GreyGull

GreyGull

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All Content by GreyGull

  1. Hyperventilating Trach Pt

    GreyGull replied to skittlebear's topic in General Nursing

    Not enough medical or med history given. Did she have a self inflating bag at beside for suctioning which would indicate she might need positive pressure breaths? Color and consistency of secretions?...

  2. Intubated Pt's Using Bedside Comodes

    GreyGull replied to EDrunnerRN's topic in Critical Care

    First, don't be ridiculous with thinking I am referring to ambulating patients on a hypothermia protocol. I made a statement about sitting patients up in a bedside chair and yes, maybe ambulating a...

  3. ACLS and Advanced Airways

    GreyGull replied to mskate's topic in General Nursing

    ACLS is not designed to teach anyone how to intubate nor does it certify anyone to intubate. As ACLS is designed now, it puts most of the responsibility on you and is just designed to refresh, review...

  4. Intubated Pt's Using Bedside Comodes

    GreyGull replied to EDrunnerRN's topic in Critical Care

    Doesn't anybody even sit their intubated patients in chairs at the bedside? It could prevent the patient from needing a trach. A trach should not be the answer for laziness or using other excuses for...

  5. Intubated Pt's Using Bedside Comodes

    GreyGull replied to EDrunnerRN's topic in Critical Care

    Some patients are on the vent because of COPD or asthma exacerbation and may need to do some moving. Others might have a pleural effusion that needs tapping and then waiting for re-expansion before...

  6. Hey Rn's,,do you ever wish you had done physical therapy instead?

    GreyGull replied to northmississippi's topic in General Students

    I guess you've never watched them do an assessment, read their charting or assist getting a quadriplegic transitioned to a "normal" life. I have the greatest respect for these professionals and many...

  7. LVADS in the community

    GreyGull replied to traumaRUs's topic in CCU, Coronary, Cardiac

    Have you addressed these issues with the Nephrologist and local physican who might be writing the dialysis orders? Our dialysis center sees many different patients each with their own unique medical...

  8. LVADS in the community

    GreyGull replied to traumaRUs's topic in CCU, Coronary, Cardiac

    They will more than likely have a family member or caregiver with them who has had extensive training. The patient may also be a great source to educate you and put you at ease. This is also what has...

  9. Intubated Pt's Using Bedside Comodes

    GreyGull replied to EDrunnerRN's topic in Critical Care

    We have stable intubated patients sit in a bedside chair and ambulate around the unit. A bedside commode is also a possibility. Some try to manage their own ventilators and a few COPDers probably...

  10. Hurricanes! Yiikes

    GreyGull replied to tiroka03's topic in General Nursing

    Here is some information for a broad view of what happens during a disaster. http://www.bt.cdc.gov/disasters/hurricanes/hcp.asp I suggest you read your facility's P&P to find out exactly what is...

  11. who should do the ambubagging during xray and ctscan procedures?

    GreyGull replied to ian04's topic in General Nursing

    Too often I see people get caught up in a emergency and forget a few basic safety rules or think that this exposure doesn't count for much. One chest X-ray might not seem like much but it all adds up...

  12. who should do the ambubagging during xray and ctscan procedures?

    GreyGull replied to ian04's topic in General Nursing

    No, if a doctor went on all the inhouse transports, they would not have time to see any other patients in some hospitals. Also if a doctor does intubate, rarely do they do their own bagging and...

  13. who should do the ambubagging during xray and ctscan procedures?

    GreyGull replied to ian04's topic in General Nursing

    One of our best MRI ventilators (Monaghan) was built around 1980. We still have BIRDs from the 70s. These are excellent vents when electricity is lost. Age does not always matter if it can still do...

  14. who should do the ambubagging during xray and ctscan procedures?

    GreyGull replied to ian04's topic in General Nursing

    Absolutely NO ONE should be bagging through a CT Scan, IR procedure or any extended exposure in the year 2011. Portable ventilators are affordable and easily transported. There should be a ventilator...

  15. Ive decided not to go ahead with nursing school...(Rad tech or RT)

    GreyGull replied to jrt71's topic in General Nursing

    Right now jobs are competitive for both Respiratory and Radiology with some departments laying off. When there are only a few RTs per hospital, even a couple of RTs laid off is noticeable. Respiratory...

  16. uniforms: any stranger recognized where you work by your uniform?

    GreyGull replied to RedWeasel's topic in General Nursing

    I don't know about the comparison to waitresses. They work long hours with varied shifts, put up with drunken jerks as customers who try to wait outside for them, don't have access to security to...

  17. lethargic(and need ABG) or just tired???

    GreyGull replied to pink816's topic in General Nursing

    If you know the CO2 is elevated wouldn't it be wiser to attempt to find a reason, correct it or provide support and then check an ABG to see if the treatment or support is working? I've seen too many...

  18. Anyone using CO Pulse Oximetry?

    GreyGull replied to 80sNurse's topic in Emergency

    ZOLL uses Masimo for their CO monitoring unit just as the ICU and ED systems have integrated into their systems. That can also explain part of the cost. Depending on the equipment the RT department...

  19. lethargic(and need ABG) or just tired???

    GreyGull replied to pink816's topic in General Nursing

    Check the patient first and apply the appropriate intervention. You have an SpO2, RR and breath sounds for assessment to initiate supportive treatment. You don't need an ABG for that. As others have...

  20. Anyone using CO Pulse Oximetry?

    GreyGull replied to 80sNurse's topic in Emergency

    In the U.S. and throughout the world Masimo is the leader of this technology. Many ED and ICU monitoring systems are now using Masimo products as part of their systems so it is not difficult to get...

  21. Anyone using CO Pulse Oximetry?

    GreyGull replied to 80sNurse's topic in Emergency

    We use the pulse oximeters from Masimo which are available with a variety of different measurements. The ones that can be used for SpCO and SpMet are kept in the Respiratory Therapy department for...

  22. At work, can you ever give drugs with no prescription?

    GreyGull replied to newbiekenobe's topic in Nursing Student Assistance

    That's great depending on how long before you told the doctor and as long as there is not something seriously wrong or CMS audits your documentation and charges. The physician will trust you only...

  23. respirator mask for copd patients

    GreyGull replied to nu2this's topic in Pulmonary

    And it isn't correct. There are several other explanations for a rise in CO2 which more accurately relates to the patient's condition for both acute and chronic conditions. There is no magic recipe...

  24. question about CF??

    GreyGull replied to mentalhealthRN's topic in General Nursing

    Unfortunately CF patients are discouraged from close contact with each other. As mentioned before there have not even been access to many support groups for these patients until computers made it...

  25. Malpractice Insurance

    GreyGull replied to Dawn Vylet's topic in General Nursing

    For Florida or any state or professional association, you can take advantage of the discounts offered through their recommendations. When searching for insurance, make sure they will also represent...