mikemw

Latest Activity

1. ER Nurse is Being a JERK to EMS...

   mikemw replied to flashpoint's topic in Emergency

   One day nurse ugly will need the services of the lowly EMS and may change their mind. Hopefully their unprofessional attitude will not effect the EMS response. I sympathize as I was an EMT-B for 20 years most ER nurses and docs appreciate the servi...

2. Any nurses who have ideas on how to help in disaster

   mikemw replied to nursecheryl's topic in General Nursing

   check in to the National Disaster Medical Medical system NDMS they have different types of teams and utilize both medical and communications perssoneel. It falls under the dept of Health and Human Services and Homeland Defense. During a disaster me...

3. does anyone have a policy?

   mikemw replied to AmyRN's topic in Emergency

   I work in an ER with 17 beds in the main ER, we have an additonal 8 nonurgnet beds that are used from 1100-2300 daily. The nonurgent area is staffed by a PA, 2 RNS an ER tech and a clerk. This takes the nonurgent load off the main ER. When an ER ...

4. SVT situation on tele unit

   mikemw replied to SC-Tele-RN's topic in Cardiac

   I agree with debbyed I have worked both tele and ER. If indeed the patient was stable she could possibly wait for the MD to come in in 2 hours but I would have been concerned and definately keeping a close watch on her. BUT by your descripition th...

5. admission delays

   mikemw replied to NinaC's topic in Emergency

   I work in an ER with 17 treament areas and a co-located fast track area with 8 treatment rooms for nonurgent patients. We see around 140 - 150 patients a day. Often we have "boarders" patients who have been admitted to the hospital but do not have a...

6. Management/personality isues.....input needed.

   mikemw replied to CEN35's topic in Management

   Welcome to the world of managment. I think conflicts between coworkers is always a headache for a manager regardless of their experience. It takes good communications and listening skills. Often the verbalized problem is not the real issue. I do...

7. I can't keep staff. Why do I try?

   mikemw replied to ClariceS's topic in Management

   Clarice you sound like a manger I'd like to work for You appear to care. That is a trait that manager often loose becuase of what you are talking about. I have not been a manager as a nurse, but I was in the military for 20 years and have experien...

8. ER or ICU?

   mikemw replied to 502Nurse's topic in Emergency

   I can't tell you about differences between ICU and ER because I have never worked in an ICU. I have workled Surgical telemetry and ER both of which are considered Critical care, but differ significantly in types of patients seen. You asked about b...

9. First Job in ER, advice welcome

   mikemw replied to Y2KRN's topic in Emergency

   Y2KRN: Dito to what they others have said. I just finished my first year as an ER nurse. Book knowledge should be combined with experience. Often I come home and read up on things I run across that I was not all that comfortable with. Expereince i...

10. Triage courses on-line?

    mikemw replied to dewp_63's topic in Emergency

    dewp_63 The University of maryland has a free online Traige Website it is at http://parsons.umaryland.edu/triage/index.html This is the only one I know of I'm sure your ED will give some traingin before youy have to triage. But you are right you ne...

11. what constitutes a "real" nurse?

    mikemw replied to momfirst's topic in General Nursing

    momfirst: As Dplear said, a real nurse is one who has completed the training and passed boards. You are a s much a nurse as I am working in the ER, as a DON is, as a long term care nurse, as an nursing instructor is, as: Ok you get the point. I be...

12. Documenting

    mikemw replied to ALISHAJO's topic in Emergency

    In our ER we do not ask about cultural or religous beliefs on a routine basis. Why 1) as you pointed out this is often a non priortity with ER patients. 2) There is a likeihood that the patient my mis interprept the reason the question was asked. ...

13. BSN vs. ADN

    mikemw replied to goldilocksrn's topic in General Nursing

    This is one of those never ending stories and there may not even be a right anaswer. I have worked with Diploma, ADN, BSN, and MSN nurses in the emergency room and it is not noticable what there level of education was. For those who believe that ...

14. how hard is nursing school?

    mikemw replied to hanginginthere's topic in General Students

    How hard school is is an individual thing. Outside life needs as well as self motivation play a signifacant role in hhow challenging a program is. Before I changed to nursing I had a degree in Electronic Systems Tecnology and was a junor in an Ele...

15. Advice - Working as EMT-P while in school

    mikemw replied to MsBruiser's topic in General Students

    You will have your work cutrout for you. I worked as and ERtech (EMT) 4-10 hiour shifts and 5 - 8 hour shifts while going to nursing school. Why, because I had a family to feed and life dosen't stop for nursing school. 24 hour shifts may not be imp...