likemike BSN, RN

likemike is a BSN, RN and specializes in Emergency, Peds, Amb. Surg.

Latest Activity

1. Leaving the Inner-city-ER-guilt? Advice please..

   likemike replied to RNAsh's topic in Emergency

   Drrrrr

2. Anyone currently studying for the CEN exam??

   likemike replied to deeDawntee's topic in Emergency

   From Mike, RN, CEN I passed and so can you. I took a Paragon CEN exam review course. Two days. This after ACLS, PALS, TNCC etc. Then I reviewd the sylabus and used the ENA/BCEN on line test source. One 50 question, one 150 question. I really did ...

3. Leaving the Inner-city-ER-guilt? Advice please..

   likemike replied to RNAsh's topic in Emergency

   Wow, That hits a little too close to home. I have been an Emergency Care Practioner for 29 years. EMT, then Paramedic, Navy Hospital Corpsman, LVN in ED and Finally an RN. I work in a knife and gun club level one Trauma Center. I have only been an R...

4. Level 1

   likemike replied to nursequeenie's topic in Emergency

   It is the brand name of a rapid infuser, it can warm up fluids to 42 degrees C, ours is labeled a level one, that must be the company name? It is used in all of our trauma rooms and in the OR. Hope that helps, oh yeah, if you unplug the tubing, yo...

5. Level 1

   likemike replied to nursequeenie's topic in Emergency

   Nope, Good question. A lot of Nurses are afraid to ask a question. The blood is viscous as it is cold, but just put it in the level one, which hopefully is heated, seal the door and pressurize the bag. That is the reason for the level one, to rapidl...

6. PTSD in ED Nursing/ Critical Care Nursing

   likemike posted a topic in Emergency

   I was recently assaulted (again) at my Level 1 knife and gun club. We have more behavioural emergencies than traumas some nights. I practice in an urban ED, which city is known for it's tolerance of drugs/alcohol and social liberalism. I am also a fo...

7. no clinical experience - going to ER

   likemike replied to AMERICA_my_dreamland's topic in Emergency

   Ayy Naku, You ask good questions. If you have not practiced for a couple of years you may do well to take a refhresher course in the US. There are a great deal of education sources for such things as IV or phlebotomy in California. I understand your ...

8. Questions from a Struggling ER New Grad

   likemike replied to NurseLene's topic in Emergency

   ENA. ENA. I joined in my last semester of school. I go to local, state and the national scientific meeting. I read the journal, go to the web site and am very active in ENA. For one thing, you get away from the chaos for a break. Another thing is th...

9. New ED nurses who "know it all"

   likemike replied to rnflie's topic in Emergency

   I work in a very busy level 1 Trauma Center. I have been an RN for two years, but with 29 years of progressive clinical experience. EMT, then EMT-P when they made Paramedics, a Navy Corpsman and then an LVN when LVN's in CA were able to practice in ...

10. er visitors...a funny

    likemike replied to UtErRnEmt's topic in Emergency

    Dil Dave/Donna, Um, I cant walk, I need this cane cuz I have a back injury from the war, from the fall from the bridge, from being attacked by a gang, from a GSW, from being a Nurse etc "I am allergic to Toradol, Motrin, Vicodin, Morphine the Doctor ...

11. "Just" a 2-year degree

    likemike replied to RNsRWe's topic in General Nursing

    I USED to be JUST an EMT, JUST a paramedic, JUST a Hospital Corpsman, JUST an LVN and now I am per my Manager "A professional Registered Nurse in the Emergency Department." I got a loan in the LVN to RN program. It paid me as a Junior in college des...

12. Rules for the ER (long)

    likemike replied to EDValerieRN's topic in Emergency

    My friend sent me a stream like this. The funniest was: You know you are an E.D. Nurse when: You encourage your patients to sign out AMA. LEGAL DISCLAIMER I would never do such a thing.

13. How many people actually have PDA's?

    likemike replied to FNPhopeful's topic in General Students

    As an LVN in the ED doing pre reqs all the PA-Cs had them. In my Pharm class I found out about PDAs and Davis in the PDA. I went to skyscape and started w Davis, archimedes and RN notes. Now I have Lippincotts procedures, NCLEX review (passed dont...

14. Is the Grass Really Greener Stateside? Honestly.

    likemike replied to Lone Stranger's topic in Philippines

    Nicely stated. But....I spent 8 years in the Navy and had a lot of Pinoy shipmates both in the fleet aboard ship/with the USMC and in a couple of Hospitals. They do tend to group together. Probably for a reason. It used to be if you were a Navy P...

15. Is the Grass Really Greener Stateside? Honestly.

    likemike replied to Lone Stranger's topic in Philippines

    LOL you got me with my bad Taglish but cut me some slack, I had been up for 14 hours and was checking NCLEX results for a pinay friend. :)