heinz57

heinz57

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All Content by heinz57

  1. Trach with oxygen

    heinz57 replied to LilyRN99's topic in Pulmonary

    If you are running the trach aerosol off an air compressor, that little blue dial is NOT what your O2 percentage is. That dial is used for O2 percentage only if you are running it directly off an...

  2. oxygen delivery with nasal cannula

    heinz57 replied to Fiioonnaa's topic in Pulmonary

    Those plastic bubblers can be used with a High Flow Nasal Cannula which have a slightly larger tubing bore. It is often a different color like green to differentiate it from a standard cannula. It is...

  3. Salbutamol with normal saline

    heinz57 replied to Puggy1001's topic in Critical Care

    In the United States, Albuterol comes in both forms. It can be a diluted 2.5 mg unit dose or the undiluted form which can come by individual dose package or in a multidose bottle. The US has gotten...

  4. End of CCT Nurses in California?

    heinz57 replied to TraumaSurfer's topic in Flight, Surface Transport

    After reading Akulahawk's post, I doubt if CCT RNs have anything to worry about. Akulahawk, Stop worrying about being called an Ambulance Driver if it is in reference to the "one who drives the...

  5. Nurse manager said O2 concentrator can be used with BMV?

    heinz57 replied to smartnurse1982's topic in General Nursing

    The "bag" or "tail reservoir" of a BVM (Ambu) helps increase the concentration of oxygen. It has very little to do with CO2 since the exhalation is through the spot where you place a PEEP valve if...

  6. Living Will Tattoo

    heinz57 replied to jeastridge's topic in General Nursing

    This seems to be a popular tattoo to get right now. A couple of 20 y/o EMTs were showing off their Do Not Resuscitate tattoos in the ER. The impulsive actions of the young or impaired judgement of a...

  7. End of CCT Nurses in California?

    heinz57 replied to TraumaSurfer's topic in Flight, Surface Transport

    This is an old discussion but some attitudes don't change. In all fairness, most EMTs and Paramedics have no clue about the many different specialties of nursing or any other hospital or clinic...

  8. Cough Assist oops!

    heinz57 replied to Hownow's topic in General Nursing

    Mistakes happen. However, make sure that machine is thoroughly cleaned which may mean a biomed trip to be taken apart and decontaminated. Had this been in a place where the machine is used on multiple...

  9. What am I missing?

    heinz57 replied to harrird's topic in Flight, Surface Transport

    It is not so much the training of EMT or Paramedic but the need to hold one of these certs to satisfy outdated transport regulations in some states which are controlled by EMS regulatory boards. Some...

  10. Pt. With trach: cuffed but always deflated?

    heinz57 replied to Orion81RN's topic in General Nursing

    The cuff does very little to prevent aspiration since it is located below the glottis. The exception might be one with a subglottic suction port. Trachs are expensive. BUT, a cuffed trach, whether...

  11. Switching from Nursing to Respiratory Therapy

    heinz57 replied to MykRTstudent's topic in General Students

    That is not true. Many sleep technologists are EMTs and LPNs who got trained for sleep lab and then got certified as sleep techs. Not that many RTs are sleep techs since they separated the licenses...

  12. NPA/Nasal Trumpet

    heinz57 replied to Leafylane's topic in General Nursing

    If the patient needs a trumpet for airway clearance, they probably need a swallow eval but without the NPA. The problems often come from improperly sized NPAs. Rarely are several sizes stocked and...

  13. Nicotine Test for new employment

    heinz57 replied to hls0810's topic in General Nursing

    Did you not see the statement for tobacco and nicotine on their employment page? I am sure the application had a lengthy section about this to which you agreed to with your signature. This shouldn't...

  14. RT Career?

    heinz57 replied to k9bite's topic in Pulmonary

    Tmw you are describing something which is unique to your facility. I have worked in Florida and the RTs are not doing most of what you describe. There are hospitals in South Florida do not allow RTs...

  15. California marijuana legalization

    heinz57 replied to Elky's topic in General Nursing

    Nice try with the stats game but you have to read what they are actually supporting. This is now a new administration. Neither Bernie or Hillary is the President. Trump is not in favor and Sessions...

  16. RT Career?

    heinz57 replied to k9bite's topic in Pulmonary

    Interesting. How did RT get their state to abandon a Sunset review? Sunset reviews are written as part of their legislation for many states. Nursing goes through it also. Texas is well known but...

  17. Flight RRT?

    heinz57 replied to akcw1981's topic in Flight, Surface Transport

    You need to check with your state to see if a special provision has been made to include Respiratory Therapists functioning outside of a hospital. Their scope of practice is very limited when it comes...

  18. oxygen delivery with nasal cannula

    heinz57 replied to Fiioonnaa's topic in Pulmonary

    No, it was easier to study the FiO2 in healthy subjects who can control their breathing. A person can be breathing with very large slow tidal volumes or very fast small volumes and vary the FiO2...

  19. oxygen delivery with nasal cannula

    heinz57 replied to Fiioonnaa's topic in Pulmonary

    Cold humidifiers are an inefficient way to provide humidity. Heated humidity at body temperature ,37 degrees, provides comfort and moisture. The tubing bore on a standard cannula is not designed to...

  20. Is it safe going into RT?

    heinz57 replied to navywife16's topic in General Nursing

    Do you realize that the homecare company receives ZERO reimbursement for RTs under Medicare Part

  21. Is it safe going into RT?

    heinz57 replied to navywife16's topic in General Nursing

    It isn't nurses who are phasing out RTs. It is their own profession when they failed to raise the bar and get on board with Medicare. It was really short sighted of them to think they could continue...

  22. Is it safe going into RT?

    heinz57 replied to navywife16's topic in General Nursing

    RT is not a very flexible profession. It has very limited opportunities because Medicare does not recognize it for professional status. There is always talk of delicensing RT because of this. Many of...

  23. Flight Nurse

    heinz57 replied to MReg's topic in Flight, Surface Transport

    That forum is not very active and when it was it had been mostly for Paramedics. The feel good nurses who commented left a long time

  24. Stat CT for Ventilated Patient School Question

    heinz57 replied to kchester3's topic in General Students

    This seems more like a critical thinking scenario for prioritizing and patience. First you double check the order to see what is being scanned and if contrast is needed or whatever special...

  25. Things LTC Nurses wish EMTs and Paramedics would understand.

    heinz57 replied to downsouthlaff's topic in General Nursing

    In all fairness, at many 911 scenes there are at least 3 EMS trucks including Rescue, ambulance and fIre giving about 8 - 12 personnel to help the 22 y/o female with a hand injury to the ambulance....