MikeyT-c-IV

MikeyT-c-IV

Vascular Access

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About MikeyT-c-IV

MikeyT-c-IV has 13 years experience and specializes in Vascular Access.


Current: Quality, Infection Control, Nurse Education. Prior: Vascular Access, Home Infusion, Cathflo Nurse Trainer, Telemetry/Step-Down, ICU, Same Day Surgery, Endoscopy, Nurse Manager.

Latest Activity

  1. Dual Lumen Midlines and Drug Compatibility

    Agreed. Having a lively debate at work.
  2. Does anyone have an opinion and/or any studies regarding the simultaneous infusion of incompatible medications in a dual lumen midline? Meaning, Drug A in lumen 1 and drug B in lumen 2 and the drugs are not compatible. I once had great access to EBP...
  3. Rehab nursing - Yes or No?

    I have heard in the past, on this website, that some employers do not like to hire nurses who are looking to move from rehab to acute care. In my state, Oklahoma, many hospitals would appreciate any nurse... I frequently check out the various job web...
  4. Central Line Placement and Masks

    Yes, generally. I'm kind of lenient on this issue. If I am placing a PICC say, in a very large E.D. room and the family is sitting in a chair 10 feet away, no. In one of our small inpatient rooms everyone wears a mask.
  5. MSN In Leadership Programs

    I agree with Carrie_RN. Look at your in-state universities. You will take advantage of lower resident tuition fees plus probably get a similar quality education as some of the schools listed above. I finished earning my MSN in Leadership this August ...
  6. When to insert PICC/Central Lines?

    I would probably advocate for a midline or a PICC. It sounds like multiple meds are infusing. Given the nature of her vasculature and especially this pt's plan of care, I think a PICC would probably be best. Remember though, your docs are going to be...
  7. PICC RN

    With the smaller veins, depending on assessment, I'll access the vein a bit closer to the AC area than I normally would since it's a bit more superficial. I always use the 1.75" IV cath that comes in our kit so I can cannulate and not worry about los...
  8. Use of Ultrasound Guidance for PIVs

    I've been placing USGPIV's for about 11 or 12 years. I'm on a vascular access team. I started using ultrasound a couple of years before I started placing PICC's and midlines. I haven't kept track of how many central lines we have avoided due to utili...
  9. Sick Leave

    My advice is to go to your doctor if you are unable to work due to illness and get a note. At least you will have a paper trail. I haven't called in sick for over 15 years! But finally this year I had to "call" in sick... well, I was in the ICU on th...
  10. supra pubic caths

    Exactly this. Unless you have a contract to provide formal education this could be a bad situation a brewin'.
  11. Medical Gloves Survey

    •Do you have a preference for a particular glove material? (if so, why?) I have used all three materials. The vinyl is horrible, difficult to don and too thick for certain assessments. I could go either way, nitrile or latex for non-sterile use. I ...
  12. Survey Monkey Employer Surveys.

    Same. I'm in a 2 person department. So when they see our survey... well, you know.
  13. Compensation fair or not?

    I'm glad you posted this question. I've been curious about the ballpark figure for online adjunct positions. I think it would be worth it for the experience and an opportunity to figure out if it is your thing. If not, 16 weeks will fly by.
  14. Valved picc fluids by gravity to slow

    Also remember a PICC is much longer than a PIV so there will be more resistance with the gravity flow. A regular PIV may only be a couple of cm long but a PICC can be quite long up to 55cm depending on the size of the patient. The 5fr Bard Solo, each...
  15. slower paced MSN in nursing education

    I took online classes at a University in my State. I did not take the education route but I do know it is only 11 classes (3 credit hours each) and each class was around $315/hr. None of my books were expensive, most of them I rented. I went part tim...