heinz57

Latest Activity

1. Trach with oxygen

   heinz57 replied to LilyRN99's topic in Pulmonary

   If you are running the trach aerosol off an air compressor, that little blue dial is NOT what your O2 percentage is. That dial is used for O2 percentage only if you are running it directly off an oxygen flow meter with the manufacturer's recommended ...

2. oxygen delivery with nasal cannula

   heinz57 replied to Fiioonnaa's topic in Pulmonary

   Those plastic bubblers can be used with a High Flow Nasal Cannula which have a slightly larger tubing bore. It is often a different color like green to differentiate it from a standard cannula. It is capable of flows up to 15 L/m. The OxyMask can al...

3. Salbutamol with normal saline

   heinz57 replied to Puggy1001's topic in Critical

   In the United States, Albuterol comes in both forms. It can be a diluted 2.5 mg unit dose or the undiluted form which can come by individual dose package or in a multidose bottle. The US has gotten used to giving a 2.5 mg UD dose of Albuterol for all...

4. End of CCT Nurses in California?

   heinz57 replied to TraumaSurfer's topic in Flight

   After reading Akulahawk's post, I doubt if CCT RNs have anything to worry about. Akulahawk, Stop worrying about being called an Ambulance Driver if it is in reference to the "one who drives the ambulance". I can see you getting out of your ambulanc...

5. Nurse manager said O2 concentrator can be used with BMV?

   heinz57 replied to smartnurse1982's topic in General Nursing

   The "bag" or "tail reservoir" of a BVM (Ambu) helps increase the concentration of oxygen. It has very little to do with CO2 since the exhalation is through the spot where you place a PEEP valve if you have one. If a concentrator (5- 8 L) is all you...

6. Living Will Tattoo

   heinz57 replied to jeastridge's topic in General Nursing

   This seems to be a popular tattoo to get right now. A couple of 20 y/o EMTs were showing off their Do Not Resuscitate tattoos in the ER. The impulsive actions of the young or impaired judgement of a drunken dare may also bring questions of legitima...

7. End of CCT Nurses in California?

   heinz57 replied to TraumaSurfer's topic in Flight

   This is an old discussion but some attitudes don't change. In all fairness, most EMTs and Paramedics have no clue about the many different specialties of nursing or any other hospital or clinic health care professional either. Many in EMS are cluel...

8. Cough Assist oops!

   heinz57 replied to Hownow's topic in General Nursing

   Mistakes happen. However, make sure that machine is thoroughly cleaned which may mean a biomed trip to be taken apart and decontaminated. Had this been in a place where the machine is used on multiple patients, it could have been much more serious fo...

9. What am I missing?

   heinz57 replied to harrird's topic in Flight

   It is not so much the training of EMT or Paramedic but the need to hold one of these certs to satisfy outdated transport regulations in some states which are controlled by EMS regulatory boards. Some states say to participate in any out of hospital ...

10. Pt. With trach: cuffed but always deflated?

    heinz57 replied to Orion81RN's topic in General Nursing

    The cuff does very little to prevent aspiration since it is located below the glottis. The exception might be one with a subglottic suction port. Trachs are expensive. BUT, a cuffed trach, whether it has been inflated or deflated, should be changed...

11. Switching from Nursing to Respiratory Therapy

    heinz57 replied to MykRTstudent's topic in General Students

    That is not true. Many sleep technologists are EMTs and LPNs who got trained for sleep lab and then got certified as sleep techs. Not that many RTs are sleep techs since they separated the licenses and Sleep now has its own board. Many states als...

12. NPA/Nasal Trumpet

    heinz57 replied to Leafylane's topic in General Nursing

    If the patient needs a trumpet for airway clearance, they probably need a swallow eval but without the NPA. The problems often come from improperly sized NPAs. Rarely are several sizes stocked and usually just what is available is shoved up a patie...

13. Nicotine Test for new employment

    heinz57 replied to hls0810's topic in General Nursing

    Did you not see the statement for tobacco and nicotine on their employment page? I am sure the application had a lengthy section about this to which you agreed to with your signature. This shouldn't be a surprise. Given the information now available ...

14. RT Career?

    heinz57 replied to k9bite's topic in Pulmonary

    Tmw you are describing something which is unique to your facility. I have worked in Florida and the RTs are not doing most of what you describe. There are hospitals in South Florida do not allow RTs to draw ABGs and I know not all transport teams h...

15. California marijuana legalization

    heinz57 replied to Elky's topic in General Nursing

    Nice try with the stats game but you have to read what they are actually supporting. This is now a new administration. Neither Bernie or Hillary is the President. Trump is not in favor and Sessions has already put undoing legalization of marijuana hi...