u/Positive_Cookie_5136

I'm very anxious about the speed and the pace of ER clinicals, I started yesterday and today hasn't been going to well. I know that I have a lot of inner work to do and do my research on topics that are unknown to me. Usually I ask questions, but with this pace, I feel like it's hard to ask questions and I'm shying myself from it. As of now, all I did do are nebs, HFNC and other things that I felt were out of my range, but I'm still learning. Is it normal to not have improved after the second day?

Hello, it's been very fun yet also kind of draining/struggling doing PFT internship. It's been a week since I've been doing PFT and i thought I was doing according to one of the RTs but now apparently not so much according to another lol.

I mostly struggle with routine techniques such as calibration cause I fear that I might break the Vyntus box. My anxiety also makes me forget my speech, but i noticed that even when i do alright, my RT is kind of "picky" and would prefer that i use some of her expressions and words. No problem with that, but i have a pretty bad memory lol.

But also during FEV1s, i struggle to keep up with the deltaVol gage that indicates my REAL plateau. Also keeping an eye on the patient while looking at the screen isn't to easy.

I understand that it may take time. I have about 2 more weeks left.

Any thing would be great.

How is 0.25 mg of Atrovent in neb is the equivalent of 4 inhaled puffs of Atrovent? I might be mistaken but I never was taught the conversion? We only did 8 days of internships throughout 8 weeks.

Edit: I'm trying to understand how to convert it, the Internet is telling me the conversion of Ipratropium but I don't know if it's accurate.

Any help would be great

Anytime I attempt to do them, I use momentum instead of tucking my tailbone, but even with momentum I can barely lift my legs. And my back/body comes back slamming onto the floor. It kinda hurts? I know this isn't normal but I tried looking at some videos and yet, they make it seem so simple?

I'm pretty skinny and I've been semi consistently doing core exercises for the past 2 weeks. Any help would be great, even those who suggest that I should abandon reverse crunches

I suctioned the mouth as well as the trach at my job today, thanks to my RT! I'm extremely proud of myself.

Unfortunately he was practically "brain dead" or lots of cerebral atrophy in their words. But it was fun, went well and it's definitely going to help to be less stressful for me during clinicals. The only mistake I committed was the sterile part but otherwise it went well.

Hello fellow student and I have a year left to the program. I'm working this summer as extern with older/stable patients on the floors.

Does anyone have any handy videos on how to administer MDIs. I know how to but at the same I don't, which is a bit embarrassing.

I usually trumble on my words but my biggest concern is that I don't "time myself well " with the person's breath. I usually push the MDI while they are in exhalation for some reason.

I guess my problem is to tell which phase of breathing are they in, unless they are using an aerochamber and I look at the valve that flaps.

Preciate it.

Hello,

Does anyone know where the files you open in Moodle go? I have an android and saved most of my things in Moodle and it would open to the PDF files but i don't have them in my atorage and now the teacher deleted the course. Is there a way i can still access them?

Hey everybody,

I just started a new internship job for the summer at a small hospital and I also work at another small hospital. I'm a student.

I love both jobs and for my clinicals I chose a small hospital as well. For your information, they are all close to home, so that's great!

I learned lots of things and I feel like smaller hospitals make me feel more independent? However, whenever I speak to an RT they keep telling me how smaller hospitals aren't good for beginner RTs, which makes me slightly confused? Personally, I feel like a huge hospital would overwhelm me at this point in my life. However, I do have plans to go to one in the future. I do tend to compare myself to my pals, since they are at a bigger sector.

Can anyone tell me their experiences at a smaller hospitals at the beginning of their careers? Thanks!

Interested on relearning about tracheostomy again since clinicals are after summer

Quick question, should we check airway patency before suctioning or do we do that after? Or does it depend on if the patient looks/is distressed or no? On tracheostomy.UK.org it says to check for patency as you suction. However I've seen an RT take out the inner cannula to view it if had lots of gunk.

Gracias

Hi everyone, hope you're all doing phenomenal !

I think I might have hearing issues lol. I can easily hear the vesicular murmurs and I'm getting better at it, but I still suck at hearing wheezing and ronchis. Like this one patient i had, his wheeze was audible so i was sort of excited to auscultate him. Weirdly enough, i heard reduced airflow but no wheezing when applying steth? Mind you, I only heard wheezing once in my life so i was trying to listen for that same high pitched sound.

Teacher went in and did for me and there was a whole lotta wheezes! I went in again after her and heard it but I only told her that it was minimal and it was low pitched??

What i got from that was that practice makes perfect, and she even suggested me that I change the earbuds, which I did. That's why I was confident today! All my other teammates don't seem to have an issue

I didn't get checked yet but I might have hearing problems, and I tend to accumulate ear wax pretty quickly.

What I'm asking is, should I just keep practicing or go buy another stethoscope or are there othere techniques I can apply to use to my advantage? XO