September 11, 2012 By
September 11, 2012 By
Management of the Home Ventilator – Segment 3
Training Video Library
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.
September 11, 2012 By
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.
September 11, 2012 By
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.
September 11, 2012 By
September 11, 2012 By
Humidification via Compressor Station
Training Video Library
Humidification via Compressor Station
Humidification via Condenser
Purpose
- To provide humidity to the airway as an artificial airway (tracheostomy) bypasses the body’s natural humidification process.
Applies To
- Registered Nurses
- Licensed Practical/Vocational Nurses
Equipment/Supplies
- Condenser
- Electrical Outlet
- Corrugated Tubing
- Plastic Container/Bottle that holds water and connects to condenser
- Water Trap
- Trach Collar and distilled or sterile water for inhalation.
September 11, 2012 By
G-Tube Reinsertion Station
Training Video Library
G-Tube Reinsertion Station
Purpose
- Maintain gastrostomy tube patency.
- Prevent skin breakdown around site.
Applies To
- Registered Nurses
- Licensed Practical/Vocational Nurses
Equipment/Supplies
- Bulb syringe.
- Water in small container.
- 4 x 4 gauze sponge and dressing supplies, if necessary.
- Hypoallergenic tape if necessary.
- Cotton-tipped applicators.
- Soap and warm water, basin, wash cloth, and towel.
- Disposable, non-sterile gloves.
September 11, 2012 By
G-Tube Feeding Station
Training Video Library
G-Tube Feeding Station
Administration of Enteral Feedings, Gastrostomy or Jejunostomy Tube
Gastric feeding by gastrostomy tube is relatively safe to administer provided gastric emptying is normal. Research has shown that aspiration rates are about the same in clients with a gastrostomy tube as with nasogastric tubes (Metheny, 2000).
A gastrostomy tube is inserted in surgery. The tube is placed in the stomach and the tube exits in upper left quadrant of the abdomen. An alternative is a percutaneous endoscopic gastrostomy (PEG) tube. This tube also exits through a puncture wound in upper left quadrant of abdomen but is held securely in place by design.
A jejunostomy tube is used when clients are at greater risk of aspiration or have delayed gastric emptying. This tube is placed in surgical procedure and advanced into the jejunum.
September 11, 2012 By
Chest PT Station
Training Video Library
Chest PT Station
Manual Percussion and Vibration
Purpose
- Loosen and clear secretions retained in the lungs and bronchi.
Applies To
- Registered Nurses
- Licensed Practical/Vocational Nurses
Equipment/Supplies
- One to four pillows, depending on the client’s comfort and posture.
- Comfortable surface that can be slanted (hospital bed, tilt table or chair).
- Glass of water.
- Tissues and paper bag.
- Emesis basin.
- Loose towel or single layer of clothing over chest wall.
- Mechanical vibrator or percussion (optional).
September 11, 2012 By
Changing of a Tracheostomy Tube
Training Video Library
Changing of Tracheostomy Tube Station
Changing of Tracheostomy Tube Station
Purpose
- Prevent respiratory infection.
- Maintain adequate ventilation.
- Prevent any tracheal damage.
Applies To
- Registered Nurses
- Licensed Practical/Vocational Nurses
Equipment/Supplies
- Tracheostomy care and suctioning supplies (See Tracheostomy Care procedure).
- Tracheostomy tube.*
- 5 to 10 ml syringe.
- Water-soluble lubricant.
- Stethoscope.
- Disposable gloves.
* Note: Use sterile tube as ordered by the physician.
