mwboswell

mwboswell

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

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All Content by mwboswell

  1. Door to ct time for strokes

    mwboswell replied to nurse ninja's topic in Emergency

    While I've heard of this being done - it's not highly advised, unless.... your ED MD can "briefly" do a quick primary survey (ABCD) and get a brief clinical on the patient. Takes a mere 60-90...

  2. Door to ct time for strokes

    mwboswell replied to nurse ninja's topic in Emergency

    OH MY GOSH! That is CRAZY! To me it also screams of a potential liability! Unfortunately it sounds like your radiologists have been allowed to get LAZY as well as your ED MD's cause they don't push...

  3. Another CEN question

    mwboswell replied to crb613's topic in Emergency

    Hi Crb... Good questions... First, YES, you are right, the exam will be changing in July 2011. The content is more streamlined but more in depth. They have done away with nursing diagnoses and...

  4. Door to ct time for strokes

    mwboswell replied to nurse ninja's topic in Emergency

    In answer to the original poster's question as to where these time guidelines come from: The American Stroke Association developed "best practice" guidelines called "Get with the guidelines" (GWTG)...

  5. Nursing Diagnosis on CEN?

    mwboswell replied to MollyMel's topic in Emergency

    Yep, the previous posters have been correct there are NO Nursing Diagnosis questions on the current exam... The reason Lippincott has them is because it was published in 2004 and the most recent exam...

  6. The BCEN and I

    mwboswell replied to emtb2rn's topic in Emergency

    Emt2bRN: Thanks for the shout out!!! I am glad to be of assistance in your endeavours. Were you one of our students in my CEN class? If you'll send me your postal mailing address I'll send you two...

  7. CEN Practice Exams

    mwboswell replied to oregonnurse2007's topic in Emergency

    I recommend to my students to NOT use the exam total score, rather look at the score subsections. If you can score 75% or higher consistently, then you are GOOD to go on that section. Those that you...

  8. CEN

    mwboswell replied to nola04's topic in Emergency

    This is probably OT - if need be we can start another thread.... But I wanted to know from "EmergencyNrse" some specific examples of how they have become more of a "political organization" rather than...

  9. CEN

    mwboswell replied to nola04's topic in Emergency

    It's not $400.... It's $360 if you're not an ENA member. It's #220 if you're an ENA member. Frequently at review courses, we do a group exam submission then everyone gets another $20 off.... So you...

  10. CEN Laura Gasparis DVD/CD

    mwboswell replied to jms11875's topic in Emergency

    Jessica, just wondering, why did you take the test again? You are aware there are other methods to renew besides that right? Again, I'm just interested is all. I take it yearly so I can see what's...

  11. CEN Laura Gasparis DVD/CD

    mwboswell replied to jms11875's topic in Emergency

    Not only are they out of date, but they spend A LOT of time discussing "non-CEN" stuff.... If you want to pay out $$$ for a laugh, get them, if you want to shell out $$ to study/review - look for...

  12. CEN, ENA, TNCC

    mwboswell replied to yankee nurse09's topic in Emergency

    The pass rate is 80% nationally (BCEN Data @2007).... Just because yo work in a "trauma center" will NOT necessarially give you the experience you need for the CEN exam....it's NOT all trauma. You'll...

  13. ED Nurses: Tdap vs. Td

    mwboswell replied to Lunah's topic in Emergency

    Here's a follow up question... Did you know it's a legal requirement that any vaccination you give, must be preceeded by providing the recipient with the appropriate vaccine immunization sheet (VIS)?...

  14. ED Nurses: Tdap vs. Td

    mwboswell replied to Lunah's topic in Emergency

    Interesting that you bring this up - the revised immunization guidelines started 5 years ago! And like you've noticed, many ED's have not brought their vaccinations up to date with this. I'm not...

  15. Scheduled my CPEN exam!

    mwboswell replied to Lunah's topic in Emergency

    I'm taking mine next Friday

  16. Criticized by the media...(long)

    mwboswell replied to RN in pink's topic in Emergency

    Network with your local ENA chapter or state council. Discuss with them, see if they will step up to the plate for you in support of the work you DO perform under such harsh

  17. Oh dear.

    mwboswell replied to Lunah's topic in Emergency

    You got it! As far as the wallet biopsy - it's not even necessary; just treat ALL patients like they have insurance and that way you'll maximize documentation level revenue for everybody and that will...

  18. Oh dear.

    mwboswell replied to Lunah's topic in Emergency

    I think the elephant/rhino/gorilla in the room here is that we need to aknowledge that ED is "not just for emergencies" any more! As a nation and a culture, we have shifted the mindset to "Now" care...

  19. tPA Question

    mwboswell replied to punkstar's topic in Emergency

    The benchmark standards evaluate the actual incidence of s/p tpa bleeding at 24 hours and 72 hours. National benchmark average is approx 6% complication rate for bleed at 24 hours; a little less at...

  20. TNCC in 2 days!!! CEN in 6 Days!!!

    mwboswell replied to iridius's topic in Emergency

    Solheim's stuff has a lot of inaccuracies and unnecessary information. I've taken his seminar twice - (I am already certified), but I wanted to see what he was teaching and compare it to the exam...

  21. CEN, CCRN, or TNCC?

    mwboswell replied to Liz520's topic in Emergency

    Larry, are you saying you had to TEST on 3 mock trauma stations in prior

  22. Fine line between 'education' and "preachiness"

    mwboswell replied to Btrfli BSN-LMT's topic in Emergency

    what about instead of "educating her" you simply said, "Is there something we can do to help you get back on your

  23. Good Press Ganey for ER. Possible??

    mwboswell replied to 5n2_is4u's topic in Emergency

    The bottom line to get good customer service scores, is you MUST identify what it is that the patient expects during the encounter. If we fail to make good on their expectation, of what their unique...

  24. The Golden Hour

    mwboswell replied to GilaRRT's topic in Emergency

    Also too much hype touting that HEMS improves patient outcomes. In my opinion (ahem, clearing throat) let me repeat one more time IN My Opinion... HEMS is good for: 1) Remote areas that have a lengthy...

  25. Field Neuro Exam in Haiti; Why Bother?

    mwboswell replied to Emergency RN's topic in Emergency

    If the pt fails their neuro exam (grossly) you might consider NOT wasting the resources on them, especially if access to a neurosurgical suite was not an option. Disaster medicine is doing a little...