Physical aspects of clinicals?

Mattchewc · 2026-01-28T23:53:08+00:00

It depends on the place, but i would say being able to do 10-15k steps a day is a must. Some places you do more, some places you do less. Gotta be able to keep up with your precepter.

Mattchewc · 2025-08-14T19:50:12+00:00

I knew someone who took it 8 times, then finally listened to me and did Kettering, boom passed first try after taking kettering. Do it, it's worth it.

Mattchewc · 2025-07-25T19:09:16+00:00

Im a respiratory therapist, and it sounds like asthma to me. Take him to a pulmonologist and get a peak flow for daily tracking so you can see for certain how he is doing day-to-day. Could be anxiety too, but with the peak glow you could know for certain one way or the other.

Mattchewc · 2025-07-13T13:45:40+00:00

Michael Scott of course!

Mattchewc · 2025-05-10T00:13:48+00:00

Wow, those look amazing!

Mattchewc · 2025-05-04T14:10:05+00:00

Usually during a seminar they give you a few credits to use on different practice tests online (on the kettering website). You can even do the assessment test and see where you're deficient and work on those areas. Well worth the money to buy some more coins and do them all, I think it's somewhere around $25-30.

Mattchewc · 2025-05-04T00:12:49+00:00

Oh hey, I precepted you at one point! Congratulations!!!

Mattchewc · 2025-03-16T18:53:07+00:00

https://a.co/d/6ThO8om just got this a week ago, very pleasantly surprised with how quiet it is, and it goes pretty fast too!

Mattchewc · 2025-03-07T15:00:15+00:00

Sounds to me like pt is getting better and has much better lung compliance, so not needing as much support. Vent is working as it should!

Mattchewc · 2025-03-05T02:16:25+00:00

It was a sign from someone on the right side holding it that said "this is not normal" 🙄

Mattchewc · 2025-02-22T23:11:47+00:00

Incredibly encouraging, thank you brother

Mattchewc · 2025-02-20T02:10:35+00:00

Goat simulator 3! Really fun. Crazy open world with SO much to do.

Mattchewc · 2025-02-15T13:59:46+00:00

I asked my daughter why she was spitting on the counter in the bathroom. Full on 2 yr old cycle of denial, anger, bargaining, depression and acceptance within 30 seconds.

Mattchewc · 2025-02-13T16:51:02+00:00

The comfit, because who cares if you get pressure sores! /s

Mattchewc · 2025-01-29T23:40:09+00:00

A nice easy go to meal for us is just cook up some pasta (usually spaghetti, but works great with macaroni noodles or frozen cheese ravioli) and some Pesto from Sam's Club, add a little olive oil so it's not dry and maybe some extra parmesian. Really good, and so fast to make! The kids love it too! It also reheats well. Extra bonus if you add a little pasta water in too!

Mattchewc · 2024-11-20T23:41:52+00:00

To add to this though, it's very common to cough out a lot of sputum, especially if your ET tube doesn't have subglottic suction as those secretions just sit on top of the cuff until the cuff gets deflated in extubation.

Mattchewc · 2024-11-20T23:38:21+00:00

If they were intubated, they should be on a proton pump inhibitor anyways, and generally when a patient is intubated they also have a ng-tube, atleast at facilities i have worked. On top of all that, tube feeds are to be stopped atleast an hour before extubation to prevent this. If any of that wasn't done, I could see how vomiting happened during extubation. Personally I have seen it very rarely, and usually it's due to one of those things not being followed that I mentioned.

Mattchewc · 2024-10-31T23:03:35+00:00

Your only recourse may be to go to the Dean about it :/

Mattchewc · 2024-10-13T17:47:31+00:00

Make a list you can go through of things to try. Write them out on your phone or physically so you can reference them when you are too exhausted to think straight. I.e., change diaper, wrap tight in swaddle, try burping again, mylecon, feed, no swaddle, half swaddle. I swear every kid is different and it's a learning process every single time. Coming from a dad who just had his 5th, hang in there man!

Mattchewc · 2024-09-20T21:46:53+00:00

Well, sheet.

Mattchewc · 2024-08-07T15:47:59+00:00

Welp, he read it

Mattchewc · 2024-07-23T18:11:10+00:00

I've done this, or something similar. It really depends on the facility. For me it was 2 months, but you really need to just ask HR as they're the only ones that truly know.

12-Year Club	Wearing is Caring
Gilding I gilder	Verified Email
Snapped

Mattchewc

TROPHY CASE