mwboswell

mwboswell

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

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All Content by mwboswell

  1. need help with a question...

    mwboswell replied to pamhlpn's topic in Emergency

    You MUST assume a TENSION PNEUMOTHORAX (a life and death EMERGENCY if not acted upon within minutes)....The word "absent" gives it away. YES "absent" may indicate a plain-old pneumothorax, HOWEVER,...

  2. New CEN Exam

    mwboswell replied to TraumaJunkieRN's topic in Emergency

    Trauma junkie - Congratulations! Your explanation of your review method os a great one! Main thing is, you had a plan AND you did some form of valid self assessment. A lot of people I've mentored...

  3. New CEN Exam

    mwboswell replied to TraumaJunkieRN's topic in Emergency

    Took and passed it yesterday. 142/150 = 94.6%. Pretty happy w/that. I must say I couldn't tell much of a difference at all. I can say this, I was SHOCKED that I didn't get any of the following: 1)...

  4. A few questions:

    mwboswell replied to felineRN's topic in Emergency

    It depends on the local EMS protocols and state EMS laws. Even in some states where a death can be declared in the field, the local medical director may not allow it for their particular

  5. A few questions:

    mwboswell replied to felineRN's topic in Emergency

    There is a difference between pronouncing death and signing a death certificate. The coroner/ME may sign the death certificate a day or so later in some

  6. New to ER and getting CEN?

    mwboswell replied to bbie17's topic in Emergency

    Murphyle - maybe they're pushing CEN as one of those Magnet Status things (IE: "show that your facility encourages speciality nurse ceritfication").... If you need any help with this let me know. -...

  7. New CEN Exam

    mwboswell replied to TraumaJunkieRN's topic in Emergency

    Just FYI - in my reply/post, all the resources I mentioned - I own and have read through. I will not talk about another person's book/class/seminar etc unless I've actually purchased it or attended it...

  8. New CEN Exam

    mwboswell replied to TraumaJunkieRN's topic in Emergency

    LGV is good (as far as the presenter goes), but lacking in the content. I believe she is better as a motivational/keynote speaker than marketing as a exam prep presenter. I have timed with a stopwatch...

  9. New CEN Exam

    mwboswell replied to TraumaJunkieRN's topic in Emergency

    1) I'm scheduled for July 11th. I was hoping for TODAY, but my schedule between work and teaching is so tight, the 11th was the best I could do. I wanted to be one of the first! I take it every...

  10. Setting up arterial lines

    mwboswell replied to JennyAS's topic in Emergency

    A "Johnnie"...OMG I hadn't heard that since I did a travel job in an ICU back in 2000 in Rhode Island!!!! Thanks for the

  11. The dreaded pregnancy test

    mwboswell replied to psu_213's topic in Emergency

    Ditto - same goes for the O.R. No neg preg in a cup - no surgery,

  12. Collecting co-pays at the ED registration desk.

    mwboswell replied to TlhRNED's topic in Emergency

    If this original poster is still on here now 6 years after the original post - I'm just wondering, how did this work out for you

  13. Phrase of the Night

    mwboswell replied to ErinBSN's topic in Emergency

    Once we all come to the realization that the "ER" (ED) doesn't just treat "emergencies" any more - we all can move on to another level of understanding. If anyone in this business assumes even for a...

  14. New to ER and getting CEN?

    mwboswell replied to bbie17's topic in Emergency

    You said only RNs that are CEN can do traumas? That's a novel idea; would be interesting if someone decided that only CENs can do "critical patients" too or maybe even triage. Seriously, I think...

  15. Setting up arterial lines

    mwboswell replied to JennyAS's topic in Emergency

    JennyAS... Regardless of right or wrong ways to do this, FIRST go check your nursing policy manual at the hospital. You need to make sure you follow the policy on how to do this because if you deviate...

  16. New to ER and getting CEN?

    mwboswell replied to bbie17's topic in Emergency

    The CEN exam isn't really expensive. the "base price" is $360, you can get that down to $200 with group and ENA discounts. AND if you pass, you don't have to spend that money again for 4 years....

  17. New to ER and getting CEN?

    mwboswell replied to bbie17's topic in Emergency

    Couple of thoughts.... 1) Nothing says you can't try it now. There is no time requirement before writing the CEN exam. The suggested 2 years is just an approximate amount of time that the "average"...

  18. Prescribing narcotics to drug seekers

    mwboswell replied to Djuna's topic in Emergency

    Agree to all of the above with the additional comments: Positive reinforcement can come in the form of a reward. AND- Behavior extinguishment can come in the form of

  19. Prescribing narcotics to drug seekers

    mwboswell replied to Djuna's topic in Emergency

    Just a follow up as some of us have been mentioning the "variable/intermittent positive reinforcement" at play here. If we recognize that in the world of behavior modification that intermittent...

  20. Prescribing narcotics to drug seekers

    mwboswell replied to Djuna's topic in Emergency

    i agree with your assessment that the patient is receiving the behavioral modification "intermittent positive reinforcement"....but what are they receiving? intermittent reduction in their pain? i...

  21. Another CEN question

    mwboswell replied to crb613's topic in Emergency

    I recommend a person use multiple modalities. In other words, I would NOT rely just on one method alone. A mixture of review books, sample tests, audio/video etc. Different people will have...

  22. ER RN salary

    mwboswell replied to newfloridaRN's topic in Emergency

    One thing everyone needs to remember is that it's NOT about the $$$/hour. You have to look at the WHOLE "compensation" picture. Salary.com gives you a ballpark idea, but you still need to compare...

  23. Can new grads work in the ER?

    mwboswell replied to AC123TX's topic in Emergency

    Good for you for going to Nursing School! Best of luck! Most any place these days will hire a new grad RN into any department, without specific training, except mostly for the O.R., P.A.C.U. or...

  24. CEN Exam Changes?

    mwboswell replied to EvanTheNeonate's topic in Emergency

    I posted this on a different thread a few weeks ago. Your lecturer does not know what they are talking about, the exam is ONLY changing by 5%! Here's a breakdown of how the exam will be changing...

  25. CEN Exam

    mwboswell replied to mtbikegirl's topic in Emergency

    Most everyone I've talked to in the last 2-3 years does the 100 hours of continuing education. Myself, however, am considered crazy, I take the test at least 1-2 times a year - just to see what's on...