likemike

likemike BSN, RN

Emergency, Peds, Amb. Surg

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All Content by likemike

  1. 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...

  2. MALE Nurse, Female Police Officer, Female Dr.

    likemike posted a topic in Male Nursing Students

    I find the term "Male Nurse" discriminatory. If you were stopped by the police for speeding, would you call the police officer "Oh, you are a female police officer!" In taking an order would you...

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

    likemike replied to RNAsh's topic in Emergency

    Drrrrr

  4. 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....

  5. 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...

  6. 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...

  7. 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...

  8. 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...

  9. 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...

  10. 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...

  11. 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...

  12. "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...

  13. 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

  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...

  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.

  16. Is the Grass Really Greener Stateside? Honestly.

    likemike replied to Lone Stranger's topic in Philippines

    Sorry to put my white nose where it may not belong but I have an affinity for your country and great respect for Pinoy/Pinay Nurses. It is hard to adjust to the brutality of US Nursing for some of my...

  17. Questions about trauma I witnessed. (LONG)

    likemike replied to GermPhobe's topic in Emergency

    Sorry you witnessed this. As a former Paramedic and Navy Corpsmen Nurses arent trained for rock solid pre hopsital care. I know cause I am one now :) ATLS states, airway with c spine control. I ride...

  18. Do You Have Male Nurses on your Unit?

    likemike replied to Annointed_RNStudent's topic in Ob/Gyn

    the difference between a male vs female Nurse is one chromosone. Stop bashing men, the question should be about competency not gender, this is 2006, women fly the shuttle and men can Nurse. With all...

  19. New Grad Thrown to the Wolves!

    likemike replied to IttyBittyCritty's topic in General Nursing

    If your gut feeling is telling you something is wrong, follow your gut. RUNNNNNNNN Listen to all the sage advice

  20. Help!! I need some advice.

    likemike replied to Ayonti's topic in General Nursing

    3 months, 3 managers and 7 preceptors, sounds like a recipe for disaster as in being set up to fail. Regroup, if your gut tells you after two weeks the unit is dysfunctional RUNNNNNN You just got a...

  21. Removing Foley. Inhale or exhale?

    likemike replied to Woman_in_love's topic in General Nursing

    AFTER you deflate the baloon, have them breathe in and out using belly breathing to relax muscles and at the end of an exhalation pull it out. For men my age, either inserting or dc ing a foley may...

  22. I have really messed up.

    likemike replied to Heather A.'s topic in Ob/Gyn

    We are all human and humans make mistakes. In the Medical Field Doc's rarely share as it were there Medical Follies. Just is not part of their ethos. Yet as Nurses we are expected to self disclose....

  23. Profanity in nursing notes

    likemike replied to findingmywayRN's topic in General Nursing

    I had to re learn this issue. At first I used words like angry or depressed and charted swear words. One hopsital was very religous and did not allow profanity in charting. Then I went to a legal...

  24. Greatest code brown stories!

    likemike replied to sweetpea839's topic in General Nursing

    I was an LVN in the E.D. of a tertiary University hospital in a wealthy area. An 77 yo female came in dressed to the nines co impaction. The attending, another Vet like me (he was in the Army, I in...

  25. Have you ever refused to care for a particular patient?

    likemike replied to HappyNurse2005's topic in General Nursing

    Yes, a number of times. When it is not a therapeutic relationship either dt a E.D. patient with an Axis two secondary dx who wants to verbally fight or a patient who just physically assaulted me I...