Boomer MS, RN

Boomer MS, RN

Med Surg/ICU/Psych/Emergency/CEN/retired

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All Content by Boomer MS, RN

  1. I have CEN and CCRN, should I just take my CFRN?

    Congratulations on your two certifications. I would guess that the CFRN is similar in difficulty to the CCRN. I know when I looked into the CEN there was information on sample questions and...
  2. How do you deal with verbally abusive pts?

    Ha! I like this idea.
  3. Advanced Infusion Courses

    During a code it was/is used to obtain difficult IV access. Sometimes the medics from the field would already have an IO in place under some circumstances. Yes, it is a good option. Perhaps others in...
  4. Advanced Infusion Courses

    From what I know, there is no certification for such placement training. I know from experience that some Level I trauma centers allow RNs, who are trained, to put in external jugulars. As far as...
  5. To BSN, or not to BSN

    Go for the
  6. Change of shift admissions

    I cannot see how having patients board in the hall of an inpatient unit until the bed is ready is feasible, although I've heard it is done. The ironic part is since there is so much emphasis on...
  7. Change of shift admissions

    Unfortunately, this is a continuing problem. I have read several articles published on "thoroughput", specifically in the Journal of Emergency Nursing, about moving patients to inpatient units more...
  8. So I kind of messed up

    This is very good news to hear. Life is full of troubles, and you have handled this with maturity and grace, no matter how it turned out. I admit I was dismayed at some of the negative responses, but...
  9. So I kind of messed up

    Love this.
  10. Associate vs Bachelor Nursing

    I do not agree. Both ADN and BSN programs have to offer certain courses to satisfy the Board of Nursing requirements. There are greater differences in the programs than "how many papers you are...
  11. Associate vs Bachelor Nursing

    I agree. And very well
  12. New Nurse IV Struggles

    As you are an IV infusion specialist, you are respected as the expert. However, after ten years in EDs, three of them Level I trauma centers, I can attest that my colleagues, many with more ED...
  13. CRNA vs NP ???

    If you want to be a CRNA, please be aware that these programs are very competitive. Some programs, the U of Maryland for example, awards a DNP for their graduates. Others do not, not yet anyway. So a...
  14. Phone tree frustrations for patients

    nsurance companies are also fun. One of mine in the past had a thing for trying to deny everything. I would call them and explain to them that it was covered and why...after waiting in the cue for...
  15. Depression and nursing

    Geez, 12 hours is a long time to maintain a facade. It's easy for me to sit here and speculate what is going on. But everyone deserves some happiness, and you sound very burned out. I am so sorry. I...
  16. After a pedi code...

    This is normal and compassionate. I do not believe calling the transferring RN for an update is inappropriate. In fact, I think it is therapeutic if you want to call or ask MD to get the information,...
  17. Would you report possible diversion?

    This is good to hear all
  18. Would you report possible diversion?

    Thank you for the update. Hope you're doing
  19. ER vs Dialysis

    I'd take ER in a NY
  20. New Nurse IV Struggles

    Good start! In the ED we loved AC veins, but floor nurses, not so much for various reasons. My mantra was to go where I could get one quickly in the ED. (Oh, the places we put IVs!) The most common...
  21. So I kind of messed up

    You might want to reach within yourself and brush up on your compassion skills. You are going to need them as you navigate through nursing school and
  22. Working in Cardiac Cath Lab

    With your listed experience, I do think you would be successful. I think it involves taking some call, but maybe you knew that. Not my cup of tea, I knew nurses who loved
  23. Open confrontation with unit attending-advice?

    Good advice at this
  24. New Nurse IV Struggles

    I think someone else recommended warming the extremity. Other ideas are "slapping" the vein to get it to pop up. Also hanging the extremity over the side of the bed/gurney. Now I know one has to be...