one_speed

one_speed

Emergency / Trauma RN

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All Content by one_speed

  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...

  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

  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...

  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...

  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...

  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...

  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...

  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...

  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...

  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...

  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...

  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...

  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...

  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,...

  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...

  16. Was I out of line ?

    one_speed replied to grantw9066's topic in Emergency

    Back to the origional postand the reason I responded the way I did, The issue is not how the triage nurse assesses and treats thhe patient. The issue is not one of the chances of having a walking c...

  17. Was I out of line ?

    one_speed replied to grantw9066's topic in Emergency

    +1 to the above, I'd apologise as well and make good with your team mate. I think that he would respect you more for it. As we all know, the collar might be a good idea. IMO no need to back board...

  18. Was I out of line ?

    one_speed replied to grantw9066's topic in Emergency

    By the way, I think that if you bladed me like that in the same situation I'd be hesitant to offer advice in the future as well ( i.e not talk to you in a similiar context). This is different from...

  19. Was I out of line ?

    one_speed replied to grantw9066's topic in Emergency

    It sounds to me as if you did step over the line... big time... maybe even bladed your co-worker. Granted now you may have learned something and can apply your triage assessment skills to come up...

  20. Would this happen at your ER?

    one_speed replied to AlisonBSN's topic in Emergency

    Please... This sounds like this came up in the early morning (started at 0500 ?). You can't use the "we're overworked and overloaded" argument all the time... at leastthe MRP was willing to consult...

  21. Triage sucks!!! Any tips??

    one_speed replied to BrnEyedGirl's topic in Emergency

    Ah to be the hated triage nurse full time... like any other area in our department, spend too much time there and you can go crazy. I love working triage. It just turns out that, like the charge RN...

  22. Accused of being racist - how to handle?

    one_speed replied to Susan9608's topic in Patient, Colleague Relations

    Ahh, the racism line... the last line for self centered losers all around the world. Before anyone gets all " uppity" over that comment. Unless the OP was insulting the person byh saying that he was...

  23. Yelling, screaming and ducking the cranky triaged patients

    one_speed replied to canoehead's topic in Emergency

    I mean I don't want to give the impression to my colleagues that we look for fights up here... but when it comes down to it; protection for myself, my coworkers and my patients is a priority compared...

  24. Yelling, screaming and ducking the cranky triaged patients

    one_speed replied to canoehead's topic in Emergency

    have you ever heard the term "Pile - On"

  25. Yelling, screaming and ducking the cranky triaged patients

    one_speed replied to canoehead's topic in Emergency

    And then of course after kicking them out you get a call from their mother the next day angry that we mean ER nurses threw their baby out into the snowbank when they were sick.... long story, not...