MikeRNWI

MikeRNWI specializes in Critical Care, Trauma, Transplant.

Latest Activity

1. Cleanliness is a must!

   MikeRNWI replied to Brian's topic in Nursing Humor

   "But wearing gloves to hand someone a cup of pills or to check a BP is just crazy-pants." Try being part of an ICU study where you have to gown and glove each time you go into your patients

2. ICU Nurses I Didn't Know You Could Do This???

   MikeRNWI replied to All4NursingRN's topic in MICU, SICU

   I agree with BelgianRN. You dont want to bolus your pressors. If your patient is requiring increasing doses of these medication, it is doubtful a transient dost such a as a bolus will be helpful in...

3. ICU Nurses I Didn't Know You Could Do This???

   MikeRNWI replied to All4NursingRN's topic in MICU, SICU

   Yep sometimes in the ICU you need a long chain of stopcocks to manage everything. Last weekend I had a patient on with a triple lumen and a IJ dialysis catheter for CVVH. Had so much that we even had...

4. Calling Code Blue in ED

   MikeRNWI replied to becca001's topic in Emergency

   Our code teams work similarly to the post above. Granted, we are a Level 1 Trauma center, and a academic medical center, but our ED fully handles all pre-hospital arrests themselves. Our ICU's handle...

5. Therapuetic Hypothermia

   MikeRNWI replied to kaiser0926's topic in MICU, SICU

   We do the same in my ICU. We use a coolguard femoral or subclavian line, which has 5 lumens, 3 for infusion of medications, and two closed circuit lumens that circulate water. Cool as quickly as...

6. Nurse culture in critical care

   MikeRNWI replied to ellie193's topic in CCU, Coronary, Cardiac

   Ill second the amazing camaraderie and teamwork. So many nurses who transfer from the floor to our ICU are amazed at the amount of help we do for each other, on the floor it was just everyone does...

7. Leaning Critical Care

   MikeRNWI replied to Ayra's topic in CCU, Coronary, Cardiac

   If you want to get some good information (especially patho stuff) on critical care, look into some of the CCRN study books. CCRN is the Certification for Critical Care Nurses. Depending on your...

8. Male nurses student and skipping OB/L&D clinicals

   MikeRNWI replied to Jfarmboy's topic in Male Nursing Students

   I will also say, in the ICU patients, there is absolutely nothing sexy or sexual about anything that you see there, but you do deal with the genitals quite often. Incontinent patients, swollen...

9. Correcting INR

   MikeRNWI replied to missjustice's topic in General Nursing

   What??????

10. Intermediate care units?

    MikeRNWI replied to lrc1203's topic in General Nursing

    At my hospital, step down units usually take patients who have spent time in the ICU, and are mostly better, but still need a bit closer attention/management then general care floor. Usually, staffing...

11. Venipuncture

    MikeRNWI replied to melstei's topic in General Nursing

    http://www.icufaqs.org/ Check out the section for Peripheral IV's for beginners. And yes, its practice practice

12. Air in IV flush syringe??

    MikeRNWI replied to samiam4's topic in General Nursing

    Even with central lines, a ml or two of air is not something to be concerned with. In fact, there is a study done with echocardiograms called a "Bubble Study", in which 1 mL of air is agitated within...

13. VENT ! Well they won !I am quiting

    MikeRNWI replied to Trekfan's topic in General Nursing

    So, Onradar, since you know so much, you surely know where the OP lives, and that there is a bus route right past their house, directly (or with few stops) to their place of employment. No one ever...

14. O.R. cases for CRNA's vs. Anesthesiologists

    MikeRNWI replied to ICU, RN, BSN, B.S.'s topic in Certified Registered Nurse Anesthetist, CRNA

    So... I had to reread. I first saw this say head and heart transplants.... I was really intrigued and perplexed with the concept of head

15. Positive TB Skin Test

    MikeRNWI replied to awalker1015's topic in General Nursing

    To the OP, I to just got my TB test done, and I also had a red, swollen looking circle. This is a pretty typical reaction for me, and I have been told that I have an allergic reaction to the...