Activities
Any loop questions/examples that could be added/asked?
Activities
Any loop questions/examples that could be added/asked?
Waveforms
This isn't helpful but should there be more on this subject. The videos certainly help expand things, but should there be more text related to the subject?
(NIPPV)
Sometimes just called noninvasive ventilation (NIV).
sterile technique
Add? maintain sterile technique with the catheter Maybe not necessary since it's mentioned below in more detail.
When atte
Not sure if I missed it, but should it be mentioned that the laryngoscope is a left handed device?
“bag,”
or "ambu bag"
arterial arm
arterial arm mannequin IDK- just to clarify they don't use their friends' arterial arm?
Vibratory positive expiratory pressure (PEP) therap
Sometimes called oscilatory PEP as well (OPEP).
.
Since the U wave is on the figure, you could include it as the last part of the cardiac cycle. IDK https://academic.oup.com/cardiovascres/article-abstract/67/2/256/284555
pours the liquid medication into the medication cup of the nebulizer
pours (using sterile technique- without touching the inside of the cup)
(Low to High Flow)
The oxymask website doesn't claim to be high flow. It's FiO2 is in ranges and not precise.
(High Flow
Same as my high flow comment above. Reservoir system with a range of FiO2 not precise amount.
The reservoir bag should never totally deflate; if the bag deflates, there is a problem and immediate intervention is required.
Egan's - should remain 1/3 inflated during inhalation.
High Flow
Since the FiO2 isn't precise we don't consider these high flow. Egan's has a category to even call these reservoir systems with FiO2 ranges of 60-80%.
NASAL CANNULA
Anything to share about how to place these on patients. Not wrapping around heads unless infants? Maybe that comes up later.
4% increase in FiO2 for every liter of oxygen, resulting in a range of fraction of inspired oxygen (FiO2) levels of 24-44%.
4% increase from 20. Otherwise, they might question why the levels don't say 25-45%
consistent
Precise or consistent or include both words? Consistent just makes me think that there might be some fluctuations. Maybe I'm overthinking this one.
When helping patients with oxygen, you should follow these guidelines
The almighty question I've never found a source for? Do you push or pull a tank? I was always taught you push it in order to see what's in front of you. IDK. :)
mage of different sized oxygen cylinders and a standard oxygen cylinder labe
Is there a better image that could be used? There's a nice sample from this website which shows many tanks. Perhaps we can just sample D, E, H. https://pureair-gas.com/medical-cylinders-and-equipment/
Skills Assessments
Is hand hygiene, vital signs (HR, RR, BP), and PPE also skills assessments for Survey? Maybe these are the only two required ones and WTC added more over the years.
lds
Perhaps adding to allow for patient comfort throughout auscultation. Many may need a break from the repetitive breathing for all of these locations.
).
Maybe helpful to alert students that "sats" may be verbalized for short. Additionally, that when using the shortened version of the word, that it's not "stats". IDK :)
To measure a blood pressure,
Would it be helpful to add body positioning (not crossing legs) before taking a BP. Or maybe added to the paragraph after the image. https://www.cdc.gov/high-blood-pressure/measure/index.html
spraying of body fluids,
intubation and extubating
Rubbing action until the ABHR is dry on hands is important to remove and kill transient bacteria.
Should this also include a time range of 20 seconds or until hands feel dry. It depends on the amount of hand gel used and I've seen HCP rub for 3-5 seconds and call it good. "Rubbing until hands feel dry, which should take approximately 20 seconds." https://www.cdc.gov/clean-hands/about/hand-sanitizer.html
Droplet transmission — occurs through respiratory secretions from talking, sneezing, coughing, or laughing; droplets can travel up to two meters. If the client is on droplet precautions (e.g., for influenza, pertussis, rubella, mumps), you need to wear a mask and eye protection. Airborne transmission — occurs through small nuclei traveling on air currents for long distances (over two meters). If the client is on airborne precautions (e.g., for tuberculosis), the client must be placed in a negative-pressure room, and you must wear a fit-tested N95 respirator.
Should it be more clear that glove and gowns are worn in addition to the items listed for droplet and airborne. A student may read this as not needing to wear gloves or gowns in these rooms. Maybe it's a stretch on my part.
Soap and Water
Just an observation, but it seems like these reasons would have students avoiding soap and water throughout an entire shift due to the cons. Below are a couple of sources that may help better compare the two without making soap and water seem so inferior. Maybe it just could use an extra paragraph that supports soap and water a bit more. https://pmc.ncbi.nlm.nih.gov/articles/PMC8865176/ https://www.ucihealth.org/blog/2020/04/soap-vs-sanitizer
NBRC
I understand it's not necessary, but it might be a nice RT sputum bowl tidbit. In 1960, Sister Mary Yvonne Jenn became the first Registered Inhalation Therapist and received registry #1. The American Registry of Inhalation Therapists administered the first registry exams in Minneapolis, MN. Both written and oral exams were required. Image of Sister M. Yvonne (Jenn) (https://www.facebook.com/aarc.org/posts/sister-m-yvonne-became-the-first-registered-inhalation-therapist-in-1960-womensh/581694720658705/)