GreyGull

GreyGull

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About GreyGull

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  1. did the Dr. have a right to scold this nurse?

    "Sigh"
  2. did the Dr. have a right to scold this nurse?

    Our IT people set up some of the most complex technology on the market. They are present in the patient care area to troubleshoot and make sure everything is functioning as well as to TEACH RNs and MDs how to use it. That may definitely be during a ...
  3. did the Dr. have a right to scold this nurse?

    You guys tickle me sometimes and I'm the one who is 2 - 3x your age and grew up with the stone tablets. Get over your arrogance. You need computer specialists and the more they know about your job, the easier they can make it.
  4. did the Dr. have a right to scold this nurse?

    Define "record a code". In my hospital it has many meanings since we do teaching and have electronic gadgets everywhere. Someone writing events on a piece of paper is just one way and may be done while other methods are also be used to "record a code...
  5. ABG treatments?

    Then allow me to introduce you to the Philips elearning website. Philips bought Respironics who makes many pieces of RT equipment including the Vision. There is a good Vision inservice and NPPV courses along with ETCO2 and other noninvasive monitorin...
  6. did the Dr. have a right to scold this nurse?

    I see someone who is asking questions about the things he is seeing or reading and would like an explanation from those directly involved in patient care. Maybe he does not want to bother those where he works with these questions especially since man...
  7. ABG treatments?

    That would depend on the disease process (underlying and acute), the plateau pressures, the waveforms of the ventilator and at what stage of the acute or recovery/rehabilitative process the patient is in. ARDS protocols will run from 6- 8 ml/kg (emp...
  8. ABG treatments?

    But then over simplification is why some don't understand ABGs the way they should especially if they are in a position to assess and maybe treat. Over simplification is also why some still use "no more than 2 L for COPD" or toss out something like ...
  9. Home sleep study test

    I would check with the sleep lab about ANY medications, OTC or prescription, to see what they do allow. Many machines are now auto titrating (APAP) and many insurances do allow these. Some patients may have this study done in the hospital near the en...
  10. ABG treatments?

    I apologize for my lengthy posts. To summarize, sometimes patients are "assumed" to be a COPDer or in exacerbation with sole focus on the respiratory component. The clinical presentation and the ABG iare useful for the inital rescue but as the bedsi...
  11. ABG treatments?

    You must monitor the intrinsic or auto PEEP and plateau pressures. High Peak pressures are also just one small part of the story. By knowing the plateau pressure you can make an informed decision about whether it is a problem with secretions, broncho...
  12. ABG treatments?

    The over simplified teaching of ABGs do an injustice to the bedside clinical health professional. Many focus on the disease process of "COPD" without considering the many other pulmonary and non-pulmonary disease processes which are interconnected. ...
  13. did the Dr. have a right to scold this nurse?

    This is also a very public open forum. The OP expressed a concern for a nurse over something he/she thought he/she withnessed. The OP is also a member of the hospital team even if he does not have RN behind his/her name. The OP's question also seemed...
  14. did the Dr. have a right to scold this nurse?

    Since this was a teaching hospital there might be several ways to "record a code". We record the actual code in action to be played back. There are also electronic markers on a computer screen that has all the monitored data sent to it and it takes i...
  15. Swan-Ganz Use

    Is the PA catheter used by Habit Based Medicine or Evidence Based? Because we've always done it like this no longer holds up in Evidence Based Practice. http://anestit.unipa.it/mirror/asa2/practice/pulm/pulm_artery.html Any invasive procedure will...