MikeyT-c-IV

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

Latest Activity

1. Dual Lumen Midlines and Drug Compatibility

   MikeyT-c-IV replied to MikeyT-c-IV's topic in Infusion, Intravenous

   Agreed. Having a lively debate at

2. Dual Lumen Midlines and Drug Compatibility

   MikeyT-c-IV posted a topic in Infusion, Intravenous

   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...

3. Rehab nursing - Yes or No?

   MikeyT-c-IV replied to mymunnich's topic in First Year After Licensure

   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...

4. Central Line Placement and Masks

   MikeyT-c-IV replied to applesxoranges's topic in Emergency

   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...

5. MSN In Leadership Programs

   MikeyT-c-IV replied to Success2011's topic in Nurse Management

   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...

6. When to insert PICC/Central Lines?

   MikeyT-c-IV replied to LibraNurse27's topic in General Nursing

   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...

7. PICC RN

   MikeyT-c-IV replied to fangguixiao's topic in Infusion, Intravenous

   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...

8. Use of Ultrasound Guidance for PIVs

   MikeyT-c-IV replied to bgxyrnf's topic in General Nursing

   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...

9. Sick Leave

   MikeyT-c-IV replied to NurseAries's topic in General Nursing

   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...

10. supra pubic caths

    MikeyT-c-IV replied to jaa631's topic in LPN, LVN Corner

    Exactly this. Unless you have a contract to provide formal education this could be a bad situation a

11. Medical Gloves Survey

    MikeyT-c-IV replied to dpreece1's topic in General Nursing

    •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...

12. Survey Monkey Employer Surveys.

    MikeyT-c-IV replied to Emergent's topic in General Nursing

    Same. I'm in a 2 person department. So when they see our survey... well, you

13. Compensation fair or not?

    MikeyT-c-IV replied to feelix's topic in Nursing Educators, Faculty

    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...

14. Valved picc fluids by gravity to slow

    MikeyT-c-IV replied to BRNNCH's topic in Infusion, Intravenous

    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...

15. slower paced MSN in nursing education

    MikeyT-c-IV replied to phnII's topic in Post Graduate Students

    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...