GrannyRRT

Latest Activity

1. Nurses cant do IO?

   GrannyRRT replied to blackvans1234's topic in Medications

   I have taken ACLS classes for over 30 years which includes back when the certification actually meant something. On page 70 in the text there is a paragraph about IO. On the website there is a short video. In PALS you might play around with a chicke...

2. POLL: Should telemetry techs need to know patient Dx?

   GrannyRRT replied to mycoholic1's topic in General Nursing

   I do not agree that none of them require knowing the diagnosis. Many of the alarm parameters are diagnosis based. If you have a fixed rate pacemaker your alarm settings might be different than a variable rate or regular patient. If the patient is pa...

3. POLL: Should telemetry techs need to know patient Dx?

   GrannyRRT replied to mycoholic1's topic in General Nursing

   It sounds like you did not realize you were getting hired to be part of a PATIENT CARE TEAM. You don't need a college degree to understand a few things beyond the squiggly lines on the monitor and how they pertain to the total care of the patient. ...

4. Patients allowed to go outside and smoke???

   GrannyRRT replied to JackiRN's topic in Relations

   It used to bother me but now, if the patients are on RT service, I just protocol them to an MDI and wish them well. This was after several times of being paged by RNs who didn't want these patients to miss their RT treatments and would call us to giv...

5. Doctors Orders

   GrannyRRT replied to NGYSUN's topic in Med-Surg

   Since you mentioned Echo, is your floor utilizing or attempting to establish order sets for core measures based off the physician diagnosis such as for heart failure? There are also pre and post procedure order sets. Ideally the computer system sh...

6. 97% O2 with NRM

   GrannyRRT replied to iluvnoodles's topic in Emergency

   Field provider? Okay, I didn't go into all of the many different specialty devices we use in the ORs, bronch suites and ICUs because they usually have an RT, CRNA or anesthesiologist at the bedside. We have devices to do bronchs on BIPAP and ventil...

7. 97% O2 with NRM

   GrannyRRT replied to iluvnoodles's topic in Emergency

   Not necessarily. That would depend upon the situation and why the patient is requiring supplemental oxygen. Drug OD and neuro patients do not always respond as others with a normal unimpaired drive would. DKA would also give an increased rate and d...

8. 97% O2 with NRM

   GrannyRRT replied to iluvnoodles's topic in Emergency

   It is an open light weight mask with a shallow cup like piece in the center directing oxygen at the patient. OxyMaskâ„¢ Adult | Medical Supplies | Southmedic This site provides great info. Read the FAQs section and use it as a reference if your facil...

9. 97% O2 with NRM

   GrannyRRT replied to iluvnoodles's topic in Emergency

   It is not so much the FiO2 which can cause the harm but the rebreathing of CO2. This will not be noticed by the SpO2 value until it is too late. I am going to be the "2 L" thing has to do with the old training of no more than 2L for COPD patients re...

10. 97% O2 with NRM

    GrannyRRT replied to iluvnoodles's topic in Emergency

    I am more concerned about someone putting anyone on a NRM at 2 LPM. Even 97% SpO2 on a nonrebreather does not give a clear picture especially if the A-a gradient could be >300 mmHg.

11. tracheostomy

    GrannyRRT replied to teeroze201069's topic in General Nursing

    Some home care and LTC trachs are changed q 30 days, q 60 days, q 90 days or q 6 months depending on insurance and protocol. Some LTC facilities stretch out changing special order expensive trachs as long as possible. I prefer to change cuffed trach ...

12. RT Career?

    GrannyRRT replied to k9bite's topic in Pulmonary

    If your hospital is as big as you say it is, I would really like to see that hierarchy line. That's good. But, it does not mean the RNs in your state are restricted from touching ventilators. They do in home care, PACU, transport, LTC and a variet...

13. RT Career?

    GrannyRRT replied to k9bite's topic in Pulmonary

    Who does he report to? What is the hierarchy of management in your facility? What type of hospital? Be specific. There are exceptions but I am looking at the experiences of many managers in many states including Florida. I am an RRT with degr...

14. Code situation

    GrannyRRT replied to KeitanTaylor's topic in General Students

    For the past 20+ years we have allowed parents to be present when their child codes. But, we will have at least one professional with them to explain everything and remove them if necessary.

15. CO2 vs PCOS?

    GrannyRRT replied to Nursing2102's topic in Student Assist

    I am just saying it is time to put the correct reasoning behind statements like "if you give that old bird 4 L she will stop breathing" and understand not all COPD patients are retainers. The longer you leave a patient in a hypoxic state the more ch...