r/respiratorytherapy

▲ 4 r/respiratorytherapy+1 crossposts

NICU PEEPS oscillator

So it's time to renew/ review policies and there is a back and forth on when to change Oscillator circuits. Most other hospitals change once a month but here we do every 7 days. I swear I remember seeing manufacturer recommendations say once a month but I can't find it. Can anyone help with an article or some place reference? Maybe it is every 7 days?

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u/Facedown-SATS-UP — 6 days ago

Questions for RT in pediatrics

My baby girl was born a micro preemie at 24/3. Spent 7 months in NICU and two months in a transitional care unit so dad and I could learn everything about Trach, ventilators, and everything that goes along with it. She has CLD/BPD (same thing) because she was born so tiny and early. We are supposed to be off the vent and possibly decannulated in March.

My question for y’all is this:

When my baby girl is on her ventilator and heater at night there is a ton of rain out in the circuit; what can I do to prevent so much rain out?

She’s only on the heater at night because during the day she moves to the kitchen or living room with me and we take the ventilator to the other room but not the heater. We use an inline HME during the day.

My baby girl is on the Vivo 45LS ventilator and her heater is the 850. It’s a single circuit so there’s one probe that goes in the circuit on the heater and another probe up near my baby girl. There is a whisper swivel. We just recently switched from the Astral 150 to the Vivo 45LS ventilator I never dealt with this issue with the astral. Hopefully you can give me some insight. I’ve tried covering the probes so the air won’t blow on it and there’s still a ton of rain out. I also put quilts on the outside of her crib to try to avoid the air blowing directly on the circuit. We have a window AC unit in her room and we live in Texas so it’s not quite time to quit using the AC.

Thanks in advance and if you need any more info I’m happy to share c and/or post photos of setup if needed.

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u/MrsReynaRocha — 8 days ago

Any Muslim Respiratory Therapists?

Hi, I'm looking to do RC in college and was just wondering: how do you pray if you did night shift and want/need to sleep during the day? Do you wake up and go back to sleep for every prayer, like fajr lol? Also anyone work during Ramadan (night shift or in general) how was that for you? I feel like night shift is going to be inevitable so I should start mentally preparing!

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u/Subject_Footnote — 8 days ago

Vent ratios at a Skilled Nursing Facility.

Is 11 vents to 1 RT considered a lot at a Skilled Nursing Facility? I was offered a choice of Full-time or PRN position and they gave me a run down of the facility and expectations.

My only thing is, 11 vents sounds crazy dangerous to 1 RT in the Hospital setting. But I also have to take into a count that there are no pages, the patients are relatively stable, and I’m covering a singular floor. But I would be the only RT in the entire facility.

I am trying to get my feet wet outside of the hospital setting so I’ve been applying around to see what different settings are out there.

Also, with their PRN position, it sounds like a pseudo-part-time thing. The requirements of 2 shifts per week and 1 weekend and 1 summer and 1 winter holiday. Is that normal for PRN gigs? I thought PRN you pick up whenever you want at least one shift a month or something.

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u/MentallyDrainedCat — 9 days ago

Can someone explain how being a “travel RT” works?

  1. How far does a travel RT have to travel to be considered a travel RT? Are we talking around the country or around the state? Or around a city?
  2. How many times a week/month/year do you have to travel to be considered a travel RT?
  3. What’s housing like? Do you live in hotels? Are they paid for?
  4. Can you design your own travel route to make anything more familiar feeling? Seems like a lot of uproar and change if you are constantly walking into a new hospital/or other environment to work.

I have a family and I’m trying to just understand if being a travel RT is an option or not.
Thank you for your help!!
Those are all I got.

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u/babyitstheway405 — 7 days ago

For RTs who work with metabolic carts, what do you look for in a good one?

I've been learning more about indirect calorimetry and metabolic carts, and I'm curious about the equipment side from people who actually use them in a clinical setting.

For those of you who work with metabolic carts, what are the things you care about most when choosing or using one? Is it mainly accuracy and reliability, or do things like calibration, ease of use, software, cleaning, maintenance, and how quickly you can get a test done matter just as much?

Also, are there certain features you wish your current system had that would make your job easier?

I'm especially interested in hearing from people who've used more than one system and can compare them.

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u/BumblebeeProud5388 — 9 days ago

Myasthenia gravis management

Hi there! I’m not an RT, but I am interested in the field, namely because I have a neuro-muscular disease called Myasthenia gravis and have been helped by several really cool RT’s, because it’s a rare disease I’ve also met a whole bunch of healthcare workers, including RTs who know almost nothing about the disease, or its management.

I’m curious how much about MG is covered in your training, and if you’ve helped manage MG in an inpatient or outpatient setting how was that experience?

Also, what are some ways we as MG patients can better communicate with you to help you help us? It’s a weird and confusing disease for patients and providers alike and I’m always looking for ways to better help people treat and understand me.

I’m curious about anything else folks may know or think about MG who work as RTs!

Thanks for indulging my curiosity, and know that I appreciate you guys tremendously!

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u/Modgepodgepapi — 8 days ago

Respiratory Program interviews

Has anyone been through the interview process for the respiratory program at Concorde Career College? I'm going to have to do an interview with the program director soon and am wondering if anyone has tips to prepare for it. What kind of questions do they typically ask? For reference, I'm attending the one in Dallas. Or if you have been through the interview process for any of the programs offered there, it would be helpful as well. Thanks!

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u/icedmatchalattelovee — 9 days ago

How do i deal with having bad days at clinicals?

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?

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u/Positive_Cookie_5136 — 9 days ago