mwboswell

mwboswell

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

Member

  • Content

    561

  • Visitors

    14,260

  • Followers

    0

  • Likes

    0

All Content by mwboswell

  1. Links/Guidance of Great Nurses here willing to teach new grads a few of their tricks?

    mwboswell replied to Christy1019's topic in Emergency

    One technique that I have used all my career is to think of an IV stick as two sticks...the first one is to puncture the skin, then pause for just a sec, then the second move is to get into the vein;...

  2. Links/Guidance of Great Nurses here willing to teach new grads a few of their tricks?

    mwboswell replied to Christy1019's topic in Emergency

    To help build your confidence, make sure you are usually the FIRST one to try a pt. Don't let your co-workers come to you and say "three people have already stuck this pt, you wanna try?" - it will...

  3. Advice ER nurses...please

    mwboswell replied to texaschic888's topic in Emergency

    There's an easy answer, pull up your ED census for a particular month and run the numbers: a) Total patients into the ED b) Total pt's admitted to "critical care" c) Total pt's admitted to "non...

  4. Advice ER nurses...please

    mwboswell replied to texaschic888's topic in Emergency

    Another thought on "pre-ER" experience.... I still to this day do not understand why critical care experience is "preferred" for an ED nurse? I mean when you look at the total ED volume and the c/o...

  5. Good emergency resource book?

    mwboswell replied to 1EmergencyRN's topic in Emergency

    Also, if you use this link (http://Tinyurl.com/4W8VEV) it will take you to my review page at Amazon.com. There you will see I've put together a full list of useful, quality Emergency Nursing books...

  6. Emergency Room vs. Motorcycle Accident Patient

    mwboswell replied to openheartmary's topic in Emergency

    ...how about FAST exams? You could use that instead of all the radiation as a first level screening tool....plus less risk for complication during intrafacility xport. Question: Do you do your...

  7. add your funny TRIAGE complaints from pts

    mwboswell replied to er nursing's topic in Emergency

    A "regular" comes to triage and tells the RN, "I have pseudo-seizures, and I'm fixing' to have

  8. Emergency Room vs. Motorcycle Accident Patient

    mwboswell replied to openheartmary's topic in Emergency

    ...Not all NPs only work Fast

  9. How do you deal with Non-Urgent Patients

    mwboswell replied to mom2michael's topic in Emergency

    I agree, then (by your own statement) this is merely observational, anecdotal, and subject to the observer's own perception or bias and therefore "un"-scientific. But I wouldn't say it's impossible to...

  10. How do you deal with Non-Urgent Patients

    mwboswell replied to mom2michael's topic in Emergency

    ...nice. there's an educated RN for

  11. How do you deal with Non-Urgent Patients

    mwboswell replied to mom2michael's topic in Emergency

    ....no, If you know what a meta-analysis is, then you know that (1) a substantial body of research (with adequate data) has already been done, and (2) it is looking at multiple different data...

  12. Emergency Room vs. Motorcycle Accident Patient

    mwboswell replied to openheartmary's topic in Emergency

    ...see my other post: MOI in and of itself does not dictate the level of

  13. Emergency Room vs. Motorcycle Accident Patient

    mwboswell replied to openheartmary's topic in Emergency

    Careful here when you say "standard" then that means that all places that either don't do it or don't have the capacity aren't providing "standard" care.... CT is NOT the standard of care for spines...

  14. CEN certification questions

    mwboswell replied to gs1976's topic in Emergency

    You can see a listing of review classes on the ENA (Emergency Nurses Association) website at

  15. New ED nurses who "know it all"

    mwboswell replied to rnflie's topic in Emergency

    If it's protocols or standing orders, you can be assured that some MD has signed off on them to make them active. Probably your medical director. You will not have a standing order set or protocol...

  16. How do you deal with Non-Urgent Patients

    mwboswell replied to mom2michael's topic in Emergency

    I believe (although it is not the way an ED should be used) that we have to accept that this is the "way it is for now"...I feel sorry for all the "new" ED nurses (less than 5 years experience) who...

  17. How do you deal with Non-Urgent Patients

    mwboswell replied to mom2michael's topic in Emergency

    I did my master's reasearch on this; I did a meta-analysis - there's no evidence to support the "full

  18. New ED nurses who "know it all"

    mwboswell replied to rnflie's topic in Emergency

    I have to give kudos to 2 of my most recent "new grads" in our ER... We are a LVL I, University/Teaching ER with annual visits of 160K. We have over 100 beds in our ER. Anyways, these two NEW GRADS...

  19. New ED nurses who "know it all"

    mwboswell replied to rnflie's topic in Emergency

    Be it by protocol or "common sense" - you need an ordering MD to validate starting an IV. Bottom line, I don't believe ANY board of nursing allows the ordering of any medical devices (Eg: an IV) as...