GrannyRRT

GrannyRRT

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All Content by GrannyRRT

  1. Turfing patients to other hospitals

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

    The patient must be accepted by a physician at your hospital. If you want to know the reason for the transfer, ask the physician whose name is listed as the one accepting. You can bet that physician...

  2. Nicotine Test, No smoking policy

    GrannyRRT replied to AspergersRN's topic in General Nursing

    Ex-smoker, educated and trained on the dynamics. But that does not mean those who don't smoke do no understand addiction and they are able to competently educate those who smoke on the options out...

  3. Nicotine Test, No smoking policy

    GrannyRRT replied to AspergersRN's topic in General Nursing

    I believe that is dependent on the person. I have had COPD patients who could not qualify for Pulmonary Rehab because they were smoking 2-3 packs per day. As part of their smoking cessation plan we...

  4. Nicotine Test, No smoking policy

    GrannyRRT replied to AspergersRN's topic in General Nursing

    Hospitals are still defining policies and trying to keep up with all the changes as new products and new literature comes out. One day it is a great idea and the next it is declared the worst thing...

  5. Nicotine Test, No smoking policy

    GrannyRRT replied to AspergersRN's topic in General Nursing

    This thing about protecting the rights of smokers is misleading. It even says not really tobacco specific on some of the links. Missouri is listed but: SSM hospitals in St. Louis area will no longer...

  6. Why can't nurses intubate?

    GrannyRRT replied to natnat122's topic in Emergency

    I was uncertain if the other person was not confusing hospitalist with PA although a PA can also intubate if properly trained. I am also going to echo that no nurse is going to physically push me...

  7. Why can't nurses intubate?

    GrannyRRT replied to natnat122's topic in Emergency

    You've repeated what I stated before. I am also going to restate it so you can understand my point. I am not hung up about nurses intubating. I have my intubation skills and I help the transport...

  8. Why can't nurses intubate?

    GrannyRRT replied to natnat122's topic in Emergency

    You miss the

  9. Why can't nurses intubate?

    GrannyRRT replied to natnat122's topic in Emergency

    Since hospitalists are in house 24/7 in many hospitals now they can be the primary intubators on the floors in non teaching hospitals. They have a better opportunity to train and stay current on...

  10. Which inhaler needs to be given first?

    GrannyRRT replied to solanim's topic in Patient Medications

    Consistency is key. Find out what others are teaching the patients throughout the hospital and stay on the same page. By now most hospitals should have certified asthma and COPD educators working with...

  11. Which inhaler needs to be given first?

    GrannyRRT replied to solanim's topic in Patient Medications

    Do you have a citation for their reference? While it might not make a difference for someone who is having a good breathing, it might matter in an exacerbation. Most of the delivery deves are flow...

  12. Which inhaler needs to be given first?

    GrannyRRT replied to solanim's topic in Patient Medications

    Guidelines are guidelines and not laws. There are a few basic principles but sometimes you have mixed disease processes. Albuterol (but no generic available at this time), is generally given first....

  13. Which inhaler needs to be given first?

    GrannyRRT replied to solanim's topic in Patient Medications

    We have to remind the doctors of the order of the meds also especially during the month of July. We also are constantly changing the times in the MAR since there is a conflict in timing the order with...

  14. Hospital will not hire smokers

    GrannyRRT replied to BSNbeauty's topic in Nursing Professionalism

    Victoria Hospital in TX. Victoria Hospital Won't Hire Very Obese Workers | The Texas TribuneThe states which supposed have laws to protect smokers do allow for government agencies to regulate their...

  15. Why can't nurses intubate?

    GrannyRRT replied to natnat122's topic in Emergency

  16. Why can't nurses intubate?

    GrannyRRT replied to natnat122's topic in Emergency

    Quotes from PMFB-RN I thought you said teaching hospital. My hospital is also teaching and that is what we do. If the resident has had observed intubation training with the OR, Senior RT or the...

  17. Why can't nurses intubate?

    GrannyRRT replied to natnat122's topic in Emergency

    Is this an accredited hospital with an emergency room? Or a private facility running on the cheap? What about hospitalists? Who gives you the orders for RSI and the necessary post intubation drugs?...

  18. Why can't nurses intubate?

    GrannyRRT replied to natnat122's topic in Emergency

    If you miss an art line stick, you may have to monitor the BP or draw labs another way. A delay yes but not necessarily life threatening. Miss a tube and without a physician around to give you more...

  19. RT Career?

    GrannyRRT replied to k9bite's topic in Pulmonary

    You can follow the Sunset meeting for delicensing RTs in TX today and the rest of the week at: RT Focus - news and resources you care about The final decision will be in

  20. Do you hear nurses will take over respiratory work?

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

    You can follow the Sunset meeting for the Delicensing of RTs in Texas today and the rest of the week at: RT Focus - news and resources you care about Final decision will be in August. If delicensing...

  21. Hospital will not hire smokers

    GrannyRRT replied to BSNbeauty's topic in Nursing Professionalism

    In some places a Firefighter applicant must sign a form saying they have been smoke free for one year prior to hire. Other Public Safety officers such as Police and Corrections have enforced no...

  22. RT Career?

    GrannyRRT replied to k9bite's topic in Pulmonary

    There are several on LinkedIn. The group called Respiratory Therapists is popular with the discussion about Texas. The Sunset Committee is meeting in a few days. Other states have managed to make...

  23. Difficulty to fix ventilator low peep alarm

    GrannyRRT replied to bruto's topic in Pulmonary

    bruto, It sounds like you are in a Critical Access Hospital which does not require RT presence. No, the LTV is not for long term. 50 psi is the pressure of the oxygen source directly from the wall...

  24. RT Career?

    GrannyRRT replied to k9bite's topic in Pulmonary

    I thought I had read all of the posts in this discussion. The closest I saw to a blanket statement was this by traumasurfer. It is true that many RT departments are probably under nursing either...

  25. Difficulty to fix ventilator low peep alarm

    GrannyRRT replied to bruto's topic in Pulmonary

    Do you have the graphics monitor attached? Are you running off 50 psi Oxygen outlet or using the low flow oxygen port? Are you utilizing the NIV which eliminates some alarms? What face mask are you...