mwboswell

mwboswell

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

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All Content by mwboswell

  1. Go find your patient

    mwboswell replied to irmaRN's topic in Emergency

    Why??

  2. Go find your patient

    mwboswell replied to irmaRN's topic in Emergency

    what if this pt was

  3. CEN Review?

    mwboswell replied to SummerGarden's topic in Emergency

    mbarn08, congrats on your new job!!! i can answer your question; i have spent the last two years researching the cen exam and all the recommended books and texts (and i own them all!). i had to do...

  4. Sad day in the USA

    mwboswell replied to rickkijo's topic in Emergency

    Not bad. Good post, good

  5. Sad day in the USA

    mwboswell replied to rickkijo's topic in Emergency

    rickkijo; do you have any suggestions for possible

  6. Sad day in the USA

    mwboswell replied to rickkijo's topic in Emergency

    I'm sorry; why can't "anyone" go to school? The government provides education for these folks

  7. Policy on ED violence

    mwboswell replied to littleRNthatcould's topic in Emergency

    Basically, Each time they come to the ED we are obligated to provide the MSE (Medical Screening Exam), if no emergency exists, they can be discharged with no further treatment/interevntion. We'll do...

  8. H1N1 Vaccine?

    mwboswell posted a topic in Emergency

    Okay, so even though lots of people got "sick" from the swine flu this past season, we didn't see the mass shut downs, closings and communities being quarrantined that could have been. The CDC is...

  9. Best ER references

    mwboswell replied to RNFELICITY's topic in Emergency

    If you look on Amazon.com some people have made "lists" of books for things like this. There is one for Emegency Nursing as well. Look for "Listamania" and then search for emergency nursing. You...

  10. Which should be seen first?

    mwboswell replied to g61j's topic in Emergency

    It's always A,B,C,D priority.... THEN after finding out what letter corresponds to your pt's problem, you decide if it is a "potential" or "active" abnormality. THEN if it is an "active" problem is it...

  11. Spinal protocols

    mwboswell posted a topic in Emergency

    I'd like to hear from ED nurses that work in ED's that are utilizing some type of policy/protocol to remove pt's from backboards before the MD/NP sees the pt. You don't need to give me the details of...

  12. Insurance before medical screening exam???

    mwboswell replied to lauralaik's topic in Emergency

    It's "Illegal" only if it "delays" the medical screening exam. Some places will go ahead and get ins. info while the patient is waiting, as they will be "waiting"

  13. Spinal protocols

    mwboswell replied to mwboswell's topic in Emergency

    Good for you that you picked up on the "Maine Protocol". It is one of the few in the country and it uses evidence based research (even though some research is limited)... But it's a great starting...

  14. An interesting policy

    mwboswell replied to Guest219794's topic in Emergency

    Nicely said. Key points: 1) Lack of personal responsibility (and accountability) 2) Personal code of conduct 3) Sense of entitlement ...I call it the "Age of

  15. ENA Conference Baltimore

    mwboswell replied to CraigB-RN's topic in Emergency

    would be interesting to get a group of "Allnurses.com-ER folks" together for some cocktails or something? Any

  16. Transporting patients to radiology

    mwboswell replied to TRAMA1RN's topic in Emergency

    Wow - I think you'll find there is/are an infinite number of ways this is being done. I'll tell you this, if routinely your ER staff (RN's or Techs) are the ones exclusively doing the transport then...

  17. Majority of Americans unhappy with Obamas' health care proposal....

    mwboswell posted a topic in Activism, Healthcare

    Looks like the government is trying to slip something by the public that they don't approve of. What do you think? (Original Article can be found at:...

  18. Majority of Americans unhappy with Obamas' health care proposal....

    mwboswell replied to mwboswell's topic in Activism, Healthcare

    yep. [color=white]if you want i can get you signed up on their email

  19. Majority of Americans unhappy with Obamas' health care proposal....

    mwboswell replied to mwboswell's topic in Activism, Healthcare

    A. That's why the margin of error is calculated to be 3.8%, you'd have to read the source article to see other measures of statistical significance. If you take statistics, there are ways to sample a...

  20. Bridging the Gap

    mwboswell replied to 8jimi8ICURN's topic in Emergency

    thanks! i appreciate

  21. Bridging the Gap

    mwboswell replied to 8jimi8ICURN's topic in Emergency

    Okay, that's cool - you're saying it was saracasm at play; I get it. Thanks for the

  22. Triage blues

    mwboswell replied to canoehead's topic in Emergency

    Yes, I agre w/GleeGum: make her a higher level. 1) Any female over 40-45ish with pain above umbilicus, think cardiac first; they tend to present atypically versus males. 2) A degree of atherosclerosis...

  23. Bridging the Gap

    mwboswell replied to 8jimi8ICURN's topic in Emergency

    ..I believe this is fairly accurate ...this is highly innaccurate and an inappropriate comment I have NEVER (13+ years, 8 different ED's, darn near a THOUSAND ED RN's) seen all of those...

  24. Bridging the Gap

    mwboswell replied to 8jimi8ICURN's topic in Emergency

    Good post. I work both an NP and a Paramedic. When I'm working EMS (as a medic), I get treated just like the other crew members; I'm held to the same standards and requirements. When, as a paramedic,...

  25. Bridging the Gap

    mwboswell replied to 8jimi8ICURN's topic in Emergency

    Can you find me a reference/citation for that "only 3% of backboarded pt's need