Blogs

Shared Governance

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Hello everyone, ​I was wondering if anyone has shared governance for your departments?  I'm looking to start a unit council/shared governance, and I would like some more information on how unit councils work at your facility.  How do you maintain the success of the council over time?  Thank you, Janelle
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Ventilator Protocol

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Would anyone be willing to share their ventilator protocol. We currently have a protocol for ventilator weaning but not for ventilator management based on ABG results. Any help is greatly appreciated. Thank You, Audra Miville, RRT Supervisor of Respiratory Care MaineGeneral Medical Center Augusta, M
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Recently I had an inservice on a small Belt clip size Ventilator for COPD patient . I thought it was a great device upon dwelling into discussion of the Ventilator with the Vendor. I learned that the claims made on the literature and by the Vendor MC were absolutely bogus. The guy fell flat on his face with my question about. How can you measure the return VT from the Ventilator that you claimed is upto 1200ml. He took me into circles to dodge the question but could not shake off the questions. He finally answered you cannot measure the returned VT from the patient on this little Ventilator.  My question is if you cannot measure the return VT or pressure or any ...
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Ask any respiratory therapist retired or currently practicing:  Which respiratory drug is ordered as a cure all for many ailments? Without any hesitation every respiratory therapist will blurt out the word… ALBUTEROL.    If they do not blurt out the word Albuterol, one must question if they are really a respiratory therapist.   We all have stories of receiving orders to administer Albuterol for some very bizarre reasons in which there are absolutely no indications for its administration.    As therapists, we joke about and make light of it; however, we also become very frustrated because we can spend a good portion of our day administering unnecessary ...
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​Looking for information from folks as to how you identify and implement best practices for ongoing competency assessment. Also curious about the questions below: 1. Is your education department centralized or decentralized at your facility? 2. Is your education department nursing focused or multidisciplinary (Respiratory Care, PT/OT, Radiology, Lab, EVS, etc.) 3. Do you have a New Hire Orientation for all employees? 4. What topics are covered in New Hire Orientation? 5. Do you have unit specific orientation, if so, what is the length of that orientation? 6.  What types of competency assessment verification do you use?  (Donna Wright= test/exams, Return ...
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Over the past 2 1/2 years, I have had the privilege of providing care in the homes of patient's suffering from chronic respiratory failure secondary primarily to COPD. The care model we use is placing these patients on a Trilogy non-invasive home ventilator utilizing AVAPS-AE mode to help maintain CO2 levels, rest their respiratory muscles and provide a source of rescue for exertional shortness of breath. I was a hospital based RT for 10 years. I worked every area of the hospital. I saw patient "X" come into the ED with a COPD exacerbation, be placed on Bi-level NIPPV, pumped full of steroids and bronchodilators, brought back to as close to baseline as possible, ...
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Anyone who has worked in the healthcare field over the past few years has been bombarded with words such as: patient experience, service excellence, community excellence, culture of caring, etc.    These words have always been a part of the healthcare over the years, but in 2012 the usage of these words increased 10-fold.      Why?    Under the Affordable Care Act of 2012, 1% of total hospital Medicare reimbursement was cut. But hospitals could get their pay restored if they had high patient satisfaction scores, and top-performing hospitals could get bonuses.      Because of this, healthcare institutions quickly began enacting strategies to improve patient ...
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​Is anyone charging for NT suctioning? It looks like the CPT code 31720 may work, but I would like to know if anyone is using it successfully. Thanks!
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Hello and Happy New Year   Our facility is looking at implementing Respiratory Driven Protocols in the our NICU. I am looking for some help with this. Does your NICU use RT driven Protocols? If so could you share them with me?
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Does anyone have any idea what to replace Acetylcysteine treatments with? I believe my COPD patient is developing a hacking cough from it and wanted to be able to suggest something to our physician.
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SCAM

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Scams are going around asking for people to send money acting as the President of the state society.  This email went to a person who is not on the board in ND but she knows me and contacted me ASAP. I emailed my board and also am letting you all know to keep an eye out.
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Common Canister

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I am looking for any information from hospitals that have implemented a successful common canister program. Specifically, what is your process for infection control, what regulatory issues have you ran across, and any other issues that arose? Thank you,
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We are in the process of moving away from our current time standard system. We have many non billable procedures that we assign and track, but it is an obsolete system, so are looking at ways to transition out of it, to just assigning billable procedures. This becomes difficult because, as we all know, very little of what we do is billable today. has anyone faced this challenge that would be willing to share your process? Any assistance would be greatly appreciated.
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Heliox Storage

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Where does everyone keep their Heliox tanks? Do you keep one in the RT department on a cart with the regulator in a bag on attached to the cart? Do you have to obtain a tank from your bulk tank storage location (ours is on the loading dock)? I am trying to find a best practice. Thanks, Becky
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Education Coordinator

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For any hospital based clinical education coordinators, would you be willing to share your roles /  job descriptions with me please.  Thanks
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​Has anyone been having trouble lately with getting PFT tests approved for monitoring lung condition with amiodorone use?
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Student attendance

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Good morning!  We are exploring different attendance policies to implement for our students during their clinical time. Right now our attendance policy states that an accumulation of two absences will result in a written warning from the DCE and the accumulation of 2 written warnings will require a meeting with the DCE and PD, the meeting may result in dismissal from the program.   The problem that I am finding is that this policy is too vague. I was wondering if you could share your attendance policies or what you have found works best with your students to assure that they are going to clinical as scheduled. Do you deduct points from their grade? Dismiss ...
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PAPRs vs. RFT

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​​​We are investigating going to "all PAPRs" vs. RFT with N95 masks, due to issues with fit-testing all employees annually for N95 masks. We would still fit-test some employees for N95 masks. We use Bullard EVA1 series blower assembly. We have our PAPRs on carts with supplies, currently provided by Central Processing, but CPD may need to turn this over to Central Storeroom. If you are doing something similar, I have a few questions: How did you determine the number of PAPRs needed for your facility? (bed size, number of neg. pressure rooms, number of employees, etc.) Do you keep carts or PAPRs on each unit or in a central storage area? How many PAPRs are ...
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​Does anyone have a protocol or guideline they are willing to share on ventilation strategties used to salvage lungs for transplant. I am working on setting up a standard approach. Thank you in advance, You can email me at Charles.Bangley@vidanthealth.com
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RT STATE LICENSING

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Dear All, i Belong to Pakistan and was the first RRT from this country about 10 years ago. i did my education on line along with other three colleagues snf ended on getting RRT from NBRC. Now there are two established RT schools that offers Bs degree. I need your thought and suggestions on how to apply or write a proposal to the sate health department for RT licensing. At this moment moment we do not have state license for all health care specialties. your help will deeply be apreciate
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