GreyGull

GreyGull

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All Content by GreyGull

  1. History of VAP

    GreyGull replied to Cilantrophobe's topic in Pulmonary

    did you try looking up nosocomial ventilator pneumonia? by just entering those words into a couple of public medical search engines as well as google, i got articles dating back to the 1970s. here's...

  2. what title should they add after their names

    GreyGull replied to nursing4all's topic in General Nursing

    For a presentation or seminar, the person may list their highest education if it is a Bachelors degree or higher, their license and/or title and whatever professional certifications that are relevant...

  3. I have a few questions about the VAP Bundle and trach tubes

    GreyGull replied to bounceybounce's topic in General Nursing

    Getting the patient trached by the 10th day is ideal for some situations but not set in stone. The main reasons we trach is to facilitate ventilator weaning and moving the patient out of ICU to a step...

  4. I have a few questions about the VAP Bundle and trach tubes

    GreyGull replied to bounceybounce's topic in General Nursing

    The balloon or cuff is never meant to "hold" the ETT or trach in place. If that is the intent or misunderstood purpose of the person inflating the cuff, they will probably over inflate it to where...

  5. Working "below your license"

    GreyGull replied to MattiesMama's topic in General Nursing

    Still thinking like an EMT. Many of those "BS" patients end up in your ICU. Too many EMTs and Paramedics have judged patients as just complainers and have refused transport. You also have to take into...

  6. OSA in the ICU

    GreyGull replied to TemperStripe's topic in MICU, SICU

    For us it is patient by patient assessment based on if there are other comorbidities that can be exacerbated post op by the surgery or the meds. Pulmonary Hypertension is one that is a concern. Obese...

  7. OSA in the ICU

    GreyGull replied to TemperStripe's topic in MICU, SICU

    Talk to the Medical Director of the Respiratory Therapists to get him/her on your side. The ICUs and Tele bought equipment that could have the same contract as that used by the RTs. It was easier for...

  8. OSA in the ICU

    GreyGull replied to TemperStripe's topic in MICU, SICU

    I can speak from personal experience that an adult tonsillectomy can be nasty. 12 hours on a vent and 24 hours in ICU, I was miserable. I also got some attitude from an ICU RN about occupying an ICU...

  9. non-rebreather mask with brain air

    GreyGull replied to hummingbird1314's topic in Critical Care

    Similar to the pneumothorax, the theory behind this is to replace nitrogen with oxygen (Nitrogen Washout), which speeds absorption of intracranial air by increasing the diffusion gradient for nitrogen...

  10. Alphabet soup

    GreyGull replied to badphish's topic in General Nursing

    I would hate to work in a hospital that doesn't care about who is providing what and where. If you have over 2000 health care professionals working at any given time in a hospital it is really nice to...

  11. Alphabet soup

    GreyGull replied to badphish's topic in General Nursing

    Why did you bother to list MSN, RN and CRNA in your forum profile? Are they really necessary on an anonymous forum? Or, maybe you want us to believe your credentials bring more credibility to your...

  12. Alphabet soup

    GreyGull replied to badphish's topic in General Nursing

    I sincerely do wish Brett the best of luck as a new RN but... This was not an appropriate thread to start just before you enter a job as a new nurse. As this forum states in its Terms of Service,...

  13. Critical Care Course: A Good Idea?

    GreyGull replied to UserG's topic in General Nursing

    If this is like the critcal care course we offer, it is alot more than just "certs". There are very few new grad programs being offered now. I know a couple of new grad RNs who would trade their first...

  14. Alphabet soup

    GreyGull replied to badphish's topic in General Nursing

    Uh oh... Did something happen to the job you were about to start? You should be proud to work in Orlando and in one of the hospitals that prides itself for well educated and highly trained...

  15. PCA and Nurse Aide, what's the difference

    GreyGull replied to ConstantLearner2010's topic in Medical Assistant, CNA/MA

    National requirements? There is not a national certifying board for CNAs at this time and training can vary from what the employer sees appropriate if there is not a state certification to some states...

  16. PCA and Nurse Aide, what's the difference

    GreyGull replied to ConstantLearner2010's topic in Medical Assistant, CNA/MA

    Without knowing what state you are in it is difficult to give accurate advice. Every state is different. The CNA is now required in most states to perform patient care. This certification is...

  17. This drives me nuts! Do you know how to read???

    GreyGull replied to Deb123j's topic in General Nursing

    There is also some responsibility of the person posting to know this is an open public forum where people post opinions to what is posted. There should be some expectation that someone will respond to...

  18. Is there conflict of interest here? (A real RN in an ad)

    GreyGull replied to TorsadesDePointesRN's topic in General Nursing

    If you read your compliance manual, conflict of interest is working or having any interest in a company that might influence a contract or a purchase. Conflict of interest is going out to dinner with...

  19. getting back into patient care

    GreyGull replied to brtnremtp's topic in General Nursing

    i am going to take liberties with your request and point out what i get out of this very long post. i hate picking apart a post like this but that is the only way i can clearly point out your comments...

  20. Is there conflict of interest here? (A real RN in an ad)

    GreyGull replied to TorsadesDePointesRN's topic in General Nursing

    You need to contact your corporate compliance officer to see if there is any conflict of interest representing this company. You then may have to sign a waiver that you are in no way representing the...

  21. Nursing vs. Occupational Therapy vs. Speech Pathology

    GreyGull replied to RosePMHNP's topic in Pre-Nursing Students

    I've worked in Acute Rehab and I have found the work to be very rewarding. You have a team approach with several therapists, as well as nurses working together for a common goal. Team meetings discuss...

  22. Nursing vs. Occupational Therapy vs. Speech Pathology

    GreyGull replied to RosePMHNP's topic in Pre-Nursing Students

    OTs and SLPs are health care professionals. How effective you are with your patients is what matters. Health care shouldn't be a popularity contest. Respect is earned and not always just handed out...

  23. Need Advice on BSN or ASN!

    GreyGull replied to rileysaunt's topic in General Nursing

    You may not be accepted for at least another 2 years in a community college program since these are very popular right now with people wanting quick career changes or easy job entry. Many people...

  24. Biggest issue nurses face?

    GreyGull replied to Eponine's topic in General Nursing

    Implementing Evidence Based Practice to provide quality patient care through practice, education, and

  25. Lactate Monitoring

    GreyGull replied to medic182's topic in Emergency

    There is a recommended national set of sepsis bundles which many hospitals have adopted and some have adapted them for specific goals with certain patients to form their own bundles which is why they...