...department heads to identify all their customers in order to effectively market the department’s services. Respiratory Care performs both inpatient and outpatient services which encompasses a variety of customers. Once these customers have been established it is important to have a successful plan in place to assess and mange the satisfaction of all the department customers to ensure continuing growth. Customer Customers can vary greatly depending on the service being provided. For inpatient procedures the customer can include the patient that is receiving a therapy, family members that are concerned or taking care of their loved one, physicians that are prescribing care or consulting on the patient, nurses, case workers, or any other ancillary service that assist in the patient’s care. The list is very similar for patients receiving outpatient services as well. Customers are truly anyone that we come in contact with and provide a service. There are times as a respiratory department we will also seek out our customers in the community, for example, asthma education in the public school system. Customer in this setting would be the student, parents, teachers, aides, and the school nurse. There is also the internal customers that the respiratory departments work with everyday to include other ancillary department and our own coworkers. There is a long list of customers that respiratory therapists attend to on a daily basis and it is necessary to remember the list does not end with the...
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...Case Study – Chronic Bronchitis Admitting History A 68 year old retired geologist arrived in the emergency room with his daughter. Well known to the respiratory care consult team, he has a 40 year history of smoking 1.5 packs of cigarettes a day, is widowed, lives alone, and has difficulty managing his daily activities. For the past week the man has experienced increased dyspnea and cough and has been unable to care for himself. On observation, his personal hygiene appeared to have deteriorated. The man stated that he has been unable to get his breath or inhale deep enough to cough up secretions. He complained of mild nausea without abdominal pain or vomiting. His physician had given him an unknown oral antibiotic 3 days before this admission. The man was diagnosed with severe chronic bronchitis approximately 6 years ago and had an acute myocardial infarction 2 years ago. His pulmonary function studies 1 year before this admission showed severe airway obstruction and air trapping. He has a history of high blood pressure, congestive heart failure, chronic dyspnea on exertion, and chronic cough and he experienced two episodes of pneumonia within the last year. In recent months, according to a neighbor, he has become increasingly depressed. According to his daughter, his physical activity is minimal. He generally spends most of his days watching television, smoking, and napping. All his children, none of whom live in the immediate area, have tried to coax...
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...mask causing a pressure ulcer on the bridge of the nose. This is not only painful to the patient but also increases health cost. This paper is about Lewin’s change theory and how to implement this new change and overcome resistance. It will talk about the freezing, moving and refreezing process, changes that need to be made and how to implement this plan. As well as what is necessary to enforce this change so that it becomes status quo. Lewin’s Theory Kurt Lewin was born in Germany and immigrated to the US in August of 1933, after Hitler came to power. He had originally been involved with schools of behavioral psychology before changing directions and going into research. He is well known for his writings on group dynamics, group therapy and social psychology. His most influential theory was his model of the change process in human systems. While studying human behavior, Lewin concluded that driving forces push in a direction where change is inevitable. Individuals have a hard time with change and often become a restraining force that opposes change. Lewin identified...
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...Executive Nurse Leadership Program Hospital Department Rotations: Respiratory-Essay #3 Equipment and supplies obtained through contract services consist of ventilators, bipap machines and cough assist devices. The hospital has sixteen ventilators on-site which are hospital owed; however there must be two ventilators onsite to serve as back-up. When the need for greater then fourteen ventilators arises, contracted ventilators must be brought in-house. The hospital currently owes one bipap machine, therefore whenever it is use a contracted bipap machine must be brought in. The cough assist device is when patients are unable to produce an effective cough and is rented as needed for patients. Supplies for this contracted equipment may also be obtained on an as needed basis. Staffing is based on respiratory therapy hours per patient day (HPPD) and the acuity level of the respiratory patients in house. Must days there are two respiratory therapists per twelve hour shift and the Director of Respiratory Therapy is counted in staff for day shift. Occasional on weekends an extra respiratory therapist maybe added for an eight hour shift in place of the Director of RT, however this is only when the census is high and the patient acuity is high as well. Patients are weaned from the ventilator according to the established weaning protocol. The pressure support weaning protocol is initiated as ordered by the pulmonologist and will be conducted between 8:00 am and 8:00 pm...
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...M A I T R I P A T E L ( 5 1 6 ) 5 8 2 – 6 6 1 1 6384 OPEN FLOWER • COLUMBIA, MD 21045 • MIKKIAPATEL@YAHOO.COM * Education * Associates Applied Science, Respiratory Care Graduated May 2012 * Nassau Community College Garden City, NY * CRT (Maryland Board of Physicians, License # L0005943) * Registered Respiratory Therapist by NBRC * ACLS Certified * BLS Certified * * Bachelor of Science, Microbiology Graduated April 2008 * Gujarat University Gujarat, India * * CAREER OBJECTIVE_________________________________________________________ Seeking a position as a respiratory therapist with a responsibility to provide excellent healthcare services, and to help improve the quality of life of patients in a prestigious healthcare community. * * CURRENT WORk Experience * Respiratory Therapist June 2013 – Current * Howard County General Hospital Columbia, MD * Experience with ICU, SCU, ER (Adult & Pediatric), and NICU. * To perform vent management, regular checks with troubleshooting, weaning protocols and extubation. Also perform inline, NT and oral suctioning. * To assist in intubation and bronchoscopy procedures. * Response to all codes and rapid responses...
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...future I see myself as a respiratory therapist. Breathing is very beneficial to life, and I want to assist people further who have problems with their respiratory system with that. Ever since I was a child, I always had the idea of going into a career in healthcare, but I never knew exactly which path to take since there are so many options. When I was younger I had sick grandparents who all needed in home care from hospice, I always stayed by their bedside to help them and to try and comfort them during that hard time, I was very brave and calm for how heart breaking it was to witness at such a young age. As I got older, I still had the vision of doing something in healthcare, I wasn’t certain until 2012, when I took the nursing assistant course. I didn’t really care for it, although it was a lot of work and also hard work at that, I felt it was extremely sad because that isn’t what I look forward to when I get to that age. I also took the phlebotomy course, I really enjoyed it but after awhile, all I could think about was the old people, and doing labs on each other was a little nerve wracking especially because, I had accidently stuck this girl in the wrong spot and missed her vein because she kept moving. And she had a freak out moment in class, which was embarrassing on my part. During my time in the nursing assistant course, we explored the many different aspects of healthcare and the one thing that really caught my attention was respiratory therapy because, you do so many...
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...your food. This works well when the product is the same and when all other conditions and functions are the same. The problems occur when those procedures are duplicated in environments which may appear to be the same from the outside, but with a closer look, are not the same at all. This can happen when decisions are made by upper management without real understanding of the significant differences which may be present between two similar departments. The rationalization for the duplication may be well intended, but far too often the underlying reasons are for the convenience of upper management to be able to view the organization without having to understand multiple procedures. Our Organization and its Situation I work as a respiratory therapist at the largest level-one trauma hospital in the most southeastern part of Tennessee. We are located in Chattanooga and serve 50 surrounding counties. The nearest hospitals with this level of service are in Nashville, (100 miles to the north), and in Atlanta, (130 miles to the south). Our hospital is divided into two distinct parts. The main hospital is for adults and then there is Children’s Hospital, which is a full service, self supporting hospital designed specifically to care for children. Children’s is where I work....
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...Norepinephrine is an Alpha adrenergic drug that is generally given to patients who are hypotensive and have some sort of heart disease or heart failure. Although norepinephrine is not administered by Respiratory Therapists it is a drug that involves the heart and the lungs. As respiratory therapist we need to recognize what drugs our patients will benefit from, and what drugs they may have an adverse reaction to. Norepinephrine main purpose is to increase blood pressure and treat heart failure. As RT’s we can make certain recommendations to help treat our patients. Blood pressure is one of the number one signs that Nurses, Doctors, Anesthesiologist, and Respiratory Therapist monitor with our patients. In the event our patients goes into...
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...|Rehabilitation Therapy (PT/OT/SLP) | |Nurse Practitioner |Occupational Therapist | |Clinical Nurse Specialist |Occupational Therapy Assistant | |Certified Registered Nurse Anesthetist |Physical Therapist | | |Physical Therapy Assistant | | |Rehabilitation supervisor / management positions | | |Speech / Language Pathologist | |Nursing – Licensed |Respiratory | |Care Management Specialist |Certified Respiratory Therapist | |Nursing supervisor / management positions |Respiratory Care Assistant | |Staff Nurse |Registered Respiratory Therapist | | |Respiratory supervisor...
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...nationwide. Our vast network of highly skilled professionals and the latest equipment and technology offers patients access to high-quality healthcare. HealthSouth Rehabilitation offers a low therapist to patient ratio guaranteeing the patient gets the one-on-one attention they deserve. Treatment is available for individuals who have suffered a major accident or illness, including trauma, stroke, head injury, spinal cord injury, hip fracture, amputation, arthritis, chronic pain, neuromuscular and pulmonary diseases. HealthSouth treats people of all ages on an outpatient basis with specialized rehabilitation programs for adolescent, adult, and geriatric populations. HealthSouth Rehabilitation Hospital of Columbia offers comprehensive outpatient therapy services. HealthSouth Rehabilitation Hospital of Columbia is a 96-bed acute care rehabilitation hospital located in Columbia, S.C. Established in 1989, we are the only freestanding comprehensive medical rehabilitation hospital in the Midlands, serving Lexington, Richland, Kershaw and surrounding counties. Health South Rehabilitation Hospital is own and operated by The Gores Group, in Los Angeles, a private equity firm. For-profit HealthSouth operates 93 rehabilitation hospitals and 10 long-term acute-care hospitals. MISSION STATEMENT The Rehabilitation Hospital is a specialized health care delivery system that provides comprehensive, cost effective, outcome oriented medical rehabilitation services to enable patients to live at their...
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...Erica Lennox Personality Profile April 23rd 2015 Com 250 A New Face of Stark State College's Respiratory Therapy Program I recently had the opportunity to speak with Stark County native Ms. Ann Lennox. She has been attending Stark State College for quite some time. Her accomplishments include being state licensed in nursing assisting and paramedic/emergency medical technologies. Lennox's most recent endeavor is finishing the Respiratory Therapy Program at Stark State College. Performing at the top of her class will make her a fine asset for any hospital organization. Ms. Lennox is a thirty –one year old Caucasian female mother of one. She has been in healthcare for over ten years. That ten years has consisted of employment as a state tested nursing assistant, and as an emergency paramedic. Her hobbies consist of spending time with her family, taking naps, and listening to music. When asked why she chose the medical field to pursue a career Ms. Lennox told me she has always had a passion for life or death situations and gory traumas. It is definitely a comfortable environment for her. Once she completes her two year associate degree program she will be able to become a state licensed Respiratory Therapist and employable at any hospital in the state that issues her license. I asked Ms. Lennox to give me a rough draft of her five to ten year plan for her future. It was amazing to find out that even after finishing her current program...
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...their addiction to smoking. Not only the respiratory system and the heart are affected by this, but also the financial situation of smokers in certain countries with high tobacco taxes are influenced. Due to those reasons, many smokers are trying to overcome their addiction. The purpose of this study is to find out how psychological and medical approaches can be successfully used to quit smoking. It should explain how the methods work and what former smokers that have used those techniques experienced with them. The classical means of smoking cessation are medical treatments. They vary from laser therapy to drugs that substitute Nicotine and other ingredients of cigarettes. The psychological approaches to quit smoking have gained more popularity in the last few years. Especially hypnosis is often considered as a very effective method to overcome smoking. Also acupuncture can be seen as a psychological approach since it affects the mind and not the body. In comparison to medical approaches, hypnosis and acupuncture cannot impact the body. It can also be cheaper than a laser therapy for example. However, not every individual is receptive for hypnosis and acupuncture. This makes the medical methods more reliable. The central issue is, that every smoker who wants to overcome his addiction should try different methods, both psychological and medical. My thesis is, that the most effective way for smoking cessation is a combined therapy of psychological and medical treatment. ...
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...administered. - Periodic reevaluations are necessary for the patient who using chronic supplemental O2 -Most patients with COPD can tolerate 2 L/min via cannula -Access patients nares and ears for skin breakdown and may need to pad cannula where its sits on the ears -Watch for complications -Periodically check o2 delivery device to ensure that the prescribed concentration is being delivered -Monitor the effectives of 02 therapy( pulse ox, ABG’s) to evaluate patient response to therapy -Observe for signs of o2-induced hypoventilation because this occurs with carbon dioxide nacrosis -Position to minimize respirator efforts ( HOB elevate and provide overbed table for patient to lean on) -The person with COPD who retains CO2 should be treated with low rates of 02 with careful monitoring of ABG’s to avoid hypercarbia. 3. What are nursing management issues related to obstructive disorders? Assessment- Subjective health information past health history and medications, functional health patterns, general objective data with integumentary, respiratory, cardiovascular, gastrointestinal, musculoskeletal and diagnostic findings. * Objective- Debilitation, restlessness, assumption of upright position, cyanosis, pallor, poor skin turger, thin...
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...duration, precipitation & alleviating factors, in order to accurately evaluate, treat and prevent further ischaemia. 오류! 책갈피가 정의되어 있지 않습니다. 2. Semi-Fowler’s position & O2 therapy 2L via Hudson Mask in order to increase oxygenation of myocardial tissue & prevent further ischaemia. 오류! 책갈피가 정의되어 있지 않습니다. 3. Administer medications- Morphin (normally 2.5-5mg) & anginine 600mcg (given every five minutes; maximum 3 tablets in order to relieve/prevent pain & ischemia to decrease anxiety & cardiac workload. 오류! 책갈피가 정의되어 있지 않습니다. 4. 12-lead ECG & monitor in order to check hypotension & bradycardia, which may lead to hypoperfusion. 오류! 책갈피가 정의되어 있지 않습니다. Ineffective tissue perfusion 오류! 책갈피가 정의되어 있지 않습니다. 1. Monitor vital signs (Hourly) and saturation oxygen to determine baseline and ongoing change. 오류! 책갈피가 정의되어 있지 않습니다. 2. Administer oxygen by Hudson’s mask (6-10L/min) and monitor the effectiveness to increase oxygenation of myocardial tissue and prevent further ischaemia. 오류! 책갈피가 정의되어 있지 않습니다. 3. Monitor respiratory status for sysptoms of heart failure to maintain appropriate levels of oxygenation & Observe for signs of pulmonary oedema. 오류! 책갈피가 정의되어 있지 않습니다. CORONARY ANGIOGRAM 5 Nursing responsibilities and rationale pre angiogram 5 CORONARY ARTERY BYPASS GRAFT 6 Definition (3marks) 6 ANTICOAGULANT THERAPY 7 Nursing Responsibilities 7 APTT. (3marks) 7 WOUND MANAGEMENT 8 DISCUSS MOIST WOUND –HEALING ENVIRONMENT 8 DEFINE 5 DIFFERENT TYPES OF EXUDATES 9 NEUROVASCULAR...
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...bypassing the right ventricle and pulmonary vasculature Gravida: # of previous pregnancies Para: # of previous births Erythroblastosis Fetalis- Hemolytic disease of the newborn resulting from fetal-maternal Rh incompatibility Apgar Scoring- Assessment of newborn well-being. The higher the score, the healthier the baby. Silverman Scoring- An index of respiratory distress. The lower the Silverman score, the healthier the child Choanal Atresia- obstruction of the nasal airway; can be caused by unilateral or bilateral membraneous or bony occlusion. Diagnosis can be confirmed by the inability to pass a catheter through the nares, by cessation of air movement when the mouth is held closed, and by X-ray. Persistent Pulmonary Hypertension of the Neonate (PPHN)- ADA Persistent Fetal Circulation (PFC) - characterized by pulmonary vasoconstriction which results in high pulmonary vascular resistance; this pulmonary hypertension in turn keeps open (or reopens) the fetal cardiac shunts (the foramen ovale and/or the ductus arteriosis). The end result is right-to-left shunting and hypoxemia. Nitric Oxide therapy new treatment for PPHN. Bronchopulmonary Dysplasia (BPD)- BDP is applied to those infants who require mechanical ventilation during their first week of life, who remain dependent on supplemental O2 for more than 28 day, and who have characteristic areas fo increased density on their CXR 1. The Stages of BPD- (identified by CXR) a. Stage I-Indistinguishable...
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