Blogs

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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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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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