18:33 - Arrived in parking garage and begin walking briskly toward the hospital.
18:42 - Clocked in at first available time-clock.
18:46 - Walked into the 5 minute team-meeting announcing new practices and mistakes to avoid.
18:55 - Arrived in the NICU respiratory office, dropped off backpack and begin taking SBAR report on all 70 patients.
19:15 - Signoff/report is interrupted several times for various reasons.
19:30 - Report is finished and the 70 patient assignment is split between two respiratory therapists using ventilators as major acuity guides.
19:30 - I am called stat to initiate a high frequency oscillator and inhaled nitric oxide on a patient.
19:45 - I am notified of 2 patients going to MRI on ventilators
19:47 - I call house supervisor to have coverage for the transport.
20:00 - I am called stat to patients room to change ventilator from high-frequency oscillator (HFV-A) to high-frequency jet (HFV-P).
20:10 - Transfer complete to HFV-P.
22:20 - I am called stat to bedside. Upon arrival discover patient arresting, code called entire medical team works to revive patient.
23:10 - Code is stopped.
23:20 - I am called to patient bedside for loose endo-tracheal tube. Retaped tube without incident.
00:00 - Called stat to OR-2 for twin c-section
01:25 - Called stat to Labor and Delivery 9 for meconium
02:00 - Lab machine goes into self-calibration setup, so all gases are tubed to another unit to be run.
03:00 - Still waiting on machine to come into service, been cleaning up the lab with no calls.
04:00 - Lab machines are still down, check all ventilators with no discrepancies, no issues.
05:00 - Lab machines come back up, just in time for 5am gases. Draw and subsequently run 35 capillary gases.
06:00 - Prepare signoff report to oncoming Respiratory Therapists
06:50 - 4 Relieving RRTs arrive to take SBAR report.
07:36 - Clock out and head out to the parking garage.
A blog about Respiratory Care by a Respiratory Therapist
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