any suggestions

  1. I have been a nurse for ten moving from med-surg unit to pulmonary unit.......
    Very excited about move and think the unit I am going to is great.........
    any pulmonary nurses out there that have any hints on specifics.........
    anyone out there that is certified in pulmonary nursing.....I have claimed to myself that i will get nursing specialization..........
    just saying hey!!!!!!!!!micro
  2. Visit micro profile page

    About micro

    Joined: Oct '01; Posts: 2,344; Likes: 21
    a just a nurse contemplating the nature of my career.....


  3. by   KIAN
    How do you get certified in pulmonary nursing? I'd like to know.
  4. by   micro
    me too, I know there are a variety of certifications out there, but will will start exploring.........thx for the writeback
  5. by   NRSKarenRN
    When all the alarms are sounding, LOOK AT THE PATIENT FIRST!
    If calm not struggling breathe, have time to search for problem.
    If in distress bag em or reattach vent/oxygen supply THEN search for alarm problem..if more than 1 minute, CALL FOR HELP.

    If you feel your backside massaged in vented patient, STAT ABG's indicated.

    Little Morphine goes a long up on Morphine nebulizer treatments.

    Trust your gut that someone is going bad and gather supplies, despite what docs say.

    TWO persons when changing trach/ET Tape, keep scissors away.

    Cough and deep breathe, Cough deep breathe + change position.

    Cheap breathing exerciser: blowout roll-up party horn then progress to noise maker type (8 for a $1.00 at dollar store.) More fun than incentive spirometry...then I'd break out party bubbles..........great for a long term resp client.
    My home care clients with COPD/MS did will with party horns 4x day, decreased rate of pneumonia. Would change colors, lengths every few weeks. Also used pile of cotton balls on table to get them to blow off when tired /discouraged---SMILE goes a long way.

    BAD COPDer still can't breathe? Try oscillating fan on night table...the feeling of air passing their face helps to decrease anxiety.

    Draining chest wound from CA/Fistula---cover with ostomy pouch, can measure output and prevent skin excoriation; might need larger size than expect too if drainage heavy to dispurse weight.

    Goog Luck.
  6. by   micro
    my heart is in the party blowers and soap bubbles.......gotta smile in the middle of the serious stuff.
    thx for support:roll :roll :roll
  7. by   Brownms46
    Dear NRSKarenRN,

    Thanks for the info...I definitely learned something new!

  8. by   foxcreekadams
    Add: Scrupulous mouth care with Peridex or similar every 4 hours
    and flush GI tubes with sterile water.
    Do not use saline flush to clear ett or trach unless there is
    no other option.
  9. by   shygirl

    Sorry, not a pulmonary nurse- just saying "Hi" and good luck on the new position!