mwboswell

mwboswell

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

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All Content by mwboswell

  1. 'cattle calls' in ER waiting room?

    mwboswell replied to BaptistBites's topic in Emergency

    Lunah -OMG, I about fell out of my chair reading your first sentence! I could even see this happening with a NEW RN in triage working in a Military hospital, staffed by a civilian contract; where the...

  2. Critical Incident Stress Debriefing

    mwboswell replied to LegzRN's topic in Emergency

    Hey Nola - as much as they cost me (and I'm still paying on some of them!) you can bet your bottom dollar I'm posting

  3. Critical Incident Stress Debriefing

    mwboswell replied to LegzRN's topic in Emergency

    Hahah! Eric - my "kudos" is for your football helmet graphic! Gig'Em

  4. Now you can schedule APPOINTMENTS in the ER...????

    mwboswell posted a topic in Emergency

    Okay, first we had waiting times posted on the internet, then we had that you could send a SMS/Text message and get the waiting time in the ER....now we have....wait for it - "Scheduling Appointment...

  5. Now you can schedule APPOINTMENTS in the ER...????

    mwboswell replied to mwboswell's topic in Emergency

    Lunah, Thanks very much for that article! I find this very interesting and it will be more interesting to see how the state Medicaid regulators continue to look at this and consider the efficiency of...

  6. Now you can schedule APPOINTMENTS in the ER...????

    mwboswell replied to mwboswell's topic in Emergency

    Wow! That's interesting - would like to see how that pans out. -Mark Boswell MSN FNP-BC CEN CFRN CTRN CPEN NREMT-P "Support CEN certification and your local

  7. Backboards in the ED

    mwboswell replied to mwboswell's topic in Emergency

    One of the problems on the pre-hospital side is that every EMS service has it's own medical director and it's that medical director's overriding philosophy on how that system's medics will perform....

  8. Backboards in the ED

    mwboswell replied to mwboswell's topic in Emergency

    Sounds like you could present the need for your facility to develop a policy to address this to decrease your patients whining and complaining. Look to the ENA for some guidelines and contemporary...

  9. Backboards in the ED

    mwboswell replied to mwboswell's topic in Emergency

    Yes, that's what we're talking about and what I'm hearing about using an "evidence based" tool to at least get them off the spine board (again based on certain clinical/physical assessment criteria),...

  10. Tourniquet use

    mwboswell replied to mwboswell's topic in Emergency

    @SocalMedic: great info in your post.

  11. Now you can schedule APPOINTMENTS in the ER...????

    mwboswell replied to mwboswell's topic in Emergency

    I recently read somewhere the following: "Do you know why people will wait soooo long to be seen in the ER?" "Because it's still quicker than waiting for a regular office appointment"! -Mark Boswell...

  12. Now you can schedule APPOINTMENTS in the ER...????

    mwboswell replied to mwboswell's topic in Emergency

    Good point - especially the liability thing. We'll need to keep watching this to learn more. -Mark Boswell MSN FNP-BC CEN CFRN CTRN CPEN NREMT-P "Support CEN certification and your local

  13. ACLS/BLS classes

    mwboswell replied to mwboswell's topic in Emergency

    There's lots of links. What you want to look for is to make sure it's American Heart Association. They are the only one who use research/evidence based design. All others have pretty much just...

  14. ACLS/BLS classes

    mwboswell replied to mwboswell's topic in Emergency

    You don't have the "option" - you mean they won't pay for it that way right? I'm sure if you spent your own money you could do

  15. ACLS/BLS classes

    mwboswell replied to mwboswell's topic in Emergency

    Yep, you can play around with it for a bit before you submit "is that your final

  16. ACLS/BLS classes

    mwboswell replied to mwboswell's topic in Emergency

    Lunah; AND you take the FULL class b/c we all know you LOOOOVE learning so much! Stay

  17. Tourniquet use

    mwboswell replied to mwboswell's topic in Emergency

    Just to clarify; I'm talking about emergency tourniquets (military, tactical or EMS) - the kind you use immediately to stop serious

  18. Tourniquet use

    mwboswell replied to mwboswell's topic in Emergency

    A little clarification folks - I'm talking about trauma tourniquets. Either military, tactical or EMS. The kind you put on to stop serious

  19. ENA Convention

    mwboswell replied to SweetsMcnursey's topic in Emergency

    for those who are going - if you've looked at the advance program, what presentation seems the most interesting to you? Mark Boswell FNP-BC, MSN, CEN, CFRN, CTRN, CPEN, NREMT-P (And YES, I take the...

  20. Critical Incident Stress Debriefing

    mwboswell replied to LegzRN's topic in Emergency

    In my travels and talking with nurses from various regions/locales, I have as of yet to find a place that consistently implements this. They all seem to talk about it and tout it's benefits, but I...

  21. Can you be an er nurse with an assoc. Degree?

    mwboswell replied to ksm84's topic in Emergency

    I just wanted to be clear I understand you...some "states" require 1 year of experience? Can you give a reference for that? Thanks. -Mark Boswell FNP-BC, CEN, CFRN, CTRN, CPEN, NREMT-P "Support CEN...

  22. Epi-Pen Auto Injector

    mwboswell replied to mwboswell's topic in Emergency

    @mmutk: Yes it is. There are proponents of this device to minimize dosing errors, injury during drawing it up and speed of access. After all -why not? It only makes it

  23. Epi-Pen Auto Injector

    mwboswell replied to mwboswell's topic in Emergency

    Yes, IM is becoming the preferred method. One reason is that given SQ, the epinepherine causes the SQ capillary bed to vasoconstrict, thereby causing some of the drug to remain "trapped" in the local...

  24. TNCC...whose been through it, what did you learn?

    mwboswell replied to Noimanurse's topic in Emergency

    And along those lines of ENPC I look at it like this: ENPC gives you a broad scope of pediatric illness, injury - for the things that happen/present more often. PALS gives you a narrow focus on those...

  25. First ER day

    mwboswell replied to Crux1024's topic in Emergency

    Good for you! Glad it was a positive experience! Sounds like the preceptor helped make the difference! A good preceptor is worth their weight in gold! Take advantage while you can; the "honeymoon"...