heinz57

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 oxygen flow meter with the manufacturer's recommended ...

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 capable of flows up to 15 L/m. The OxyMask can al...

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 used to giving a 2.5 mg UD dose of Albuterol for all...

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 ambulance". I can see you getting out of your ambulanc...

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 you have one. If a concentrator (5- 8 L) is all you...

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 drunken dare may also bring questions of legitima...

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 health care professional either. Many in EMS are cluel...

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 patients, it could have been much more serious fo...

It is not so much the training of EMT or Paramedic but the need to hold one of these certs to satisfy outdated transport regulations in some states which are controlled by EMS regulatory boards.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

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 it has been inflated or deflated, should be changed...

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 and Sleep now has its own board. Many states als...

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 usually just what is available is shoved up a patie...

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 be a surprise. Given the information now available ...

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 to draw ABGs and I know not all transport teams h...

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 has already put undoing legalization of marijuana hi...

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 that Sunset review allowed RT to reorganize under a ...

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 to being without direct supervision. North Caroli...

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 significantly. And, if you put a baby on 1 liter of O...

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 have flows greater than 6 Liters. Simple physics....

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

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 with reimbursement without professional status. ...

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 the RT duties have been given back to nursing due...

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 ago.

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 considerations. Weight, size and special equipment like a h...

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. In a nursing home the staffing might be 1 nurse and...