one_speed

one_speed has 5 years experience and specializes in Emergency / Trauma RN.

Latest Activity

1. Conscious Sedation in the ER

   one_speed replied to Silktea3's topic in Emergency

   We use quite a bit of conscious sedation in our ED, both for Paeds and Adult as well. IM Ketamine for most paediatrics patients. IV Propofol for most Adults (dislocations, closed reduction of fractures), but sometimes Versed and Fentanyl depending on...

2. Getting Percocet thru a Port-a-cath!!!!

   one_speed replied to chenoaspirit's topic in General Nursing

   nice... All I'd say is now she can't get any narcs or happy drugs through the porta cath... it's contaminated and too high a risk to use. sucks to be her... no more happy drugs.

3. AHA....lay people don't check for a pulse?

   one_speed replied to catlynLPN's topic in General Nursing

   A lot of good p[oints are mentioned here, particularly the last point about lay people trying to do CPR on a conscious victim with other problems. (funny aside - have you ever had to stand on the other side of a curtain of a VSA - CPR in progress d...

4. How long is the wait in your ER ?

   one_speed replied to time4meRN's topic in General Nursing

   Part the Second We often see a broad spectrum of philosphies concerning patient flow in ER's. Ranging from : let them rot in the waiting room for their sore toe, I need to keep beds open for more serious patients. to Gotta get those patients out of ...

5. How long is the wait in your ER ?

   one_speed replied to time4meRN's topic in General Nursing

   Ah, the ever present argument about wait times... I think what every one is forgetting that we are always trying to compare appples and oranges in healthcare... The big thing in the media in Canada is wait times... wait times for surgery, ait times f...

6. Calling yourself a "nurse"

   one_speed replied to Jamie2887's topic in General Nursing

   Actually, maybe "calling the bluff" and embarrassing the pants of your coworker might have been the jerk thing to do and shows a lack of style. (made you feel better, but did it really help the situation.) hows about the ""STAT" insulin order from th...

7. Calling yourself a "nurse"

   one_speed replied to Jamie2887's topic in General Nursing

   Good point... resolution to this problem... Degree as entry to practice for an RN. Hey, can't tell you how to do things in the US, but I am secure in a well paying career, and not likely to be replaced with helpers anytime soon. The nursing (small ...

8. Calling yourself a "nurse"

   one_speed replied to Jamie2887's topic in General Nursing

   On a similiar tangent.... Where do all of these new titles come from ? facilities looking to hire cheap labour to do a job (poor outcomes forthe patient be damned). Anybody and their dog can be Certified to do whatever... doen't mean squat in the end...

9. Calling yourself a "nurse"

   one_speed replied to Jamie2887's topic in General Nursing

   Secretary Edcuation: Secretary School (ie not a Nurse) Place of Employment: Starting Wage: Job Description: Helper Edcucation: ? if any (ie not a Nurse) Place of Employment: Seems like all over the place Starting Wage ? Job Description: MA / Medicati...

10. lost my I.V. certification

    one_speed replied to mrsjanko's topic in General Nursing

    How does one lose their "certification". Do you literally pay for a certificate saying you can now start and maintain IV's, Do you carry a little piece of paper to show your patients on demand ? In my workplace it is considered an added nursing skil...

11. what to know @ scene of accident

    one_speed replied to NurseNature's topic in General Nursing

    Not exactly, There is often room for improvement with the bystander where they might make a difference to improve the outcomes for an accident victim (not necessarily trauma). In rare cases, bad interventions by bystanders may have contributed to ba...

12. what to know @ scene of accident

    one_speed replied to NurseNature's topic in General Nursing

    I think that while your intentions are noble, they will prove to be ineffective and cause more harm than good. Then you will feel bad and cry... ( A general comment on many of the interventions described here, not you in particular, just using your ...

13. what to know @ scene of accident

    one_speed replied to NurseNature's topic in General Nursing

    An addendum to the last post I made... Graduating as an RN does not a first aider make. Please don't use the "Good samaritan law" or ignorance as an excuse not to help someone in need. any help is better than no help and sometimes two cluelessheads a...

14. what to know @ scene of accident

    one_speed replied to NurseNature's topic in General Nursing

    Holy crap !! two similiar questions on the forum in one day. I am going to advise the same as the LPN asking about emergencies in an ouitpatient clinic. The very best thing you can do for yourself, your family and anyone else is take a first aid cour...

15. First Response Actions

    one_speed replied to pagandeva2000's topic in General Nursing

    Usually I don't quote text (too many people do in these forums do... what a waste of bandwidth)... anyways... It sounds like you are working in an outpatient clinic, but even if you were in hospital and working the ward and came across any of the sit...