ventmommy

ventmommy

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All Content by ventmommy

  1. Families Saying "No" To Male Nurses?

    ventmommy replied to moretonel's topic in Private Duty

    I fired a male nurse and it had NOTHING to do with gender and everything to do with him sucking as a

  2. Forced 24 hr shift

    ventmommy replied to Orion81RN's topic in Private Duty

    If the patient isn't safe, then call Adult Protective

  3. Forced 24 hr shift

    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...

  4. Black scrubs—help!

    ventmommy replied to T-Bird78's topic in Scrubs, Uniforms, Gear

    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...

  5. WILD WORLD OF PDN

    ventmommy replied to 3.24.95's topic in Private Duty

    I'm really unimpressed when an MD prescribes an antibiotic without a tracheal aspirate and subsequent sensitivity. The MD needs a lesson in antibiotic

  6. WILD WORLD OF PDN

    ventmommy replied to 3.24.95's topic in Private Duty

    The only reasonable policy your agency should have regarding trach tube processing is to follow the manufacturer's instructions for

  7. WILD WORLD OF PDN

    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...

  8. Privately hired for trach+vent.

    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...

  9. WILD WORLD OF PDN

    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...

  10. Privately hired for trach+vent.

    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?...

  11. Privately hired for trach+vent.

    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...

  12. Ventilated Patients

    ventmommy replied to rn39648's topic in Patient Safety Issues

    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...

  13. Respiratory

    ventmommy replied to dsRN85's topic in NICU, Neonatal

    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...

  14. Post-Extubation Policy

    ventmommy replied to A_RN's topic in Critical Care

    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:...

  15. What does your username mean?

    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...

  16. When family fails the patient... it breaks my heart

    ventmommy replied to Kharma711's topic in Critical Care

    And this is where our medical system fails patients. When further care is futile, care should be withdrawn and the patient should be placed on comfort

  17. As seen on TV

    ventmommy replied to JBMmom's topic in General Nursing

    I just watched "Shot" last night. Ironically it starred Noah Wyle (Dr. Carter on ER) as the main character and shooting victim. The message of the movie was phenomenal but every single bit of...

  18. Yet another ethical question...

    ventmommy replied to BishopLPN's topic in General Nursing

    The V60 isn't necessarily the most comfortable thing in the world but it's very effective at oxygenation and ventilation. So if the patient is disoriented because of hypercapnia or hypoxia, it would...

  19. Increase in Ehlers-Danlos (especially hypermobility type) patients?

    ventmommy replied to ArtClassRN's topic in General Nursing

    Thanks Blondy....I lost 3 hours of my day falling into a rabbit hole of craziness because I decided to Google this. OMG.

  20. Working on More than One Floor?

    ventmommy replied to GentheRN's topic in First Year After Licensure

    I can't imagine any hospital that would allow this because your PRN work would constantly be pushing you into overtime. More importantly to your wallet, all that OT would push you into a higher tax...

  21. Relocating..? So scary!

    ventmommy replied to gennn19's topic in Job Search, Interview, Resume

    I love adventure and moving. I have lived all over this country by choice. Moving is fun and exciting! I moved all the way across the country when I was 18 and never looked back! I realize that...

  22. Influenza vaccine

    ventmommy replied to Grobyc82's topic in Patient Education

    I get a flu shot every year. Every year I get sick with fever, chills, cough, muscle aches approximately 24 hours after the shot and it lasts for 48 hours. I plan for this so I am not scheduled to...

  23. Should I, should I not?

    ventmommy replied to Brittanycooper98's topic in Licensure: Criminal History

    If Brittany Cooper is really your name, I strongly suggest not using it for your screen name. You never who is on this site and might see

  24. Drowning in Skills

    ventmommy replied to River&MountainRN's topic in Private Duty

    PDN agencies love to send untrained nurses to families. They hire tons of new grads with absolutely no nursing experience. Many of them have only merely seen a trach change done and they are...

  25. % infants in Peds? Male RN in Peds?

    ventmommy replied to Lemon Bars's topic in Pediatric

    I don't think your experience is the norm. I work in a children's hospital. We don't have L&D here. We have NICU, PICU, surgery/PACU, hem/onc, general care, dialysis, transplant, etc. There...