WA School Bus Safety
▲ 155 r/TacomaWA+1 crossposts

WA School Bus Safety

Reminder to drivers on when to stop for a school bus. If you see unpredictable kids or parents, please stop regardless of what is in the law to keep everyone safe.

u/robinshp — 14 days ago

ASPEN recs 12-25 kcal/kg for the first 7-10 days of ICU admission. What about beyond day 10?

Curious if you continue to feed within that range after 10 days, versus increase after 10 days, or increase after day 10 on a case-by-case basis? Thanks all

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u/robinshp — 4 months ago

Home Tube Feeds for Uninsured Patient?

Hello,
I have a patient who will need home TF through a new GJ tube. They are uninsured and Alien Emergency Medical program application is pending (this won't cover home TF even if they are approved, per Case Manager).
Is it worth trying Ensure Plus through the J-tube to see if it's tolerated? I have concerns about the sugar content causing GI upset, and/or the viscosity of the formula causing tube clogging issues. My next idea would be trying to locate local TF formula donations through the Oley Foundation website.
If anyone has thoughts or suggestions, would appreciate.
Thank you!

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u/robinshp — 5 months ago

Tan terrier took off along train tracks heading north. It won’t let me add a picture, dog was skittish. About 20 lb scruffy terrier.

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u/robinshp — 6 months ago