Blogs

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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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education

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would like to know why taking the free  education and if you do not pass, how it says you have exceeded your tries what the point of that why can not you keep taking it there shound not be a cut off, plus they are free.
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NIV/BIPAP Order Set

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I am working on transitioning our clinical pathways and protocols into physician order sets. I have not done this previously and would absolutely love to see some active order sets for BIPAP/NIV. Our admin says it has to be in order set format and my current protocol needs revamped. Thank you all in advance!!
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COPD Clinics

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Are any of you working in a COPD clinic? If so , do you follow a protocol?
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Fuji Bronchoscopes

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Good Afternoon, Has anyone used the Fuji Bronchoscopes?  If so, what do you think about them? Thank you
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​I am hoping there are some more options out there for what I am looking for. I want to be able to have a notification from the order entry to be sent to a wireless phone. A cellular type phone won't work in parts of our facility. We are going to have to find another IP phone. Does anyone have any suggestions?
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TMC (FORM 2015) NBRC SAE

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I am in my second year of teaching and am curious:  Those who use the secure comprehensive therapist multiple-choice SAE (Form 2015) as an exit exam, what do you consider passing?  If they score at low cut does it pass, or do you require they score at high cut. I only have last years numbers to compare at this time and I'm struggling with the ones that scored between 88-94.  Thank you in advance for any feedback.
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​I ordered and paid for course and it still hasn't downloaded.  I have reached out to the AARC but of course now it is the weekend (the best time to study) and no one is home.... Anyone else have this issue?​​
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​What kind of CPAP/BIPAP masks are people using for their pediatric age group weighing 8-22 pounds? I am not having any luck finding any masks for this group. They are either neonatal or having to weigh at least 22 pounds or 2 years old. Thank you.
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We are currently in the process of updating our admission process to the NICU after delivery. Are there any NICUs out there that use Bubble CPAP at delivery? If so, what gestational age? What manufacturer do you use? Does anyone have a standardization or protocol they'd be willing to share? Thank you so much!
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​Hello, My facility will be adding T-com monitoring for the first time in our special care nursery and we are looking for some guidance on a protocol or policy. I am trying to get an idea of what the RT's role typicallyy is vs nursing if at all. Thank you for any assistance.
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Can someone please guide me in the right direction in regards to obtaining information proving that AccuPAP/EzPAP/PEP therapy works better then an SVN? I have a physician at my hospital that wants to see evidence base practice regarding this device. I cant seem to find anything. Please help.
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I have been doing PFTs since 1987.  I have always given the bronchodilators via MDI and valve holding chamber.  My current hospital is trying to switch to hand held nebulizer to deliver the bronchodilator.  AARC says the mulitpatient use MDIs are not an infection control issue when used with a valve holding chamber.  Our hospital pharmacy states that this has never been an issue either.  My department uses multi patient use MDIs on all in patients, but want to change for OP PFTs.  Does anyone have any ideas on this subject?  Any opinions or policies that I can use?  I need help.Thank you! Barb Hutchison RRT, AE-C   Charleston, SC
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What are people using for charting for Cardiopulmonary Rehab?  Are you using current electronic charting systems and making forms, and updating your self, or have you purchased a cardiopulmonary rehab specific charting system like scottcare, lsi, etc. if you can please provide me with feedback and also give me the size of your hospital, and how many rehab patients you see in a year, that would be greatly appreciated
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Hi All. My name is Joseph Bernardino and I am the Respiratory Care Manager at Marin General Hospital. We just had The Joint Commission Surveyors here, and i just wanted to inform the respiratory community as to what they focused on. The surveying is now 5 days longs as opposed to 3 days. There were three surveyors, one nurse, one M.D. and one biomedical engineer with extensive history  and experience. All three were kind, bright and knew what they were looking for. I sat with a surveyor for an hour and a half going through patient's charting that were on ventilators. She wanted to make sure that the orders correlated with the charting especially when there were ...
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Heated face tents??

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What are your thoughts on heated face tents? Do we still do heated face tents at other facilities?
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​Does anyone have a protocol or have a link to a study regarding protection for NIV masks or other respiratory devices and which products are best?
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I work in pulmonary rehab and have a pt. with PAP and follicular bronchiolitis. My pt. is on 5 liters of pulsed dosed oxygen, sats are normally 96-97%.  My question is she feels sob with her diagnosis but her sats don't present that she needs that much o2.  Is she wearable or because of her diagnosis needs it no matter what the sats are?  I have been trying to google about her diseases but not getting very far.  Any help would be greatly appreciated!! Background on her...43 y/p, never smoked, African American, has not had the lavage done but is hoping to. thanks! Kim Kim Brunner RR
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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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