mwboswell

mwboswell

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

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All Content by mwboswell

  1. Steroid Protocol

    mwboswell replied to Dempather's topic in Emergency

    Very astute of you to notice. You are obviously using your thinking cap. The "steroid protocol" has you giving a dose that is 30 times the normal dose (approximately) of solumedrol - like you're...

  2. Cen

    mwboswell replied to bjaeram's topic in Emergency

    those numbers are almost a year and a half old. and I'm suspicious that they just copied them from the page they had up before May 2007. I spoke with the BCEN representative at the ENA conference in...

  3. Cen

    mwboswell replied to bjaeram's topic in Emergency

    sorry about that - yes it

  4. Worst doctors orders ever received

    mwboswell replied to jenfromjersey's topic in Emergency

    Maybe they had some liver problem and couldn't take tylenol, maybe they had some kidney disease and couldn't take NSAIDS

  5. Cen

    mwboswell replied to bjaeram's topic in Emergency

    Are you currently on deployment? Just throwing ideas out here - think there's any chance a contractor or DOD would need TNCC or CEN classes brought

  6. Cen

    mwboswell replied to bjaeram's topic in Emergency

    Where are you located? If you don't mind me asking. Just city and state, you don't have to say the name of your

  7. Cen

    mwboswell replied to bjaeram's topic in Emergency

    These are all good starting points, AND definitely the material one should review prior to the exam, however, there is much more that is 'fair game' content than what comes from them. Cardiovascular =...

  8. Cen

    mwboswell replied to bjaeram's topic in Emergency

    I find it interesting that people who might discourage you from taking it - haven't taken it themselves!!.... How can you advise someone to do/not do something, of which the reccomender (sp?) has no...

  9. Cen

    mwboswell replied to bjaeram's topic in Emergency

    I got my stats during a phone call to the BCEN in June.... When did you get yours? Who did you speak

  10. Cen

    mwboswell replied to bjaeram's topic in Emergency

    Congrats to bjaeram for considering the CEN. I am a HUGE supporter, educator and CEN course writer who feels EVERY ED nurse should strive for this.... The stress and anxiety are NORMAL! This is a...

  11. Should Emergency Nursing be part of the Critical Care Nursing Specialty on this site?

    mwboswell replied to loricatus's topic in General Nursing

    I say, until we start doing Swan's, and shooting cardiac outputs, and titrating fluids to the CWP and/or balloon pumps or managing ventricular shunt drainage for more than a couple of hours, it is not...

  12. Worst doctors orders ever received

    mwboswell replied to jenfromjersey's topic in Emergency

    SADDLE embolous.... ...follow up question. WHY would they ever to a Chest CT with that HR normal like

  13. Life in the ER

    mwboswell replied to Student J's topic in Emergency

    I love sometimes dispo'ing a pt in as little as 20 minutes. I love having mutiple resident specialties that I can refer stuff to for a dispo. I love not having to do follow ups (like in an office). I...

  14. Primaries Abusing the ED

    mwboswell replied to ThrowEdNurse's topic in Emergency

    To your point below... I ESPECIALLY always try to explain it like this.... I tell them that although we cannot find a cause for their pain/problem tonight, that doesn't mean it is not real. I explain...

  15. Primaries Abusing the ED

    mwboswell replied to ThrowEdNurse's topic in Emergency

    I don't think it's outright manipulation by patients/families expecting their MD to "see them there".... I think it's a difference between what message was told them versus what they actually...

  16. "I don't have the money" OR "I don't have a ride"

    mwboswell replied to ER-RN2's topic in Emergency

    I understand all of your points but your last comment (below).... Do you REALLY have less than half of what "they have"????? Think about this..... If this is true, then why are you working? Remeber,...

  17. Primaries Abusing the ED

    mwboswell replied to ThrowEdNurse's topic in Emergency

    Nope, Sorry TraumaNurseRN... not everyone is seen/tx'd by the ER doc. We have many pt's sent in by one of the Staff attending/teaching MD's that has seen a pt in their office/clinic and they call...

  18. Male RN-assist with pelvic exams?

    mwboswell replied to walnuttree91's topic in Emergency

    i don't know why "rape" patients are coming into the o.r. however when they do come into the er, yes, we do have an all female rape team: a credentialed/certified sexual assault nurse examiner (sane)...

  19. Male RN-assist with pelvic exams?

    mwboswell replied to walnuttree91's topic in Emergency

    From reading WYMNWISE's post I wanted to chime in. In my experience I will tell you the training I received on women's exams (Pelvic, breast) was OUTSTANDING! As Nurse Practitioner students (in...

  20. CEN review

    mwboswell replied to mwboswell's topic in Emergency

    There are some other lecturers who do "free" classes...it's not really "free". Sometimes what they do is ask the host facility to cover their travel, lodging and per diem expenses and then let THAT...

  21. CEN review

    mwboswell replied to mwboswell's topic in Emergency

    Hey I just did a 2-day class in Hoboken (Hoboken Univ, Medical Center) last month!!! WE could set up another one in 3-4 months. But there's n such thing s FREE....

  22. Worst doctors orders ever received

    mwboswell replied to jenfromjersey's topic in Emergency

    Well you CAN give it this way - I mean it's not physically impossible, nor is it ILLEGAL. It would be an "off label" use of the drug. (I'm just pickin'

  23. Worst doctors orders ever received

    mwboswell replied to jenfromjersey's topic in Emergency

    How many of those towelette wipes are necessary for a standard clean catch

  24. Drug rant: Legalized Dope Dealer, RN

    mwboswell replied to alkaleidi's topic in Emergency

    Great! I like

  25. I hate it!!!

    mwboswell replied to luckylucyrn's topic in Emergency

    Correct! To fall under Federal Guidelines (COBRA), a place must designate itself "Emergency" not