mwboswell

mwboswell

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

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All Content by mwboswell

  1. If an ER patient is Not Sick, are we still supposed to treat?

    mwboswell replied to ernoc333's topic in Emergency

    I know this may be off topic, but, LilgirlRN - what do you mean by: "The media has done the public another huge disservice with all the hubub about swine flu."

  2. If an ER patient is Not Sick, are we still supposed to treat?

    mwboswell replied to ernoc333's topic in Emergency

    "Standard of care" is defined by experts, professionals, professional organizations, educational entities and peer leaders. "Expectation of care" is defined by the public at large and what they...

  3. Is this Ethical or Legal?

    mwboswell replied to ernoc333's topic in Emergency

    Okay, I've read and re-read this post and quite frankly, with the way it is written, I do not believe this. You do realize, that if what you say is TRUE and you haven't reported your chief nursing...

  4. How is your ED preparing for H1N1?

    mwboswell replied to Lunah's topic in Emergency

    No, not the flu so much - we run a 6,7 and even sometimes 8:1 nurse/pt ratio just with our REGULAR patients!! So when is THIS a disaster???? I'm just

  5. How is your ED preparing for H1N1?

    mwboswell replied to Lunah's topic in Emergency

    At a department meeting about two weeks ago, the director and manager said that the "disaster" plan would be activated when our patient:nurse ratio consistently remained above 8:1.... We're at this...

  6. If an ER patient is Not Sick, are we still supposed to treat?

    mwboswell replied to ernoc333's topic in Emergency

    Please give me a authoritative citation/reference where you are getting that this "standard of care" to treat everyone exists? I'm very interested in whatever reference you can cite. Just because...

  7. If an ER patient is Not Sick, are we still supposed to treat?

    mwboswell replied to ernoc333's topic in Emergency

    I'm just interested here...please clarify; The pt was arrested for what charge? Patients lie all the time, what justifies arresting

  8. If an ER patient is Not Sick, are we still supposed to treat?

    mwboswell replied to ernoc333's topic in Emergency

    It's only insurance fraud if you're billing for something you didn't treat/diagnose. If the charting/record supports the diagnosis and treatment then it's not fraudulent. Question: What if they don't...

  9. If an ER patient is Not Sick, are we still supposed to treat?

    mwboswell replied to ernoc333's topic in Emergency

    Doing something detrimental can put you in just as much hot water as something that isn't

  10. If an ER patient is Not Sick, are we still supposed to treat?

    mwboswell replied to ernoc333's topic in Emergency

    Nope, I am just giving you the background. There is no "yes" or "no" answer. You have to find your definition of "supposed to treat".... Is there a legal requirement -NO Is there an...

  11. If an ER patient is Not Sick, are we still supposed to treat?

    mwboswell replied to ernoc333's topic in Emergency

    Hi all, interesting posts here. Here's my take... #1) NEWS FLASH - unless you were under a rock for the last 10 years, the ED has become a walk-in clinic for a lot of things. Obviously lots of what...

  12. Studer Group: anybody dealt with them?

    mwboswell replied to lpnadmin's topic in General Nursing

    Diane, YOu say that if the "staff is happy, patients will be happy"...what things have been implemented to make the staff

  13. some cardiology questions

    mwboswell replied to Guest219794's topic in Emergency

    NTG's primary/intended effect is coronary vasodilation. It's unintended, possible side effect is peripheral vasodilation - look at the nitric oxide and where/how it works. Clinically I don't see...

  14. CPOE in the ED

    mwboswell replied to Clinical IT nurse 09's topic in Emergency

    They won't get a scribe for CPOE. CPOE is "standard" pretty much now where ever you go. However using a scribe to chart the H/P is a different story. Many places are doing this, and yes, it is done to...

  15. CEN web review

    mwboswell replied to Guest219794's topic in Emergency

    I haven't seen/heard the Laura V. DVD, but I do have the Laura V audio CD's (Thank you Lunah!).... I'm in the process of reviewing them formally currently. I've briefly listened to them once and my...

  16. A Lot of Flight Nursing Jobs

    mwboswell replied to Rio's topic in Flight, Surface Transport

    Actually no -that's not surprising. What are there now, about 830 flight programs across the US? Only 50 openings nationwide, that's a rate of 6% ??? I don't consider that extraordinary at

  17. CEN web review

    mwboswell replied to Guest219794's topic in Emergency

    Yes, that is the only one right now. I've seen it parts of it. I had previously considered authoring an online web review myself so people could do the review from home rather than having to travel to...

  18. Physician compared to nursing documentation

    mwboswell replied to DebCGH's topic in Emergency

    I'm a NP in an ER that uses IBEX/PICIS (not a T-sheet; but we USED to!) The RN's and NP/MD's share the SAME: Medical, Social, Family, Surgical history sections. I do not know what the policy requires...

  19. Good triage stories

    mwboswell replied to patrice meursault's topic in Emergency

    Thank you ERDIANE for your post - you just reminded me of one of my BIGGEST pet-peeves in the ER... The pt comes back to the treatment area after being triaged and the typed complaint is "Ground level...

  20. Question for those ED nurses that were or still are paramedics

    mwboswell replied to siegolindo's topic in Emergency

    Parablue, Their terms of service don't allow us to publicly post our regular email addresses or other contact info...so I would say, just put up a few more posts until you qualify for PM's. Sorry...

  21. Question for those ED nurses that were or still are paramedics

    mwboswell replied to siegolindo's topic in Emergency

    Lisa, I'm glad you picked up on that I wasn't implying that it was a "maybe" for everyone! Yes, there definitely are exceptions (your experiences sound like one of the exceptions). I think your last...

  22. First patient complaint ever. Frustrated.

    mwboswell replied to 3dogs1cat's topic in Emergency

    We cant' sit here and second guess everything that was happening cause we don't have all the details. I'm not really sure what your question is...? If you are asking about the triage process here's my...

  23. Question for those ED nurses that were or still are paramedics

    mwboswell replied to siegolindo's topic in Emergency

    Good question. So you know where I'm coming from and my ability to answer let me give you a bit about my background, this way you'll know I'm credible. I have been a staff RN in ED setting for 8years...

  24. ED Nurses: We need your help!

    mwboswell replied to Chaz C.'s topic in Emergency

    i have a master's degree, can i participate? (edited by traumarus: deleted previously edited

  25. Go find your patient

    mwboswell replied to irmaRN's topic in Emergency

    A registered nurse would be hard pressed to defend themselves if: 1) a patient (or child) presented to the ED asking for "help" 2) the registered nurse failed to assess or monitor the...