Airway – Ventilator Operation

MIME-Version: 1.0 Content-Type: multipart/related; boundary="----=_NextPart_01C56817.58317560" This document is a Single File Web Page, also known as a Web Archive file. If you are seeing this message, your browser or editor doesn't support Web Archive files. Please download a browser that supports Web Archive, such as Microsoft Internet Explorer. ------=_NextPart_01C56817.58317560 Content-Location: file:///C:/267AC671/SP21.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" Airway – Ventilator Operation

Airway – Ventilator Oper= ation

Clinical Indications:<= /o:p>

= ______ 1. Mana= gement of the ventilations of a patient during a prolonged or inter-facility =

transport of an intubated patient.

Procedure:

= ______ 1.      Know= ledge of the operation of the ventilator is crucial for the transporting personne= l.

= ______ 2.      All ventilator settings, including respiratory rate, FiO2, mode of ventilation, PEEP, and tidal volumes should be recorded prior to initiating transport. Additionally, the recent trends in oxygen saturation and end-tidal carbon dioxide level should be noted.<= /o:p>

= ______ 3.      Prio= r to transport, specific orders regarding any anticipated changes to ventilator settings as well causes for significant alarms should be reviewed and a wor= king knowledge on how to address the situation.

= ______ 4.      Appl= y all settings to the transport ventilator.

= ______ 5.      Apply ventilator to patient and observe for tolerance, adjust as necessary.<= /o:p>

= ______ 6.      Once= in the transport unit, switch the O2 and air source over to the main tanks and once again observe patient tolerance of the ventilator and its settings.

= ______ 7.      Asse= ss breath sounds often and frequently and assess the patient’s respirato= ry status, noting any decrease in oxygen saturation or changes in tidal volume= s, peak pressures, etc.

= ______ 8.      If a= ny significant change in patient condition occurs, including vital signs, oxyg= en saturation, or there is a concern regarding ventilator performance/alarms, remove the ventilator from the endotracheal tube and use the BVM to oxygena= te patient with 100% O2. Contract medical control.

= ______ 9.      Note= any changes in ventilator settings or patient condition on the ACR.<= /span>

= ______ 10. Note: Consider the DOPE mnemonic for problems with the ventilator.

D - = dislodgement

O - = obstruction

P - = pneumothorax

E - = equipment (including operator) problem<= i>

= ______ 11. Docu= ment procedure, ventilator settings, and patient response in the electronic PCR.=

Certification Requirements:

Succ= essfully complete a biannual evaluation including the indications, contraindications, technique, and possible complications of the procedure.

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