mwboswell

mwboswell

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

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All Content by mwboswell

  1. Where are the jobs at?

    Where would you guys direct people to go find flight jobs (OTHER than flightweb)? It's a little cumbesome to search all the flight company's websites indivdiually. -Mark Boswell MSN FNP-BC CEN CFRN CTRN CPEN NREMT-P "Support CEN certification and ...
  2. Happy Emergency Nurses Week!

    Absolutely - HAPPY ER NURSES WEEK to all of us! It's our turn to shine and be recognized!!!! Thanks for everyone's sacrifices and hard work! Know that even though it doesn't feel like you might not have ever made a difference - sometimes the bigges...
  3. random ED interview question i got asked

    Two points here. 1) This is not a real "question" - I've seen this before, it's just an "evaluation" question. It's really designed to get information about YOU and your thinking, not a right or wrong answer. We use this sometimes to get personality...
  4. Where are the jobs at?

    Thanks "astn", (I don't recognize you - were you in one of my classes?) Anyways -maybe my initial post could have been worded better. I'm not being "slothful" nor do I need "spoon feeding". I'm not looking for a job for myself, I'm looking to see wha...
  5. Making Reservations for the ER

    Yep, these kinds of visits are typically not "Emergencies" - and believe me the patient know's that it's not an "life or death" emergency, but it is "their emergency" (I guess)...... Once the Emergency Staff come to realize that it's an Emergency Dep...
  6. Making Reservations for the ER

    When you show up for your "appt" time, you are still triaged the same way and there are higher priority patients then you, you have to wait. Some programs offer you a refund of your appt "fee", others may have other built in "remorse" protocols for ...
  7. "Did you see/Follow up with your Primary Doctor..."

    Absolutely! I just heard not too long ago (might have even been on this BB), The reason people will wait 6-8-10 or more hours in an ED to be seen is b/c it's NEVER as long as the wait for an actual doctor's appt in an office! -Mark Boswell MSN FNP-BC...
  8. "Did you see/Follow up with your Primary Doctor..."

    Your auto insurance covers your medical evaluation and treatment at time of injury not medicare. 1 rule of medicine: don't do the test if it doesn't change the treatment. In other words if you already know what you're going to do to treat the patien...
  9. CEN

    Quick question - have you all taken an official ENA/BCEN practice test yet? I'll type another reply later today with more info. but if you can tell me about the results of a practice test, I can help you better. -Mark Boswell MSN FNP-BC CEN CFRN CTR...
  10. "Did you see/Follow up with your Primary Doctor..."

    Back to the OP (Roy).... Lots of issues here. Here's my personal observations on a few points.... Yes, problem with access for both insured and uninsured, BUT, I have seen different communities with different solutions. In my current community, we h...
  11. "Did you see/Follow up with your Primary Doctor..."

    However, some of those "refills" (non schedule II) can be refilled up to a year depending if the PCP writes refill x12. I'm guilty - I haven't seen my PCP for over 9 months now, and I'm still using the same refill monthly PPI Rx. So a current Rx doe...
  12. In flight Emergency with the proper equipment

    Hi chyna016 - Thanks for your post - I found it to be useful. yes, next time I fly, I'll ask the crew if I can see what they got; when would be a good time to do this, while boarding or be the last one off (If i'm not in a rush to catch a connecting...
  13. Epi-Pen Auto Injector

    Agreed that the price is more than the traditional methods (ampule, draw up, administer), however I think from the aspect of safety (IE: less chance to give a wrong dose, less chance to hurt self on glass ampule, speed of availability etc)...AND...in...
  14. Epi-Pen Auto Injector

    Would like to know who is starting to use the epi-pen autoinjector for your allergic reactions in the ED. Apparently some places have considered doing this as there is less chance for medication error as you don't have to draw it up out of that small...
  15. Yes, all NSAIDS are limited in pregnancy. Toradol (ketorolac) is a "C" in 1st and 2nd trimesters and "D" in 3rd trimester. ...however, besides that fact, ANY female pt who has the possibility of even getting a prescription at d/c, should have a docum...
  16. Tourniquet use

    Questions about tourniquets: 1) Are you using them? 2) Are you receiving patients from EMS with them in place? If so, how do you manage them? Thanks! Mark Boswell MSN, FNP-BC, CEN, CFRN, CTRN, CPEN, NREMT-P "Support CEN Credentialing and your local ...
  17. ENA Convention

    No booth, just an attendee trying to get some CEUs
  18. 'cattle calls' in ER waiting room?

    My hat is off to you! You truly get it - unlike a LOT of admin/mgr types. Yes, people are so "hippa-paranoid" they have morphed it in to something it was never intended to be and I DOUBT many of the admins/mgrs that implement these "hippa-cratic" pol...
  19. ENA Convention

    You should have looked me up! I had a bag overflowing with swag for give aways!
  20. In flight Emergency with the proper equipment

    Here's an related question: does anyone that flies often, AND self-identifies as a medical provider, carry anything that they prefer for emergencies "in case" the EMK doesn't have what you want? I carry a king LT airway for example. Comments?
  21. In flight Emergency with the proper equipment

    Hmmm, interesting post. Quick reply to OP - did you find yourself in this situation? I personally know of several of my colleagues who have "answered" the call for a "doctor" on board a flight and had to go into the emergency medical kit. In no case...
  22. Needle Chest Decompression?

    Okay, in alot of these "trauma" classes that are taught to nurses, and on the CEN exam, knowledge about tension PTX is taught and expected to be part of the ER nurses knowledge base. Signs/symptoms and treatment (needle decompression).... so my ques...
  23. Backboards in the ED

    Recently, research and critical thinking has been slowly revising the way we think about and use backboards (spine boards) both in the pre-hospital and ED environments. Are you guys seeing this change out there? Are you seeing less patients just ba...
  24. Mandated Flu vaccine?

    I'd like to know who is working for an employer that is mandating receiving the seasonal (annual) flu vaccine. By mandatory, I mean, if you don't take it, you don't have a job. Would also like to hear if anyone has quit or lost their job because th...
  25. ACLS/BLS classes

    Is your facility doing your BLS/ACLS using the "online" format? The one where you just show up to do your skills check off after you already did the lecture part online? Mark Boswell FNP-BC, MSN, CEN, CFRN, CTRN, CPEN, NREMT-P (And YES, I take the C...