mwboswell

mwboswell

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

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All Content by mwboswell

  1. Suturing - Do you do it?

    mwboswell replied to bluefabian's topic in Emergency

    As an NP who does suturing, I agree with this poster! If it's a "quickie" job (less than 10 min) that's okay, but the longer ones...I hate! I'd rather do other stuff or go see my other patients!!!...

  2. wonder what the opinion is on the "new" ACLS guidelines

    mwboswell replied to MassED's topic in Emergency

    I'd like to see two versions of ACLS classes - one which is "just the basics", designed to get the monitor applied, turned on and maybe a first round intervention for each leathal scenario; then a...

  3. ER nursing in NC

    mwboswell replied to awpanda_99's topic in Emergency

    Just an update to my post LONG post above... I've been on my current job for nearly 7 years now and got myself interested to see "where I'm at" so I've calculatd my "annual benefits package" as it...

  4. ER nursing in NC

    mwboswell replied to awpanda_99's topic in Emergency

    If you REALLY want to see if the wages stack up or are comparable for a given state/region I offer you two suggestions... #1) Go to salary.com. there you can enter the known information like rate of...

  5. ER nursing in NC

    mwboswell replied to awpanda_99's topic in Emergency

    $230-$250K for a house, that's Crazy!!!! Come to South Carolina, (the Upstate) housing is EASILY in the Low $100-$200K for even a 3-4 BR

  6. turning non-emergent pts away

    mwboswell replied to Jennifer, RN's topic in Emergency

    I agree it does create a round-n-round flow and I think that's why it's essential to try and get all the providers in the local area on board, AND, see what can be done to strengthen the Free Clinic...

  7. IV size

    mwboswell replied to danger's topic in Emergency

    good reply - Touche' In your scenario, I would place an IO, but I would realize that we may just be "going through the motions" so to speak; kind of like chest compressions in the field during. CPR -...

  8. IV size

    mwboswell replied to danger's topic in Emergency

    I'm aware that research has proven that they are (1) quick to insert (2) simple to insert (3) easy to use and (4) equitable as an IV..... ...however.... There isn't research to support the conclusion...

  9. IV size

    mwboswell replied to danger's topic in Emergency

    All I'm alluding to as far as the Bledsoe reference is that he notes that there has been no evidence supporting improved outcomes with I/O use... It's like EMS backboards, we're just using them...

  10. turning non-emergent pts away

    mwboswell replied to Jennifer, RN's topic in Emergency

    We have been doing this for several months now. The "bosses" and "bigwigs" had extensive meetings about this and hammered out a policy to guide what we'll do. Right now, as it stands, if a pt meets...

  11. IV size

    mwboswell replied to danger's topic in Emergency

    Regarding Intra Osseous access.... I can cite Bryan Bledsoe that "there is no emprical evidence" to support their usage. I would challenge anyone to show/cite sound evidence/research that IO devices...

  12. TNCC/ENPC anyone?

    mwboswell posted a topic in Emergency

    Hey, is anyone working in a place where it's hard to find TNCC/ENPC classes available a few times throughout the year? Are you having to drive long distances to attend these classes?

  13. TNCC/ENPC anyone?

    mwboswell replied to mwboswell's topic in Emergency

    Email me off list at: [email protected], let me see what I can

  14. TNCC/ENPC anyone?

    mwboswell replied to mwboswell's topic in Emergency

    Email me off list, ([email protected]), tell me what you're looking for...

  15. I hate it!!!

    mwboswell replied to luckylucyrn's topic in Emergency

    I don't think it is a "poor" thing at all. I can't specifcally cite references but some article recently came across me a few months ago maybe by CMS or the Albaris group, but anyways, it pretty much...

  16. Anyone currently studying for the CEN exam??

    mwboswell replied to deeDawntee's topic in Emergency

    Where you at in Alabama? We're coming to Pensacola in October to do a 2-day review/live class.... If you think you could get 4-5 others together and you hospital to put us up meeting room/space for...

  17. I hate it!!!

    mwboswell replied to luckylucyrn's topic in Emergency

    of course another way out of this is to just do the point of care preg test while she's waiting in the lobby, when it comes back positive, tell her, and then maybe she'll sign out and leave. AT LEAST...

  18. I hate it!!!

    mwboswell replied to luckylucyrn's topic in Emergency

    ...why do they not make them pay for their ER visit up front? EMTALA does not say you have to provide them a pregnancy

  19. Anyone currently studying for the CEN exam??

    mwboswell replied to deeDawntee's topic in Emergency

    If you all want some recommendations on study guides check out Amazon.com, if you look for my profile (mwboswell) you can see I"ve reviewed most of the CEN books available with pros/cons of each....

  20. trauma gadgets

    mwboswell replied to tinaree123's topic in Emergency

    you can email me privately if we need to see about coming out there to do a TNCC class or any other training we do. we can do it on your schedule. just let me

  21. trauma gadgets

    mwboswell replied to tinaree123's topic in Emergency

    Where do you get your TNCC and ACLS training

  22. trauma gadgets

    mwboswell replied to tinaree123's topic in Emergency

    Hey, I read your post - sounds like a definitely INTERESTING setting to work in to say the least!!!! Are you guys a "federal" hospital with federal funding under the Public Health Service???? What...

  23. Anyone currently studying for the CEN exam??

    mwboswell replied to deeDawntee's topic in Emergency

    If you want some help and advice email me off list - CEN review is one of my

  24. clot busters versus cath lab?

    mwboswell replied to akvarmit's topic in Emergency

    This is the standard for PCI vs TPA...however some places are "pushing" it to 60 minutes to the

  25. Emergency Room vs. Motorcycle Accident Patient

    mwboswell replied to openheartmary's topic in Emergency

    I just read an article from the NEJM that a CT of the thorax is the same radiation as 1,200-1,500 chest