ventmommy replied to Orion81RN's topic in Private Duty
I'm confused by this entire post because there are absolutely zero hospitals that will discharge a patient without a fully trained caregiver (parent, foster parent, guardian, grandparent, whoever) in...
I have dogs and cats. I don't have an assigned color because my hospital lets us wear what we want but I have a lot of black tops and bottoms. I wash my uniforms (and everything I own) with a heavy...
ventmommy replied to 3.24.95's topic in Private Duty
As a mom, I'd fire the nurse. Touching the tube is a no-no. Her method isn't even a clean procedure. The reasons that we use an obturator: 1. A selling feature of Bivona is that they are super...
ventmommy replied to darkbeauty's topic in Private Duty
I think a lot depends on the parents and how comfortable they are having an inexperienced nurse. Vent assessments are more than just checking the settings. If you see that the tidal volume is now...
ventmommy replied to 3.24.95's topic in Private Duty
Trach changes anywhere outside of the OR are clean procedures. Bivona has VERY SPECIFIC instructions for how to process their trach tubes in the home setting. I would not recommend using generic...
ventmommy replied to darkbeauty's topic in Private Duty
There is a lot that can harmful. Can you handle an accidental decannulation with a hard-to-replace trach that turns into a code? Are you comfortable with trach care and trach changes independently?...
ventmommy replied to darkbeauty's topic in Private Duty
I would be EXTREMELY nervous to have a trach/vent patient with no experience and not having an agency to back you up. Who are you going to call if you have an urgent question and the parent isn't...
A patient can be sedated and paralyzed on any mode, or be in such a poor state that they are neither adding rate nor triggering a breath. On a conventional vent, if you are using APRV/Bi-Level, you...
I'm a friendly neighborhood RT! On the jet/oscillator, the MAP and FiO2 are for oxygenation and hertz, Ti, and amplitude (delta P) are for ventilation. For blood gas analysis, I love when an RN...
Do you have a respiratory therapy department? There are definitely evidence-based best practices for assessing for extubation readiness, extubation, and post-extubation care. Extubation readiness:...
ventmommy replied to LifesAJourney's topic in Nursing Humor
It's cool to see who is still here. I saw your post on like page 1 or 2 when this thread started! I'm not a nurse. I wasn't an RT when I joined. I am the mom of vent-dependent child (who has since...