MikeRNWI

MikeRNWI

Critical Care, Trauma, Transplant

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All Content by MikeRNWI

  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...

  16. Why does everyone seem to want to work L&D?

    MikeRNWI replied to IowaLPN's topic in General Nursing

    I still personally think that babies look an awful lot like old

  17. Why does everyone seem to want to work L&D?

    MikeRNWI replied to IowaLPN's topic in General Nursing

    Its all about the miracle of life man!!!! Ok, no idea for me

  18. different types of ICU

    MikeRNWI replied to meghan91's topic in General Nursing

    I work in a unit that sees both MICU and SICU types, so I know those both well... MICU - Medical ICU, we see lots of ARDS, sepsis, respiratory distress, ESLD, overdoses just to name a few SICU -...

  19. CVP catheter confirmation question

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

    The 10 mL of air comment really scares me here. I too have heard (and done) bubble studies with TTE or TEE's, in which we use 1 mL of air and 10 mL's of saline, agitated with 2 syringes and a...

  20. a new grad's gripes

    MikeRNWI replied to LoveActually's topic in MICU, SICU

    Not sure where you can get Dexmedetomaine (Precedex) cheaper than propofol or midaz, Dex costs roughly 55 dollars/200 mcg bottle, while Midaz costs about a dollar/mg. Considering Dex is dosed in...

  21. New Grad positions, is anyone in WI hiring?

    MikeRNWI replied to settinggirl's topic in General Nursing

    UW Hospitals and Clinics in Madison is also a Level 1

  22. Student Nurse - Clinical skills questions - IV's

    MikeRNWI replied to MsHomeSlice's topic in General Students

    As far as the air emboli, no worries on a little air. Even a few mL's of air will not harm patients. There is actually a cardiac study called a bubble study in which you inject saline with bubbles in...