Monday, August 12, 2013

Return from the Abyss

UGH. How has this happened. I've seen the blogs out there that are full of entries .. at first. Then life happens. Full time job, full time family, full time havin the funs with the new paycheque. I think that's what happened to me and I 100% regret it.

Last time I wrote I was finishing up my training at the Children's Hospital. Which was fun and all. And it was super close to my house - like a 10 minute walk.

But then I was offered a full time job at my home hospital. So I took it. And said goodbye to the children's hospital.

So here's where things stand. I'm working full time at my home site in a position on the wards. I take care of acute BiPap (hello my best friend Respironics Vision) and am backup for the patients who are chronically ventilated. I also am support for the ICU therapists and frequently step in for patient transports and time consuming procedures. Lord knows ICU therapists need to keep their break schedule. I'm first to respond to codes on the floors and am 2nd on call for ER backup. Oh. I also assist with bronchs in the morning Monday - Friday.

Some days I love it.  Some days I don't. Still hear lots of excellent stuff out the mouth's of residents and others. And I absolutely love being a support to the new grads.

More to come.

Wednesday, June 13, 2012

Anaphylaxis

Everything is kind of a bigger deal when it comes to pediatrics. I've been at the children's hospital for about a month now. The major thing I've learned is that kids crash fast. Last week I did a cap gas on a baby just out on the wards. When I came back from my lunch the kid was intubated in the ICU. I thought the kid looked fine. Seriously. Also you can do exhalation vibes on a pediatric patient with just one hand. And it covers their entire chest.

And. The best thing about pediatrics (and I may have mentioned this before and I will probably mention it again) is their little trachs. No inner cannulas. There is effectively no such thing as trach care on a ped. Bliss.

There is a huge focus on education at the hospital. A lot of these kids go home with trach's, NPAs, ventilators - you name it. So mom and dad (or foster parents a lot) have to be well versed on how to deal with all of these things. One of the best instances of this is the procedure in Emerg for a kid in anaphylactic shock. The first thing that happens is they are rushed into a trauma bay (usual procedure everywhere) but then they have mom or dad give the epinephrine via an epi pen... For practice.

Awesome.

Wednesday, May 30, 2012

"Corrected the RT mistake" and more notes from Nurse charting

I love nurses. I really do. They are amazing people who are capable of performing phenomenal tasks. Things that I could never do.

However. Sometimes....

We came on shift and a little guy was having some trouble with his chest tube. A little investigation revealed that the suction regulator had been turned down so much that no suction was being applied to the chest tube.
Because a nurse saw that the regulator was above -20 mmHG, and turned it down to that.

Well everyone knows that the wall regulator does not have any bearing on the actual amount of suction being applied to the patient - the chest tube system does that. Enough suction needs to be applied so that the suction is relayed onto the patient, after first being checked by the suction system.

Remember the three bottle system!

So it doesn't matter how high the wall regulator is - the tube system is supposed to be set to -20.

Thanks nurse for "correcting the RTs mistake."