Blogs

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​Has anyone conducted studies to establish best practice regarding weaning neonatal setting during NIPPV? We are looking to establish some standards using assessment, day of life, gestational age etc. I'm hoping someone has conducted some trials and initial work in this regard. Thanks!
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Retaining RT's

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How are you ensuring that your departments are fully staffed? Do you float RT's through multiple facilities? How are you ensuring that your students are staying with your organization upon completion of school? ​
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Why Ask Why?

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Originally published January 5, 2018 on LinkedIn .  Follow me there! "There are no right answers to wrong questions."    - Ursula K. Le Guin We respiratory therapists are a stubborn bunch. That often helps us provide excellent care, in the face of a system that doesn't always understand what we do or the value we provide. But almost as often, that same bull-headedness blindfolds us to answers that should be fairly obvious. This week (as in most weeks), the   question of professional membership   arose in the respiratory Facebook world. The usual suspects came forth with the usual arguments for and the usual arguments against. If there was ever ...
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​Does anyone have any experience with managing a SNF that takes trach's and Vents?  With hospitals starting to overflow beyond IP capacity on an almost daily basis hospitals are now looking to SNF's to take patients with trach's and vents. I would love to talk to someone else who is experienced with managing a SNF RT department.  The idea that nursing and RT will share "tasks" is a very difficult way to staff,  and when there are callouts- the RT's are expected to absorb all the RT related work, which is difficult to achieve.  There is reluctance in wanting to staff 2 RT's 24/7, however nursing call outs & vacancies appear to be up and down. In my mind from ...
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​We have started an initiative to identify patients most at risk for developing refractory hypoxemia and VILI. The following patient types are who we target: Obesity hypoventilation syndrome Pneumonia Fluid overload Bilateral atelectasis Impending / actual ARDS High FIO2 demand (>.5) PEEP requirements >8cmh2O Once we identify these patients, we perform optimal peep studies using an incremental peep titration and monitoring SpO2, BP, drive pressure We perform these once a shift. By doing this, we are hoping to not only decrease our probability of VILI, but our incidences of VACs as well. Is anyone out there doing anything like this?
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Equipment Cleaning Policy

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​Just curious if your departments hold a policy on the cleaning of RT equipment? If so, what do they entail? Thanks
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Have a great week celebrating!!!
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sputum bowl

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So happy to announce, My team and I won the Sputum Bowl in our NJ Shore Conference last Thursday! Thank God.
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The Oklahoma Society is looking for motivated individuals who are interested in being involved with our board for the 2018 year. If you are interested in getting involved, please contact me. Also please if you haven't already, follow our page Oklahoma Society for Respiratory Care on Facebook and checkout the website at www.oksrc.org
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What do you guys think? Is it wise to inform the patient not to tap the nebulizer reservoir after it sputters? Can it put the patient at risk for possible reinfection especially for patients with chronic lung disease? Please include reference to support answer. Than you for everyone's input.
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Could anyone share how they integrated RRT into ER staff, In stand alone ER?
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Hi friends. I have a situation on my hands that turns out to be a whole lot larger than originally perceived. I could really use help as I am at a loss here.... As a clinical specialist, part of what my role entails is to identify needs within a hospital and RT dept, and find solutions that work well with all. Level 1 trauma and NICU, Peds and adult CF center, huge hospital--I have discovered a hospital RT dept in a state like I've never seen before. I was in a meeting with an RT supervisor and a veteran RT to discuss the details surrounding secondhand info that they had been sharing equipment between CF kids, specifically our vest therapy device. The meeting ...
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Hello,  Recently we had a patient with ALS who's ABG's CXR, weaning parameters and labs were within acceptable ranges with exception of her NIF which was -6. Patient  was awake, alert following commands , normal vitals and communicating with eyes prior extubation on CPAP, we extubated her and had to place her on  BIPAP because she started to desaturate and mild increase of WOB. She will probably need to be reintubated and discuss trach options. Any thoughts on how to improve her NIF/MIP prior extubation?  Thank you, Edda Avila
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I was wondering if you all could direct me as to which agency/foundation would be best to discuss a potential new concept for PR?
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Have you read this yet? http://rc.rcjournal.com/content/62/3/259 or https://www.ncbi.nlm.nih.gov/pubmed/28028189 "Implementation of a β-Agonist/Airway Clearance Protocol in a Pediatric ICU" was published in the March 2017 Respiratory Care Journal. The main discussion identifies areas in which a change in provider often means a change in therapy, seemingly arbitrarily at times, and how respiratory therapists can ameliorate this problem. Respiratory therapists possess the skills to evaluate a patient and can determine when prescribed therapy is inappropriate, and are potentially being underutilized as part of the diagnostic care team or used inefficiently. In ...
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been screwed

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I have been screwed out of my job by liars after 50 years of working in all phases of respiratory liars helped screw me out of my job
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Any Respiratory Care departments with and RCP in a disease management role? Who are going into the home post discharge to assess the patient and evaluate equipment. If so, can you share your program. Gloria Stewart Manager, BS RRT, RPSGT Respiratory Care Email: gstewart@iuhealth.org
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I'm looking for suggestion or ideas regarding the scoring process of our Assess and Treats , there are times when we do our scoring and patients are receiving their treatments more often at home, we don't want to give less therapy then when there at home.   How do we get around this as our score needs to correlate with the frequency of delivery?  Thanks
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The practitioner sputum bowl needs 15 teams registered by July 15, 2017 in order for the practitioner bowl to take place.  There's still time for you to get a fellow therapist or two and form a team to compete in the National Sputum Bowl.  I hope to see you there! Renee Wunderley BA, RRT-NPS
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I'm in Dallas at the AARC leadership bootcamp learning how to be a better leader for the GSRC.
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