between operating...

  17. Immediate Bedding. Thoughts?

    mwboswell replied to HikingNinja's topic in Emergency

    WOW your docs must be pretty good if they are that free to see pt's that

  18. Should I report doctor who yelled at me?

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

    Hi there! Sorry about your situation, I know it's probably pretty unnerving. It would be hard to suggest an answer without more details. I do know that if your medical staff doesn't already, they will...

  19. Immediate Bedding. Thoughts?

    mwboswell replied to HikingNinja's topic in Emergency

    Couple of points/thoughts on this... 1) This does require a culture of change mindset. People will either have to find a way to integrate it into their practice and come on board, or need to quit...

  20. Immediate Bedding. Thoughts?

    mwboswell replied to HikingNinja's topic in Emergency

    Give the RN's radios - triage can tell them when a pt is in their room, or if there are any IMMEDIATE needs (monitor, ekg, o2

  21. Immediate Bedding. Thoughts?

    mwboswell replied to HikingNinja's topic in Emergency

    How do the docs know that there is a pt in the room even if you

  22. Tncc

    mwboswell replied to jillba's topic in Emergency

    With the advent of the 6th edition (May 08) there are now 3 different scenarios the instructor can pick from to give

  23. Do you disclose a positive urine HCG?

    mwboswell replied to Salls25's topic in Emergency

    Interesting, I sure wish some of my nurses would take the initiative and do this - it would save

  24. How do you prevent psych/etoh elopements?

    mwboswell replied to mmutk's topic in Emergency

    I might even postulate that the individual nurse "might" be accountable to the board of nursing if they let the patient go while they posed a potential risk to themselves/others...regardless of the...

  25. How do you prevent psych/etoh elopements?

    mwboswell replied to mmutk's topic in Emergency

    Interesting topic so far. I understand the disparity and I understand "illegally detaining" someone... BUT, figure this.... Which one would have the WORST possible outcome for the patient? Obviously...