Ventilation Station

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Ventilation Station

Tracheostomy Suctioning

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Tracheostomy Suctioning Station

Nasopharyngeal and Nasotracheal Suctioning

Purpose

  • Maintain a patient airway.
  • Facilitate air exchange by removing or mobilizing secretions from upper and lower airways.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Suction machine and connector tubing.
  • Gloves (two sterile, or one sterile and one disposable).
  • Sterile suction catheter (size 12-16 Fr. for adult; 6-12 Fr. for child).
  • Sterile normal saline or water (approximately 100ml).
  • Water soluble lubricant.
  • Sterile basin.
  • Oxygen, if needed by client.
  • Nasal or oral airway as indicated.

 

Tracheostomy Care

Tracheostomy Care

Purpose

  • Prevent infection of tracheostomy site to minimize tracheal trauma.
  • Maintain airway patency.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Tracheostomy suction supplies.*
  • Bedside table or workspace.
  • Towel.
  • Hydrogen peroxide.
  • Normal saline.
  • Three 4″ x 4″ gauze pads (or more if stoma has much drainage).*
  • Four cotton-tipped swabs.*
  • Split 4″ x 4″ pad (pre-cut tracheostomy dressing).*
  • Basin.*
  • Small brush.*
  • Tracheostomy ties.
  • Scissors.
  • Two pairs of disposable gloves.*

* If tracheostomy care is to be done with sterile technique, these items must be sterile.
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Tracheostomy Care Station

Training Video Library

Tracheostomy Care Station

Tracheostomy Care

Purpose

  • Prevent infection of tracheostomy site to minimize tracheal trauma.
  • Maintain airway patency.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Tracheostomy suction supplies.*
  • Bedside table or workspace.
  • Towel.
  • Hydrogen peroxide.
  • Normal saline.
  • Three 4″ x 4″ gauze pads (or more if stoma has much drainage).*
  • Four cotton-tipped swabs.*
  • Split 4″ x 4″ pad (pre-cut tracheostomy dressing).*
  • Basin.*
  • Small brush.*
  • Tracheostomy ties.
  • Scissors.
  • Two pairs of disposable gloves.*

 

* If tracheostomy care is to be done with sterile technique, these items must be sterile.

 

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Pulse Oximetry Station

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Pulse Oximetry Station

Pulse Oximetry

Purpose

  • Perform a cost-effective and non-invasive measurement of arterial oxygen saturation.
  • Explain an immediate and ongoing method to assess client response to treatment.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Equipment/Supplies

  • Pulse oximeter.
  • Sensor (clip on or disposable adhesive sensor).
  • Cutaneous sensor probe.

 

Management of the Home Ventilator Portable Battery

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Management of the Home Ventilator Portable Battery

Management of the Home Ventilator – Segment 3

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Management of Home Ventilators


Purpose

  • Provide guidelines for home health nurses and other caregivers who care for ventilator dependent clients.
  • Promote safety in management of high tech care in the home setting.
  • Promote self care in the home.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Guidelines

  • Caregivers who are willing and able to help with client care needs are necessary for discharge to the home setting.
  • Individual manufacturers of home ventilator equipment have handbooks for recommendations on safe use in the home.
  • Prior to discharge the home care team including the home vendor and respiratory therapist participate in establishing the plan.
  • All family and care giving staff must be familiar with ventilator alarms and how to appropriately respond.The client/caregivers are instructed in how to use the manual resuscitation bag.
  • The client/caregivers are instructed in how to use the manual resuscitation bag.
  • A backup electrical or battery source should be available and local utility companies notified of the client home needs.

Equipment/Supplies

  • Ventilator and associated circuits, filters, and tubing.
  • Heated humidifier or cascade.
  • External 12 volt battery and cord.
  • Ambu bag.
  • Disinfectant (as defined in infection control guidelines and policy).
  • Air compressor and tubing for aerosol treatments (see separate procedure).
  • Tracheostomy equipment and supplies.
  • Communication aids.
  • Equipment as needed for bowel, bladder and personal care such as hospital bed, wheelchair, commode and/or bedpan.

 

Management of the Home Ventilator – Segment 2

Training Video Library

Management of the Home Ventilator – Segment 2

Management of Home Ventilators

Purpose

  • Provide guidelines for home health nurses and other caregivers who care for ventilator dependent clients.
  • Promote safety in management of high tech care in the home setting.
  • Promote self care in the home.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Guidelines

  • Caregivers who are willing and able to help with client care needs are necessary for discharge to the home setting.
  • Individual manufacturers of home ventilator equipment have handbooks for recommendations on safe use in the home.
  • Prior to discharge the home care team including the home vendor and respiratory therapist participate in establishing the plan.
  • All family and care giving staff must be familiar with ventilator alarms and how to appropriately respond.The client/caregivers are instructed in how to use the manual resuscitation bag.
  • The client/caregivers are instructed in how to use the manual resuscitation bag.
  • A backup electrical or battery source should be available and local utility companies notified of the client home needs.

Equipment/Supplies

  • Ventilator and associated circuits, filters, and tubing.
  • Heated humidifier or cascade.
  • External 12 volt battery and cord.
  • Ambu bag.
  • Disinfectant (as defined in infection control guidelines and policy).
  • Air compressor and tubing for aerosol treatments (see separate procedure).
  • Tracheostomy equipment and supplies.
  • Communication aids.
  • Equipment as needed for bowel, bladder and personal care such as hospital bed, wheelchair, commode and/or bedpan.

Management of the Home Ventilator – Segment 1

Training Video Library

Management of the Home Ventilator – Segment 1

Management of Home Ventilators

Purpose

  • Provide guidelines for home health nurses and other caregivers who care for ventilator dependent clients.
  • Promote safety in management of high tech care in the home setting.
  • Promote self care in the home.

Applies To

  • Registered Nurses
  • Licensed Practical/Vocational Nurses

Guidelines

  • Caregivers who are willing and able to help with client care needs are necessary for discharge to the home setting.
  • Individual manufacturers of home ventilator equipment have handbooks for recommendations on safe use in the home.
  • Prior to discharge the home care team including the home vendor and respiratory therapist participate in establishing the plan.
  • All family and care giving staff must be familiar with ventilator alarms and how to appropriately respond.The client/caregivers are instructed in how to use the manual resuscitation bag.
  • The client/caregivers are instructed in how to use the manual resuscitation bag.
  • A backup electrical or battery source should be available and local utility companies notified of the client home needs.

Equipment/Supplies

  • Ventilator and associated circuits, filters, and tubing.
  • Heated humidifier or cascade.
  • External 12 volt battery and cord.
  • Ambu bag.
  • Disinfectant (as defined in infection control guidelines and policy).
  • Air compressor and tubing for aerosol treatments (see separate procedure).
  • Tracheostomy equipment and supplies.
  • Communication aids.
  • Equipment as needed for bowel, bladder and personal care such as hospital bed, wheelchair, commode and/or bedpan.

 

 

Trach Tubes/Inner Canula Information

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Informational – Trach Tubes/Inner Canula