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Aprv Alternatives


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#21 FloridaMedic

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Posted 30 March 2011 - 01:36 AM

The Education on how to view the flow patterns and Graphics is NOT standard

Critical Care Transport education, but does provide a great deal of information on

how your patient is tolerating changes..IE Altitude/Stressors of Flight etc.

jkihl


Associations such as AARC, Critical Care nurses, SCCM etc give the members access to many programs for advancing their knowledge including waveforms. As you may already know the AARC has some excellent webcasts in the archives for viewing any time as well as a great video for training on the LTV 1200, Some are free and others are for a reasonable fee for members. Even the aerosol device and medication free download goes more indepth than what some would believe to be possible and didn't realize the science behind the little hand held nebs or MDIs.
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#22 jkihl

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Posted 30 March 2011 - 03:54 AM

i concur 110%... the majority of my ICU pts have been too sick and unstable to transport and true APRV "dependence" is just one more example....

sometimes, there can be no 1/2 ways or "fudging" it... and there are NO absolutes...one pt's transport solution to coming off APRV may not be appropriate to another....

only absolute is to actually understand what is going on with that unique pt and to use the right tool w/ the RIGHT skilled clinician for the job...

and as we have discussed multiple times, the doctor wanting the patient gone does NOT always constitute medical necessity or necessarily what it is best for the patient.... multiple checks in place, but the buck stops with the transport clinician...

pt advocacy first and foremost, it is truly a sacred obligation.....


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