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

Humidification via Compressor Station

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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.

 

G-Tube Reinsertion Station

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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.

 

 

 

G-Tube Feeding Station

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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.

 

Chest PT Station

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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).

 

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.