heinz57

heinz57

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All Content by heinz57

  1. Suspended without pay for expired TB requirement?

    heinz57 replied to lsvalliant's topic in General Nursing

    Yes they can suspend since it is a job requirement. No you will not have any recourse. It is an annual requirement which means you had a year to work a schedule to comply with this requirement. This...

  2. Arterial sticks and analysis

    heinz57 replied to heinz57's topic in Critical Care

    I guess I should have been more clear about the analysis part. I meant do you have your own iSTAT or other POC machine to analyze the blood or do you send it to

  3. Patient videos on social media?

    heinz57 replied to BonnieSc's topic in General Nursing

    I wonder if the patients know what they are consenting to when being videotaped or photographed. My hospital's consent is pretty specific to educational purposes only by hospital staff and use only...

  4. Bipap question

    heinz57 replied to Dacatster's topic in Pediatric

    Sometimes Respiratory Therapists tend to miss "the big picture". Nurses need to be advocates for the patients. ABGs are not always necessary. Save the artery for a possible A-line if the patient...

  5. Bipap question

    heinz57 replied to Dacatster's topic in Pediatric

    Actually asthma is more obstructive than restrictive by definition. Restrictive and constrictive sometimes are confused. HFNC which also has heated humidity works wonders on patients of all ages. Kids...

  6. Bipap question

    heinz57 replied to Dacatster's topic in Pediatric

    When kids are sick enough for Bipap in an asthma exacerbation, they will tolerate it just fine. If they are fighting it, HFNC will be used. For the Bipap we use adult nasal masks as full face masks...

  7. Bipap question

    heinz57 replied to Dacatster's topic in Pediatric

    You did not mention what type of Bipap was being used. For some 10/5 has a delta p of only 5 and the total PIP is only 10. For others it is a delta p is 10 and total PIP is 15. But, even still that...

  8. Bipap question

    heinz57 replied to Dacatster's topic in Pediatric

    The way the OP wrote HiFlow and being this is peds, I would hope this is blenderized O2 ranging from 21% to 100%. Everybody should do away with NRB masks because they are not HiFlow and are very...