GrannyRRT

GrannyRRT

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All Content by GrannyRRT

  1. Nurses cant do IO?

    GrannyRRT replied to blackvans1234's topic in Patient Medications

    I have taken ACLS classes for over 30 years which includes back when the certification actually meant something. On page 70 in the text there is a paragraph about IO. On the website there is a short...

  2. POLL: Should telemetry techs need to know patient Dx?

    GrannyRRT replied to mycoholic1's topic in General Nursing

    I do not agree that none of them require knowing the diagnosis. Many of the alarm parameters are diagnosis based. If you have a fixed rate pacemaker your alarm settings might be different than a...

  3. POLL: Should telemetry techs need to know patient Dx?

    GrannyRRT replied to mycoholic1's topic in General Nursing

    It sounds like you did not realize you were getting hired to be part of a PATIENT CARE TEAM. You don't need a college degree to understand a few things beyond the squiggly lines on the monitor and...

  4. Patients allowed to go outside and smoke???

    GrannyRRT replied to JackiRN's topic in Patient, Colleague Relations

    It used to bother me but now, if the patients are on RT service, I just protocol them to an MDI and wish them well. This was after several times of being paged by RNs who didn't want these patients to...

  5. Doctors Orders

    GrannyRRT replied to NGYSUN's topic in Medical-Surgical

    Since you mentioned Echo, is your floor utilizing or attempting to establish order sets for core measures based off the physician diagnosis such as for heart failure? There are also pre and post...

  6. 97% O2 with NRM

    GrannyRRT replied to iluvnoodles's topic in Emergency

    Field provider? Okay, I didn't go into all of the many different specialty devices we use in the ORs, bronch suites and ICUs because they usually have an RT, CRNA or anesthesiologist at the bedside....

  7. 97% O2 with NRM

    GrannyRRT replied to iluvnoodles's topic in Emergency

    Not necessarily. That would depend upon the situation and why the patient is requiring supplemental oxygen. Drug OD and neuro patients do not always respond as others with a normal unimpaired drive...

  8. 97% O2 with NRM

    GrannyRRT replied to iluvnoodles's topic in Emergency

    It is an open light weight mask with a shallow cup like piece in the center directing oxygen at the patient. OxyMaskâ„¢ Adult | Medical Supplies | Southmedic This site provides great info. Read...

  9. 97% O2 with NRM

    GrannyRRT replied to iluvnoodles's topic in Emergency

    It is not so much the FiO2 which can cause the harm but the rebreathing of CO2. This will not be noticed by the SpO2 value until it is too late. I am going to be the "2 L" thing has to do with the...

  10. 97% O2 with NRM

    GrannyRRT replied to iluvnoodles's topic in Emergency

    I am more concerned about someone putting anyone on a NRM at 2 LPM. Even 97% SpO2 on a nonrebreather does not give a clear picture especially if the A-a gradient could be >300

  11. tracheostomy

    GrannyRRT replied to teeroze201069's topic in General Nursing

    Some home care and LTC trachs are changed q 30 days, q 60 days, q 90 days or q 6 months depending on insurance and protocol. Some LTC facilities stretch out changing special order expensive trachs as...

  12. RT Career?

    GrannyRRT replied to k9bite's topic in Pulmonary

    If your hospital is as big as you say it is, I would really like to see that hierarchy line. That's good. But, it does not mean the RNs in your state are restricted from touching ventilators. They...

  13. RT Career?

    GrannyRRT replied to k9bite's topic in Pulmonary

    Who does he report to? What is the hierarchy of management in your facility? What type of hospital? Be specific. There are exceptions but I am looking at the experiences of many managers in many...

  14. Code situation

    GrannyRRT replied to KeitanTaylor's topic in General Students

    For the past 20+ years we have allowed parents to be present when their child codes. But, we will have at least one professional with them to explain everything and remove them if

  15. CO2 vs PCOS?

    GrannyRRT replied to Nursing2102's topic in Nursing Student Assistance

    I am just saying it is time to put the correct reasoning behind statements like "if you give that old bird 4 L she will stop breathing" and understand not all COPD patients are retainers. The longer...

  16. Should I become an rrt or an rn.

    GrannyRRT replied to claytonsdad:)'s topic in Pre-Nursing Students

    If you want job security and flexibility, be an RN. Michigan has had a rough time with their state legislators and the threat of delicensing Respiratory Therapists. They managed to win one attempt...

  17. COPD and O2 sat

    GrannyRRT replied to Soran's topic in Emergency

    Please do not wait for an ABG to be done and the results to return before intervening. I would not want to be the one to do an arterial stick on someone with an SpO2 of 68% without intervention nor...

  18. CO2 vs PCOS?

    GrannyRRT replied to Nursing2102's topic in Nursing Student Assistance

    This website will give you a synopsis of Acid Base and ABGs. http://acidbase.homestead.com/abg_analysis_rev_2.0.pdf Now for that "hypoxic drive" stuff. This generation should not be taught old nursing...

  19. CO2 vs PCOS?

    GrannyRRT replied to Nursing2102's topic in Nursing Student Assistance

    CO2 from a metabolic panel lab work is more indicative of HCO3. If you did an ABG, the HCO3 will be close to the CO2 on the metabolic panel. This is the acid base part. I rarely need an ABG to know...

  20. Inhalers?

    GrannyRRT replied to Supernrse01's topic in School

    During my almost 4 decades as a pedi/neo RRT, I have heard and seen a lot. Participating in the campaign to get legislature passed for inhalers in the hands of kids at school was a biggie. It also...

  21. Inhalers?

    GrannyRRT replied to Supernrse01's topic in School

    Old Dude, your attitude is scary. You sound like you have already given up on these kids and there is a high probability your attitude shows to the kids. You are like the old meanie school nurse the...

  22. Inhalers?

    GrannyRRT replied to Supernrse01's topic in School

    yWhat are the inhalers? Nasal or oral? Does the child with a cough have RAD? What level is their asthma classified at? Some require a scheduled SABA as well as inbetween. Do they also have CLD from...

  23. IR RN call pay vs Rad Tech call pay

    GrannyRRT replied to irsbear's topic in General Nursing

    Ancillary staff? Radiology Technologists are degreed and licensed professionals. Many of those in IR- have at least a Bachelors degree. There has to be some incentive for these Technologists to...

  24. IR RN call pay vs Rad Tech call pay

    GrannyRRT replied to irsbear's topic in General Nursing

    If your hourly rate is in that range, their wage might be more like $16 - 25. Our Radiology Technologists are considered very well paid with the wages I quoted earlier and our nurses start around 33...

  25. IR RN call pay vs Rad Tech call pay

    GrannyRRT replied to irsbear's topic in General Nursing

    Are these Rad Technologists also certified to do other procedures which they can be called in for? US, MRI or cath lab fill in? At one hospital the on call Rad Technologists never slept and were still...