GreyGull

GreyGull

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All Content by GreyGull

  1. Ventilator alarms

    GreyGull replied to I'mANurse!'s topic in NICU, Neonatal

    I have learned some things about assuming through the years when it unfortunately lead to bad consequences for the patient. One example was assuming a CCT team knew to check the last ABG or ask for...

  2. Ventilator alarms

    GreyGull replied to I'mANurse!'s topic in NICU, Neonatal

    What do you mean by "accurately"? Do you mean the PaCO2 does not match the ETCO2? It more than likely will not even in some adults or pediatrics who have cardiopulmonary disease processes. This is...

  3. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    The best way to get sound training is to contact the clinical rep through the ventilators manufacturer. Then have an RT department conduct an inservice for your agency along with the clinical rep....

  4. Questions on Mechanical Ventilators

    GreyGull replied to floridarose's topic in MICU, SICU

    The circuits for these ventilators are disposable. Soaking them in water and soap may cause them to improperly monitor the patient leading to bad consequences. These circuits should be the...

  5. RT a good path towards becoming NICU RN?

    GreyGull replied to Noob_to_Nursing's topic in NICU, Neonatal

    Just glancing at a few employment ads in the Boston area, Tufts requires NRP if working in L&D or NICU. Spaulding Rehabilitation Hospital: Registered Respiratory Therapist * Current Massachusetts...

  6. Any news breaking NICU care?

    GreyGull replied to ocean waves's topic in NICU, Neonatal

    You might be interesting in reading this newsletter and those in the archives to catch up. http://www.hopkinscme.edu/ofp/eNeonatalReview/ Right now one of the hot topics is "with or without oxygen" or...

  7. RT a good path towards becoming NICU RN?

    GreyGull replied to Noob_to_Nursing's topic in NICU, Neonatal

    I hope you don't take my post the wrong way but RTs are wanting to become a solid profession with a place in Critical Care Medicine. They just had their National Conference in Las Vegas that was...

  8. Unplanned Extubations

    GreyGull replied to LilliW's topic in Critical Care

    There are lots of great articles on the internet about this and some include their forms. This article has a form similar to ours. http://ccn.aacnjournals.org/content/24/1/32.full.pdf+html Respiratory...

  9. Can you have an associates degree and work in the Nicu?

    GreyGull replied to JulielovesCody's topic in NICU, Neonatal

    We prefer BSNs and it is especially beneficial if you plan on applying to one of the specialty teams within the NICU like transport or ECMO. It's the same for the Respiratory Therapists so the RNs...

  10. CPR online?

    GreyGull replied to epijunky's topic in General Nursing

    Here's a link to the AHA's journal Circulation. You will find many articles for the ongoing research they are affiliated with to provide the best evidence based practices for the present....

  11. NRB & COPD your input please

    GreyGull replied to crb613's topic in Emergency

    It could be taken at a very general statement but there are Paramedics who feel they must put the patient on 4 L NC just to have some oxygen on but some are now reluctant to go with a NRBM even though...

  12. NRB & COPD your input please

    GreyGull replied to crb613's topic in Emergency

    i don't believe that was a bold statement. i stated two paramedics went bonkers. two paramedics do not represent a whole country. do you work in the ed? has it been recent experience? i just noticed...

  13. NRB & COPD your input please

    GreyGull replied to crb613's topic in Emergency

    I could probably get you some local EMS protocols that call for 4 L NC or the NRBM if that is what you want. I work and have worked in EDs across the country. These O2 situations and EMS have been...

  14. NRB & COPD your input please

    GreyGull replied to crb613's topic in Emergency

    Since 4 L NC is the usual EMS treatment regardless of SpO2 or the patient's symptoms, I didn't give that part much thought. I did however find fault with an RT, who should know better, pulling the...

  15. Bronch for pt who chokes on dinner?

    GreyGull replied to CrabbyPatty's topic in Critical Care

    Yes an RN can do a simple eval. However, for CVAs, TBIs (traumatic brain injury), SCIs(spinal cord injury), prolonged intubation and trach patients, the SLP should be consulted. There is also a good...

  16. CPR online?

    GreyGull replied to epijunky's topic in General Nursing

    I agree. CPR is a skill and one that should be performed well. Besides doing the compressions correctly, demonstrating the use of a BVM should also be expected. While some may already be proficient...

  17. Some Physical Therapists/Assistants a little...overbearing?

    GreyGull replied to *green's topic in General Nursing

    that can be easily remedied if nursing and pt communicate for a schedule. pt is required to spend x amount of time with each patient and just like any other appointment schedule, they are expected to...

  18. NRB & COPD your input please

    GreyGull replied to crb613's topic in Emergency

    What BiPAP machine are you using? We use the Respironics (Philips) Vision or V60 if there is a good chance the patient won't be intubated. If there is doubt, BiPAP is done with a regular ICU type...

  19. Some Physical Therapists/Assistants a little...overbearing?

    GreyGull replied to *green's topic in General Nursing

    My suggestion for both you and Zookeeper is to have your facility establish multidisciplinary rounds or at least a multidisciplinary care plan for high needs patients. Rather than trying to nitpick...

  20. Some Physical Therapists/Assistants a little...overbearing?

    GreyGull replied to *green's topic in General Nursing

    Australian Physiotherapists do have impressive education and training to achieve their title just like American Physical Therapists. It appears your attitude is probably a better example of what the...

  21. Order for EKG?

    GreyGull replied to eveningprimrose's topic in General Nursing

    Are you asking if you need a physician's order for doing an orientation EKG? Probably not but on an EKG machine we usually enter a specific code name that alerts Cardiology that we are using the...

  22. Order for EKG?

    GreyGull replied to eveningprimrose's topic in General Nursing

    Each hospital should have a policy on this. Like it or not a hospital is still a business and while you believe your time is only worth $5, your hospital may believe otherwise. Diagnostic testing does...

  23. Order for EKG?

    GreyGull replied to eveningprimrose's topic in General Nursing

    That should be easy enough to cover. When you notify the physicians that you did an emergent EKG on their paitent, you ask if you can enter the order under their name to complete the process. Each...

  24. Order for EKG?

    GreyGull replied to eveningprimrose's topic in General Nursing

    The term EKG comes from the German spelling of electrocardiogram: Eletrokardiogramm. The EKG inventor, Willem Einthoven (Dutch) originally spelled the word with a "C". In 1900 Einthoven changed the...

  25. Should I make a switch??

    GreyGull replied to stampede122's topic in Pre-Nursing Students

    Name a profession that isn't feeling the affects of the recession? Every industry has been affected. Also, most things run in cycles. A few years ago those in the internet professions or anything that...