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RT->CRNA

RT->CRNA

ICU
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RT->CRNA has 8 years experience and specializes in ICU.

RT->CRNA's Latest Activity

  1. RT->CRNA

    Interest in switching from M/S to ICU - advice

    Most ICUs will put you through a critical care course even if you are experienced. I was a RT for 10 years when I became a nurse this year. I told myself that I was going to get into an ICU or nothing at all. Thank God that I was hired on in the ICU of my choice. There are times that I feel like a med jockey, but more frequent than not, I get to enjoy an increased autonomy, and exercise my critical thinking skills. You are going to come in with better time management skill, and disease process experience than I had, but for the most part, you will be placed with a preceptor that wants to see you succeed.
  2. RT->CRNA

    Flight RRT?

    In hospital transport teams consist of RN/RT teams. RTs can intubate. Cross training is mandatory, so it isn't something you can just walk into. RTs can also place lines in some places. You pretty much need to work in pediatrics, specifically in PICU/NICU to get into this team. Every single hospital that sees pedi in San Antonio works on this model.
  3. RT->CRNA

    Inhalers

    As a RT still working in pediatrics, (And an ICU RN) I always caution relying on breath sounds. Peak Flows are the way to go. Look for retractions, nasal flaring, duskiness, diminished bases. If they give you an upper airway wheeze, have them close their mouth and breath through their nose. Something to consider. A unit dose of albuterol is 2.5mg (Neb). 2 puffs of Proventil/albuterol/pro-air/ventolin/max-air/whatever brand is 90mcg per puff. While allowance of lower dosing is rationalized by the smaller droplet size facilitating more medication making it to the lungs, recent trends are showing that doctors are increasing the dosage. It used to be that everyone and their mother was put on 2 puffs q4-6 hrs PRN. Now, you NEED to use a spacer (I can't source it this minute, but I remember seeing that the amount of medication lost sans spacer is ~80%), and doctors are ordering 4-8 puffs. I remember our clinical pharmacist stating that 8 puffs is roughly equivalent to a UD of nebulized albuterol. That being said, we can tell when they are faking it. I'd call home every day though.
  4. RT->CRNA

    RT focus on pao2?

    True, but that isn't what I did. I stated that your patient could have done well, mostly because I don't know the patient, history, or situation. I was merely explained the thought process that the RT mostly likely was using. We hardly use gasses in my ICU as well. I was addressing your rationale regarding the equations.
  5. RT->CRNA

    RT focus on pao2?

    Some things to remember: 1. If the patient has a low H&H, SPO2 at best only tells you the saturation of available hemoglobin saturated with oxygen. A SPO2 of 99% won't do a patient much good if they don't have the vehicle necessary to facilitate transfer and perfusion. 2. SaO2 ≠SPO2. SPO2 is taken via a pulse oximeter. (The formulas mentioned above need lab values, not estimates, because ultimately, the pulse oximeter is an estimate with a known deviation of error. 3. PaO2 is the heavy weight when talking about arterial content of oxygen. Period. It literally stands for partial pressure of oxygen in the artery. 4. While your patient could have done well with titration of FiO2, your rationale was flawed. It's always good to know why. RT school through the Army was much harder than Nursing school was (personally). We spend the equivalent of a semester on hemodynamics. Some RTs don't work in a function where they use this information daily, but some of us do. Plus, I cannot speak for RTs trained outside of the military. 5. Using the oxygen dissociation curve shows us a major flaw if the physiology isn't fully understood. Notice how there is little change when the SPO2 AND PaO2 are above 95%.
  6. 1. There are people that do not need to study. I am one of them. Do not let this create a feeling of comfort if you are not a person that never needs to study. I've lost 2 peers because of this. Find your preferred study pattern, and stick to it. 2. Do not listen to people who say that you will not sleep, or are unable to spend much time with your families. I coach soccer, work full time as a RT, and hold a part time job while going to nursing school. Even if I had to study, I could find tons of family time by staying off the couch and not watching TV. 3. Don't complain of how little time you had, or how much you have going on in public. Leave this for your close friends. 4. Read ahead. I think this is why I do not need to study in a traditional sense. I read the passages before the lecture, listen to the lecture, and pass my classes. 5. While you might want to be an ICU, ER, NICU, Flight, Trauma nurse, keep it to yourself until the last semester. Imagine that a city might have a few dozen of these positions open up 2-3 times a year. You don't even know if the position will be available yet. Start worrying about this right before you finish school. 6. Sleep. You need to sleep at least 6-8 hours a night/day. No exceptions. Like I said, if I can fit in coaching, nursing school full time, 1 full time job as a RT, and part time RT work, and still get my sleep, so can you. I am horrible at macro time management. Believe me, if I can do it, so can you. 8. The more you have on your plate (time-wise), the less time you have to waste. 9. ATI is dumb. I can truthfully count more than 10 people that I personally know that never made above a level 1, yet passed the NCLEX in 75 questions. At the same time, if you do horrible on it, read the rationales to both the missed and correct questions. There are only so many ways to ask the same question. The key to passing the NCLEX is taking NCLEX style questions. Start early. 10. Smile. You might make someone's day, and in return, they might make yours!!
  7. RT->CRNA

    Baptist School of Health Professions (Fall 2015)

    If you are starting complex next week, then we are already in the same cohort. Yes, I wanted to speed up, but finishing during summer is never ideal. Especially if you want to secure a nurse residency program. I don't think I want to nurse for baptist, as I am already a respiratory therapist for them. I'd like to get into a formal ICU orientation right out of school and the big ones in our area open up for traditional grad dates (May or December). You will probably take OB and Pedi next semester (Spring), which I will take next summer since I am taking the winter season off for work. I'll tell you, the hardest part about this program for me is knowing I won't make what I make now as an RT for at least 4-5 years as a nurse. But I keep my eye on the prize, and hope and pray I will be able to get into CRNA school after 1-2 years of ICU experience.
  8. RT->CRNA

    Baptist School of Health Professions (Fall 2015)

    Hello fishies!!! So i figured I'd recap on the last 1.5 semesters so everyone following has an idea of what to expect. The program itself is not super hard. My only advice for anyone is to read your chapters before hand. I see so many people barely passing, and complaining of all the hardships they suffer (kids, works, blah). This program is meant to be a long term career change, and opens your pathway to many different and successful programs that you need to be an RN for in order to begin (ie. CRNA, NP, BSN, DNP, CNS) or into the field of nursing in general. If you treat it as such, you will be successful. The school is very nurturing of its students. They offer every opportunity to find out what is giving you a hard time (counseling, remediation). Be prepared to be put on the spot in front of your peers. If you are given homework that is due the morning of a clinical day, do it. Make 2 paper copies if possible, keeping one in your backpack, and another in your clipboard (pocket, blah blah). I've forgotten mine 2 times, and both times I was almost sent home or was told that the day would not count towards my clinical hours (while being expected to participate) and had to make-up an extra day. When you start working on your med sheets (you will know what this is when you start doing them) keep them saved on your computer so you can later copy and paste meds you have already worked out (changing scheduled times and dosages as per new patient orders). Did i mention read??? The first semester is split into 2-8 week sessions. The first 8 weeks you will take Fundamentals and it's concurrent clinical course. The first 2 weeks, your clinical will be held at the school in the simulation labs. You will find out which hospital you will be assigned to during the second week, and will be expected to pick a patient during the first day of hospital orientation. Every week after that, you will pick your patient the day before your clinical day, meaning, if you have class on Wednesday, and clinical on Thursday and Friday, you will go to the hospital after class on Wednesday, pick a patient and have the information ready by Thursday at 6:45 am. Do not do what I did, and work on them at night, because you will find yourself working into the morning hours, and may not get enough sleep. You will do it.... and you will remember my post. My schedule for the 1st 8 weeks was as follows, Tuesday and Wednesday I went to lecture from 8-12ish. Expect to stay later sometimes. Thursday and Friday were clinical days, usually from 6:45 (be there at 6:30) until around 1 pm. All clinical paperwork (time consuming) was due on Monday morning before 7am. Find a way to do it Friday evening or Saturday. I found myself procrastinating, and almost missed 3-4 assignments because I didn't start until 2 am on Sunday.... Don't do this, I warned you, you will remember this post.... Sometimes, you will have tests on Tuesdays, so do the paperwork on Friday if you can so that you can study during the weekend. Testing is taken uber seriously. Don't talk, Don't look around, Keep your sheets covered. When it is time to review the test, don't be that group that keeps talking, NEEDING to get the last words in. The second 8 weeks, you will take Commons and it's clinical component. Same format : 2 days of lecture and 2 days of clinical. You won't start hospital clinical rotation until week 3. The difference... Clinical is held Tuesday and Wednesday, and Lecture on Thursday and Friday. What does this mean as far as time management you ask?? Well, you may have a test on Thursday, BUT remember that you just came off of 2 days of clinical, plus, you were busy doing the paperwork, picking a patient and completing med sheets on Monday. This is why reading ahead and studying when you can are so important. That is 3 days of having no choice but to focus on something other than the test. I heard so many people complaining of balancing work and life with school. **Soap box disclaimer*** I work 2 jobs, 1 full time 7pm to 7am as a Respiratory Therapist, and another part time through the Baptist System. I also have 3 kids, and am the sole provider for my family. My wife is a stay at home mom (so much respect for her) and underwent surgery during my semester. My Grandfather also passed away, but was on hospice for the last 6 weeks of the semester. I found myself studying on the nights I could visit him at his bedside. Please don't complain of not having enough time in front of me. If you want this bad enough, you will find a way. I won't make what I make now as a RT when I get into nursing, but my goal is to get into CRNA school, which requires being a RN first, working in an ICU. I want this pretty bad. ***End of soap box*** I was lucky enough to have summer break between Semester 1 and 2. I just finished taking Pharmacology last week and managed an A. You won't be as lucky because you don't have a summer break between your first and second semester, so you will need to take Pharmacology during your second semester along with Mental Health. From what I have heard from people in my cohort that expedited their timeline (they took semester 2 during the summer, allowing them to finish next May instead of next December), you will have to continue to manage time. The first 8 weeks of the second semester, you will take Complex (basically Med-Surg II, Commons being Med-Surg I) This is where you learn to put in IVs, and manage IV pumps (I know people look forward to this). The schedule looks like such: Monday: Lecture from 9-11, Tuesday and Wednesday: Clinical from 6:45-~1pm, Thursday and Friday: Lecture from 9-12. Yup... 5 days a week for 8 weeks. You can do it though!!!! IBIY!!!!! I am going into this working 4 nights a week, sometimes going into class straight from work. Next is what is great if you took Pharmacology during the summer. Since I don't have to take it, I only need to take Mental Health and its clinical component, which is 1 day of lecture and one 12 hr day of clinical. That means 2 days a week for me!!! You will have to take it with Pharmacology, which means a 4 day week. I can say that Pharmacology is very doable. Read, and do your med books. This are more time consuming than med sheets. Start on them the weekend prior, and try to finish the week before the test. You will thank me later. Not sure what to expect during Mental Health, but here is where i get invested in your thread for this class. Since I took pharmacology this summer, and I am a Respiratory Therapist and want to work as much as possible during the winter (overtime=$$$$$), I decided to take Complex this Fall (first 8 weeks) and not take Mental Health until next Spring (last 8 weeks). That means I will be taking it with everyone in your cohort, since you all will be taking Commons and Mental health next spring. Some of you will have all your pre-reqs done with (psych, developmental psych, sociology, english, ethics) and be allowed to take Maternal/OB, and Children/Pedi during the summer (which is what I am doing since I am taking the last 8 weeks of this year and first 8 weeks of next year off, which will catch me back up with my cohort's original grad date (Dec 2016). So I look forward to working with you all for at least Mental Health.
  9. RT->CRNA

    Baptist School of Health Professions (Spring 2015)

    If you are not a LPN/LVN, you have to do the traditional 5 semester program unless you have all the pre-reqs and gen eds done. If you have them done, expect a 4 semester program. If you do very well your first and possibly second semester, and have the gen eds done, you may get to take some courses in the summer, and possibly shorten your graduation date by a whole semester. They said not to bank on that, because even with great grades, that option is left to the discretion of the director. I am just waiting on financial aid. That is going to be the deal breaker for me, as I have previous degrees.
  10. RT->CRNA

    Baptist School of Health Professions (Spring 2015)

    What type of RT are you talking about?? The school uses RT when talking about xray tech i think. I am an Respiratory Therapist, which is also referred to as an RT.
  11. RT->CRNA

    Baptist School of Health Professions - Pre Reqs

    I believe you need labs with the classes. Online lecture, brick and mortar lab would work, but finding a college that offers it is another story.
  12. RT->CRNA

    Baptist School of Health Professions (Spring 2015)

    I'll be going through the day program. Lucky for me I already work at a hospital that keeps up with immunizations, and shouldn't need anything but the varicella form signed by my mother.... As far as Bigwords . com goes, you'd be suprised how many people have contacted me after we stop communcation to thank me for telling them about the site. I was pre-med, and all of my physics, orgo, evolutionary theory, and upper level bio classes had really expensive books. If the class didn't require a CD or access code, it wasn't uncommon for me to buy an international edition for cents to the dollar. I'll be going to the first orientation since my last name starts with a G.
  13. RT->CRNA

    Baptist School of Health Professions (Spring 2015)

    Well, since starting this thread, I was originally gaining interest in another progarm. Decided at the last minute (literally yesterday) to go forward with bshp due to many co-workers urging me to proceed, and called to check up on status. After 2 minutes on the phone with admissions, was told that I would have a reply regarding either the summer program or spring. About 2 hours later, I received the congrats! letter!! Looks like I'll be seeing you all pretty soon. A little about me: Former medic in the Army. Army and civilian Respiratory Therapist. Been on a wait list for PA school, but not enough people declined invitation the year I applied. Decided I would rather be an A.A or CRNA, and chose the nursing path for the broader range of oppurtunity the proffession gives when compared to Respiratory Therapy. While I fully intend to use nursing as a path to CRNA school, I feel good knowing that if I don't get accepted into that program (many light years from now), I will be happy as a dual credential RN, RCP. PS, before you buy the books, look at the website bigwords . com to search for the books. Create a book bag on the site, and compare it to the cost you would pay through traditional sources. You can thank me later :)
  14. Quick questions for current Baptist students. How many males in your cohort? How many people with practitioner licences such as RCP? How long after you put in the short application availble through the baptist website did you get any information pertaining to acceptance? I put in my application, and recieved the confirmation from someone in registration the next day. I just sent my transcripts, and will be taking the Teas ASAP.
  15. Any hopefuls for the upcoming spring semester next year? I just put in my application, FAFSA, and sent all my transcripts. Taking the TEAS as soon as I get acclimated to my micro course.
  16. RT->CRNA

    Any Respiratory Therapy students ?

    For what it is worth, don't listen to people saying job market is bad. It isn't. Every single hospital in San Antonio is looking for RTs. I've NEVER EVER applied to a job and had to wait longer than 2 weeks to get a response. You can also go into Sleep if you want a job you can study at while working. As far as RT with a BS vs RT with a AA or AAS, I know that it gets you 2-3 dollars an hour extra here for the better degree. PLUS, you can use your BS in RT and get a ADN RN degree and NOT have to get a BSN to apply to NP or CRNA school. All they require is a Bachelors and RN, not a BSN. INFACT, from what I heard and have seen, BSRT with RRT and RN are looked at favorably in CRNA programs.