GrannyRRT

GrannyRRT

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All Content by GrannyRRT

  1. ADN vs. BSN

    As a member of the allied health group, I love to see the nursing profession in such discord over education and to see so many fight to keep the RN entry education low. It puts the allied health...
  2. Why can't nurses intubate?

    Why would a hospital want to rely on LMAs? They are great for the OR where the patient has been NPO prior to procedure or for EMTs to get the patient the hospital if they have no other options. If...
  3. Rejected..No Facebook?!!

    It wasn't that long ago when applicants were rejected because of no email address. The telephone wasn't enough anymore. We thought that was outrageous back then but quickly accepted later as a common...
  4. Rotoprone bed therapy

    Proning has been around for at least 20 years. Where the doctors did their residency will influence the attitudes toward using the Rotoprone or whatever system in your unit. The physicians must be...
  5. COPD/Emphysema/Bronchitis

    You do not have to have both emphysema and bronchitis to be labeled COPD. For bronchitis to be COPD it has its own set of criteria which sets it apart from a once a year thing with a couple days of...
  6. Our choices and preferences also change throughout the years. Some hospitals grant senior staff weekends and holidays off. Some prefer to come off of nights as their body ages or their priorities...
  7. Many chose retail over all the other career options because of decent hours and fewer holidays to work. It has only been in recent times that retailers stay open 24/7 and 365 days. I vow to only shop...
  8. TV ad has no one from my hospital

    If the script they want you to read is unrealistic why would you want to be on camera saying that? Why pick the ER? Is it better than the CVICU or Med surg with prettier people? Would you like to be...
  9. Ask taxi drivers how many times they have had a gun or knife just a few inches from their head or have been physically assaulted. Also, that rude puking patient you got out of your ER by calling a...
  10. Trach dislodged

    Did you do a formal event reporting so that this situation could be reviewed by others who do have more control over P&P? A sitter is not a solution to lack of equipment and proper training. I...
  11. "Your ER sucks!" and other pleasantries...how you handle them?

    Reading discussions like this makes me more mindful of my own behavior, expectations and demands in customer service anywhere. We have McDonald's at the hospital and I really feel bad for the young...
  12. Trach dislodged

    If a dirty trach has to be put back into a patient, RT and/or nursing have failed in preparation. The fact you got a bigger trach back in is lucky and maybe a good thing for the patient. If the...
  13. Eating on the VENT

    The Passy-Muir® Valve | www.passy-muir.com Here is a great link which will provide more education about swallowing, eating, trachs and ventilators. It also provides CEs for nurses. Christopher Reeve,...
  14. Eating on the VENT

    The Passy-Muir® Valve | www.passy-muir.com Here is a great link which will provide more education about swallowing, eating, trachs and ventilators. It also provides CEs for nurses. Christopher...
  15. What can RT's do that RN's can't?

    https://www.nbrc.org/Pages/examinations.aspx Actually we are both certified and registered at this time. As it is now, there are exams for each we must take to become registered. Some don't take the...
  16. What can RT's do that RN's can't?

    Some of the things mentioned here are why RTS should be around. A little CPT is not therapeutic. Commit to the full therapy which may also include a bronchodilator and mucolytic or don't bother. No...
  17. Algorithms in theory vs. in practice

    The patient still had a pulse. While the CT Scan might have been a little extreme it did show non survival injuries. Sometimes doctors have to make tough calls and want something concrete to back them...
  18. When SpO2 values dont' match PaO2

    Interpretation of Arterial Blood Gases (ABGs) The above link is much of what you need to know about the anion gap and MUDPILES. Below is a very important quote from that website....
  19. When SpO2 values dont' match PaO2

    I quoted my previous post with some corrections. I really must disable autocorrect. If the ABG is done without a Co-oximeter measurement, you cannot see what else attached to the hemoglobin....
  20. When SpO2 values dont' match PaO2

    You also must clarify if the SPO2 on the blood gas is calculated or done on a co-oximeter. Standard blood gases will not include the actual measured SaO2. Many places will not run or report the...
  21. Ebola: Why Respiratory Protection MUST Be Worn

    Which is why I stated we ramp up our PPE to the next level if there is respiratory involvement. Too many will do the minimum posted on the door regardless of the intervention or therapy. During a...
  22. Ebola: Why Respiratory Protection MUST Be Worn

    The mode of transmission is not based solely on the disease but also the
  23. Ebola: Why Respiratory Protection MUST Be Worn

    But in the US we use the standard definitions for the type of isolation and many of the other factors are not taken into consideration. Once oxygen is initiated and intubation is done, the standard...
  24. Ebola: Why Respiratory Protection MUST Be Worn

    Quote from the article cited in mariebailey's post for those who do not have a sign on ID: Essentially we are unsure what is droplet or airborne. Many variables can change the size and
  25. Ebola: Why Respiratory Protection MUST Be Worn

    Aerosolized particles from just a simple mask: http://journal.publications.chestnet.org/article.aspx?articleID=1085316 We go through the droplet/airborne discussion every year. Unfortunately the US is...