Blogs

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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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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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I am wondering if anyone can share how they decreased COPD readmissions and if they can share guidelines or direct me to resources of those who have done a great job accomplishing this? Thank you in advance for your help
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                                                Just recently, I had the opportunity to attend the 2018 South Dakota Society of Respiratory Care (SDSRC) annual meeting and educational conference in Deadwood, SD.   Brian Walsh president of the AARC was able to attend our conference and shared his insights on the future of our profession.   Brian also shared his insights on the need for research in our profession and how advances in technology will reshape how we perform our duties. After listening to Brian’s initial presentation, it was clear that the AARC fully supports increasing the education level for respiratory therapists and I agree 100% ...
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I have a question for the Sleep Community: I am investigating the possibility of performing IV channel HST in skilled nursing facilities on Medicare/Caid patients who have OHS/OSA & have been ordered for NIPPV. These patients have never had a PSGT before (or if they did, it was several years ago). They cannot go to a sleep center because of their morbid obesity. Quite a few of them have BMIs well over 45. Would CPT 95800 or HCPCS G0400 be billed as part of a RUG bundle while the patient is in the SNF or can it be billed under Part B? Has anyone had any experience with this population in SNFs who may be able to advise me? I posted this question to the Coding ...
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Pharmacies can now label in-hospital medications on admission for home dispensing at discharge, so patients with chronic respiratory conditions can take home the multi-dose canisters that they paid for. I found a website that walks facilities through the process of being licensed to dispense these medications and the paperwork and equipment needed to institute the procedure to get rid of this type of medication waste. It will save the patient, insurance companies, and the US government thousands of dollars per year, by eliminating the need for patients to repurchase medications that could have been dispensed by the hospital. Patients can continue on their current ...
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The latest installment of COPD Navigator LIVE, in which I discuss a recent expert panel consensus statement from Spain concerning overused (as well as overlooked) 'standards' of care in the COPD world.  Plus, the latest COPD news and questions from the COPD community! Join me every Friday at noon Eastern for new installments, featuring the latest COPD news, discussion of topics impacting the community, and community questions answered LIVE!  http://www.facebook.com/copdnavigato
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Does anyone know of any standards regarding giving nebulizer treatments while a patient are on high flow oxygen. I would think someone at 60 l/m would not get any medication with a mouth piece nebulizer. I also have staff putting the treatment inline which you would think the medication gets diluted to nothing. Any ideas, literature or is there any gold standards? Thanks
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The latest installment of COPD Navigator LIVE, in which I discuss the use of action plans (sometimes called rapid response plans) to quickly react to early warning signs of exacerbations.  Plus, the latest COPD news and questions from the COPD community! Join me every Friday at noon Eastern for new e
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So in the future our ventilator data will automatically go into the EMR. What then becomes of the old "ventilator check" model that should be a patient assessment and check anyway. What role will the RT play now that they don't have to document numbers into a computer entry? I have lots of ideas and was wondering if anyone is already in this boat.
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About a year ago, I started doing weekly Facebook Live programs for the COPD information and support group I run on that platform (called COPD Navigator,   https://www.facebook.com/groups/copdnavigator).   Over the course of the year, the program has evolved from basic Q-and-A to a segmented program with recent news updates, a half-hour educational session, and wrapping up with the traditional live question and answer period.  I then do a little editing and upload an 'archive' version to YouTube.  Over the past few months, technical issues have prevented me from adding to the archive, but things seem to be ironed out, and I have relaunched the series. Please ...
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Hello:) I was recently hired at a surgical hospital to help develop their respiratory care department and was wondering if there were other RTs that work strictly at a surgical center and/or hospital. If so, please reach out to me! I would love to connect & share ideas!!
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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 ...
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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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​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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