Your patient needs to get intubated what do you do
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- Опубликовано: 20 янв 2019
- Just a quick video advice for the nurse taking care of a patient in respiratory distress. Preparing your room for anesthesia and providing the smoothest transition for the rapidly changing situation. MISMADE.
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I completely agree with this! I didn’t get educated on simple things likes these when starting ICU, but with time I learned a couple things... thank you for all the great videos!
I work in the ER and I am on cardiac arrest cases all the time your videos are on point
Great timing! Got to go through all these steps yesterday for the first time!
You posted this over a year ago and I’m listening today and benefitting from it as I’m going through ICU clinicals.
Thank you.
Wish you all the best in your endeavours.
Thanks
Informative.
i miss your videos!!
Ay bro an update on the SRNA school please!?
Enjoy your content. Please come them coming.
Rithea Metta Houy thank you so much! It means a lot and I’ll try!
Have you ever had to deal with impatient people whether it is the actual patient that was admitted to the ICU or their parents and guardians. Thank you for sharing this video:)
A few Questions please. If that hole is there on suctioning surely it's there for a purpose eg so person using it (suctioning) can lift a finger easily & quickly to INSTANTLY stop the suctioning if/when they need to = a safety device? It doesn't matter if anaesthetists 'don't like it' if it's there to serve an important purpose. IF suctioning shows lots of blood/tissue (same for larngoscope/tube+) then MUST write in med records & ensure throat is properly examined = I'm a survivor of very serious throat/tongue injuries (& more from NHS in the UK).
Last ate? IF patient hasn't eaten for 24 hours (over-starved for no good reason=not ill & VERY hungry = ask us!) & has been put on IV fluids (unnecessarily = ask US) but with NO glucose or electrolyte checks & fluid balance chart has nOT been filled out (urine output NOT measured) would you ensure these things & fluid balance was rectified BEFORE intubation/anaesthesia? If not why not please? I had 2 litres of fluids put in me in ONE hour without the anaesthetists knowing my fluid balance & whether I NEEDED them = didn't: after having been put on way too little I was then put on too much = VERY dangerous.
Monitoring: What would you consider to be safe gaps between monitoring & noting FIO, ETCO2, ET Sevo? Only 2-3 in my HOUR of anaesthesia.
IV line: I had a working IV line in (& fluids) before anaesthesia & came out with 2 in me; records say 'peripheral line' was added while I was unconscious = no reason = training for junior to put one in?
Drugs: when you draw them up PLEASE take great care, e.g. mg or mcg errors can/do kill. If others have drawn them up = how can you check they've been done correctly? If drawn up & then long delay = need to re-do? I'm a survivor of awake paralysis & suffocation = I 'woke up' (became conscious) but the paralysing drugs were still making me unable to move = TORTURE of not being able to breathe & not be able to alert the ignorant anaesthetists who I heard talking about me oblivious to fact I was GASPING to breathe but couldn't so had to finally (after way too long) accept my imminent death & I died & went outside my body (high up) & was 'looking down' at the scene. Anaesthetists & ALL lied, denied & covered-up all their errors & falsified my medical records later(& NO errors noted in them that evening when nurse looked = I wasn't allowed to look at my OWN records)= double-check drugs ALWAYS = lives depend on this & medication errors are sadly way too common (but mostly hidden/denied), if in doubt re-do YoURSELF, thank you.
Probably lots more to say but the docs gave me a brain injury (& broke bone/cartilage in my neck at front & more) so I can't remember right now.
Oh yes, please don't EVER call NMBs (paralysing drugs) 'muscle relaxants' = this is completely wrong (muscle relaxants are a different type of drugs) & understates how DANGEROUS they can be/are = deadly sometimes. And never say 'patient needs to GET intubated' = that is doing something TO us not FOR us, please say 'needs to BE intubated' = or is this a UK-USA difference in word-use? And of course there may be many reasons why a person can't breathe & intubation would be a BAD treatment if we had something stuck in our throat/s - I've been left with swallowing problems/difficulties (damaged my throat+ SO bad) so now I aspirate/choke on food easily = I can't be the only one.
And NEVER allow students/trainees (& other NOT-professionally or properly trained in these dangerous techniques) to practice learning intubation (& suctioning etc) on people WITHOUT CONSENT to the extra terrible RISKS, ever.
Thank you, I look forward to reading comments, replies & questions: I'm trying to help educate for patient safety = protect others so NOBODY has to suffer what I did & do.
😍😍😍
typically everything you need for intubation is in the airway roll
where u go :o
Did you start off in the ICU as a new grad when you were working?
Ryan Ramirez I did and although the beginning was hard I loved it
Would you suggest starting an ancillary IV if the only IV placed has a required med running?
cheetah cub Awesome question! Personally I’ve never done that and I’ve never seen anyone do that. If it’s simply not possible to have a free IV line then anesthesia just has to deal with that fact and I just prepare the hub that’s closes to the IV site and let them know what’s running through it. Then they usually clamp the IV with their fingers, push their meds and then let the drips continue to run. So to answer your question no I wouldn’t spend time trying to get a new IV I would just make sure the port closes to the patients IV site (less drugs that will get bolused through with their drugs) is open available and let them know what’s running through it.
@@JosiahShoon Thank you! I appreciate all your videos!
I suggest that if you’re taking care of a critically ill patient always keep a 3 way port connected to medicut (IV catheter) just in case anything urgent happens to the patient that requires an emergent IV med bolus.
Suhair Abou Shoullieh such a great idea and one I’ve never heard of!
Josiah Shoon thank you😊
This is basic. How did you get good at iv?
What do you think about a new grad RN starting in ICU?
Edgar Esquivel he already has a video on fhis
I thought E would have been ETCO2 to confirm successful ventilation ahaha
do you still work while in crna school?
Chelseea Radke I don’t. I know very few people who work very few hours (per diem), I know some who started off working per diem and then stopped, but I came in knowing I wasn’t going to work. I’ve heard of someone who did it. I would really advise against it and our school told us flat out not to. I don’t like to say anything’s impossible. It’s been done so it’s possible, but personally I don’t know how I would balance school, work, and maintain my mental health. lol
@@JosiahShoon ty for your reply :) looking forward to more vids :D
Dont ever start filming behind a yellow wall I'm sure you can do it better than that .. btw thank you for your services
lol
Lost weight bro?
Joshua Hilton haha wow seriously surprised it’s noticeable over camera. But yeah. Stress had me working out more and eating less lol