Blogs

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Greetings to all First of all, let me give a virtual high five to our colleagues working in hospitals during this time.  Please know our thoughts are with you.  Now, to the meat of the question:  I recently received an email from an advisor re: a “hard of hearing” student. At first glance, you might think this person CANNOT / COULD NOT possibly exist in our profession.   Then I started looking at it as a person of science.  After thinking about it, is there anything in the science that says this person cannot become an RRT?  i have seen physicians in wheelchairs, with glases and hearing aids.    They all performed as expected. Some questions: ...
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In Northeast Ohio, we are accustomed to the influenza season.  The precautions are the same.  I am, however, concerned that the current pandemic crisis may put a strain on hospitals maintaining an adequate supply of personal protective equipment (PPE) to protect the caregivers, visitors and other patients from patients carrying the infection.
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Covid 19

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Can anyone tell me what the best filter is to use on 840/980 ventilator for covid 19?
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COVID 19

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​Hello, How is everyone doing?  Let's support each other.
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What is everyone doing for PFT and Rehab at this time. Any literature to support recommendations.
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Does anyone know what colleges are offering the Advanced Practice Respiratory Therapist (APRT) degree? I've hear that maybe Ohio State University, but am not really able to confirm from their website. Has Texas State University applied for accreditation with CoARC to offer this program? And is it forecasted that there will be online options? Thanks!
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Oxyegn Cylinder Safety PP

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​Hello, Does anyone have a PP for oxygen cylinder safety that they are willing to share? Thank you, Jose
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Would anyone be interested in attending a Kettering Seminar in West Texas (Abilene)?  We need at least 15 people in order to host the seminar.
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Nonny Mask

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​Hello, Looking for any protocol or policy for the use of the Nonny mask in pediatrics.  We have been using it with the V60 w/auto track.  I'm not finding much information out there with restrictions and so on   I would really appreciate any help! Thanks, Helen
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Joint Commission

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​Hello, Has anyone dealt with JC recently?? Looking to see how deep they are going through RTs records. Helen
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Results here in our pediatric lab are concerning for misrepresentation of RV and RV/TLC.  Vyaire has come out to check all equipment for leaks, check pumps and biologic control results without concerns.  Being that we test pediatric patients I'm reaching out for any and all advice regarding what you can see represented below.  Trial 1 &2 are N2 washout, trial 3 & 4 are plethysmography.  As you can see the variability in these measurements/calculations are great.   Besides patient efforts and positioning, should we look at/for anything else?  Is this just pediatric testing ability and variability? (this particular patient is 19, but we see the same with ...
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​We are looking at Legacy Health switching to using the Uniform Reporting Manual RVU's, from the AARC, in Epic. I am looking for someone who has automated this process to speak with. The idea is to have an automated count of how many times we did a RVU based procedure, in order to get a daily, weekly, and/or biweekly productivity. We thought we could pull the data from the flow sheet rows, for the number of procedures. Ideally we would want to create a table of RVU weights that are potentially located in a data warehouse and with a sequel report that can pull in our RVU's and number of our procedures done, to give us our productivity. Your help will be greatly ...
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I am currently conducting a very informal research to determine the use of heat when placing patients on aerosols.  My first semester respiratory students were inquiring.  Please take just a couple of minutes to answer these two questions. 1- Does your facility require heat when applying large volume nebulizers to patients with bypassed airways? 2- Why or why not? I appreciate all of your help with this project! Tracey Schartz M.ED, RRT, VA-BC tracey.schartz@gatewaycc.ed
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Hi all! We are using the OxyMask for mothers in labor when the baby decelerates. ​ Would you send or post literature/article supporting using higher FiO2 for moms in labor when the baby decelerates? Our main question is how high of FiO2/flow is enough? My e-mail address is dnorthro@kumc.edu.
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Hello, Does anyone have a standard of practice in place for the cleaning products to use on the ventilators?  We use the Santi-cloth at my facility.
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Unplanned Extubations?

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Hi Everyone,  Are any of your institutions measuring Unplanned Extubations? Thanks!
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ARDS

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​does anyone have a recent updated ARDS protocol?
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​Hello Everyone, I am looking for anyone who will share their thoughts on this medication and their protocol.  We are experiencing lack of information on how to give it, do we give a bronchodilator pre med?  I would appreciate any feedback!!
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I am looking for direction on where to find out what lies in our Scope of Practice when doing a bronchoscopy.  Such as when assisting with obtaining a sample with a needle or EBUS , with direction of the physician can the therapist put the needle out into the node/mass?
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Hello Everyone, Looking for some information on what products are being used for securing the ETT in Pedi and how well they are working?  We are using the Elastoplast but we are seeing divets in the mouth.  Any suggestions?
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