BR157

BR157

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All Content by BR157

  1. Bipap question

    BR157 replied to Dacatster's topic in Pediatric

    We will use the Respironics V60 Bipap machine in the ER, PICU and tele. Google "pediatrics v60 asthma". There is a good PPT by

  2. Flight RRT?

    BR157 replied to akcw1981's topic in Flight, Surface Transport

    There are very, very few teams which use Respiratory Therapists for transport. Most of the teams using RTs are for neonates and rarely for pediatrics or adults. Even some of the Neonatal and...

  3. Just a fantasy, or something I should persue?

    BR157 replied to Madigan's topic in Flight, Surface Transport

    Did you know there are also Flight Paramedics? Do you know the protocols of all Paramedics in the US? You are basing all of your comments on one helicopter and one you don't work on as a crew...

  4. Just a fantasy, or something I should persue?

    BR157 replied to Madigan's topic in Flight, Surface Transport

    I find your comments to be very naïve. Since you are a CNA working in the ICU only maybe you have never been in the ER where the patient transported by a helicopter was released before the...

  5. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    Calling the RTs ventilator jockeys are your words, not mine. At no point did I say RTs were uneducated and lacked indepth knowledge of the respiratory system. Do you really have your RTs hanging all...

  6. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    This is the article link from your first post. Why paramedics are qualified emergency care providers This is the first paragraph of that article so you can NOT say that article has nothing to do with...

  7. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    You make a statement but don't offer much else in support of RTs. I do know what they do from working on flight teams, orientating in the ICUs and working in the ER. Our Paramedic students are also...

  8. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    This post was very clear in its message about Paramedics in the ED. A Licensed Paramedic in Texas has a degree in Emergency Medicine. Very few nurses enter the ED with education or training in EM....

  9. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    I do like to present the facts which were not given by the OP in his initial post. Had some bothered to read the Bills which I linked at the beginning of this discussion, they would have known what...

  10. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    Are you saying you have no protocols in place to initiate anything before a doctor is contacted with your observations? Don't you have any protocols to titrate drips or get labs if you think they are...

  11. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    For an update on the legislation, this was posted on the Association of Texas EMS Professionals'

  12. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    Summit is the OP but he has his own agenda to continue something which the ENA has already apologized for. I already posted a link to Carol Twombly's letter who represented the Texas (San Antonio...

  13. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    I don't get why you don't think you need a license. Granted it might only be a measure that you completed all the required testing and paid your fees to the state but it also defines your state scope...

  14. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    The only one calling RTs incompetent and useless is you. RTs have been vanishing from the ERs, transport and some other areas of the hospital for a long time now. They are great at ventilator...

  15. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    Do you have RTs just in the ER? What do they do? From your post it seems you still have to call them every time you want them. They still have to come to you which means they have to leave their...

  16. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    Many hospitals have already proven an RT is not needed in the ER or in most areas of the hospital. RNs, LPNs, EMTs and Paramedics can do almost every thing an RT can do and much more. KentuckyOne...

  17. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    I will gladly correct you since you are wrong. ACLS is Advanced Cardiac Life Support. RSI is Rapid sequence intubation. Sometimes cardiac patients need intubating and sometimes not. There are also...

  18. Article: Paramedics equal to RNs

    BR157 replied to SummitRN's topic in Nursing Professionalism

    Probably the same thing as some Flight Paramedics do who are hospital based or who are already working to their full scope in some ERs now. They can start IVs, do triage, give medications, transport...

  19. Just a fantasy, or something I should persue?

    BR157 replied to Madigan's topic in Flight, Surface Transport

    Saves? Yes, you may have gotten a few people to the hospital but you will find that EMS is just the first step in "saves" and just having a heart beat is not always a "save". In the ICU you would see...

  20. Working on Expired License for 5 Weeks

    BR157 replied to sainttchristopher's topic in Nursing Professionalism

    Consider yourself lucky you went into nursing. In EMS, if a Paramedic or even an EMT forgot to renew their license and still remained on the job, there would be a news article which would make the...

  21. Respect from patients as a Registered Nurse?

    BR157 replied to tiamaria123's topic in General Nursing

    I think some don't understand billing, services and reimbursement. Do you think the RTs, PTs and OTs get to keep the money they "bill" for? In the hospital, the services are coded and billed by the...

  22. COPDer de-satting? What do you do?

    BR157 replied to Krazziekid78's topic in General Nursing

    Palliative vs Hospice; Hospice Vs. Palliative Care The differences. For the scenario presented, it still does not change my decision to give the appropriate oxygen to treat the hypoxia. The idea of...

  23. COPDer de-satting? What do you do?

    BR157 replied to Krazziekid78's topic in General Nursing

    Besides the incorrect liter flow for the non-rebreather, you must understand that COPD patients can not take slow deep breaths. They have air trapping. They take a quick breath in and then can take 10...

  24. Respect from patients as a Registered Nurse?

    BR157 replied to tiamaria123's topic in General Nursing

    Could you be any more insulting and disrespectful toward another professional in healthcare who is not a nurse? You intentionally used offensive words and those silly smiley things to insult me. If...

  25. COPDer de-satting? What do you do?

    BR157 replied to Krazziekid78's topic in General Nursing

    Bottomline here: The patient had been exercising and now has an SpO2 of 70%. Now is not the time to ask the patient about "Palliative Care". Talk to whoever you have to for some protocol to allow...