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RESP 202, Pediatric and Neonatal Advanced Critical Care > Control Comp #2 (Oxyhood, Bubble CPAP, Neo/Peds Vent Inline Suction, ETT Care) > Flashcards

Control Comp #2 (Oxyhood, Bubble CPAP, Neo/Peds Vent Inline Suction, ETT Care) Flashcards

1
Q

Oxyhood (Comp 2)
Procedure Steps
(11 Steps)

A

Procedure Steps
1. Read Physician Orders / Check Protocols / and read pertinent data/notes
2. Gather / Prepare equipment / devices
3. Identify patient; Introduces self to family; Explain purpose of O2 therapy
4. Wash / Sanitize hand and applies appropriate PPE
5. Assesses patient before beginning therapy
6. Sets up hood with appropriate amount of flow and drainage bag
7. Provides a Neutral Thermic Environment (NTE) and analyze FiO2 before placing patient in hood
8. Adjusts flow and check placement of aerosol
9. Reassesses patient
10. Confirms patient safety and comfort; Cleans up area; Washes / Sanitize hands
11. Record/Report

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2
Q

Oxyhood (Comp 2)
Procedure Steps
(Steps 1-5)

A

Procedure Steps
1. Read Physician Orders / Check Protocols / and read pertinent data/notes
2. Gather / Prepare equipment / devices
3. Identify patient; Introduces self to family; Explain purpose of O2 therapy
4. Wash / Sanitize hand and applies appropriate PPE
5. Assesses patient before beginning therapy

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3
Q

Oxyhood (Comp 2)
Procedure Steps
(Steps 6-8)

A
  1. Sets up hood with appropriate amount of flow and drainage bag
  2. Provides a Neutral Thermic Environment (NTE) and analyze FiO2 before placing patient in hood
  3. Adjusts flow and check placement of aerosol
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4
Q

Oxyhood (Comp 2)
Procedure Steps
(Steps 9-11)

A
  1. Reassesses patient
  2. Confirms patient safety and comfort; Cleans up area; Washes / Sanitize hands
  3. Record/Report
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5
Q

Bubble CPAP (Comp 2)
Procedure Steps
(10 Steps)

A

Procedure Steps
1. Confirms physician’s orders and obtains equipment
2. Washes / Gels hands
3. identifies infant, introduces self to family and explains purpose of procedure
4. Assembles equipment (Slides chamber on to the humidifier base, connect water bag, fills bubble CPAP generator, connects bubble CPAP pressure manifold and breathing circuit) Temperature should be set to approximately 36-37 degrees Celsius
5. Place correct settings and sets appropriate alarms, sets flow rate between 6 to 8 L/min (can go between 4 to 15 L/min if indicated) Set the CPAP level based on depth of the CPAP tubing
6. Measure infant for proper interface and connects
7. Confirms CPAP pressure and infant’s tolerance to settings; Makes any necessary adjustments
8. Assures proper equipment is at bedside and communicates to nursing staff of settings infant is on
9. Thanks family, washes / gels hand
10. Cleans area and documents CPAP Round

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6
Q

Bubble CPAP (Comp 2)
Procedure Steps
(Steps 1-3)

A

Procedure Steps
1. Confirms physician’s orders and obtains equipment
2. Washes / Gels hands
3. identifies infant, introduces self to family and explains purpose of procedure

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7
Q

Bubble CPAP (Comp 2)
Procedure Steps
(Steps 4-7)

A
  1. Assembles equipment (Slides chamber on to the humidifier base, connect water bag, fills bubble CPAP generator, connects bubble CPAP pressure manifold and breathing circuit) Temperature should be set to approximately 36-37 degrees Celsius
  2. Place correct settings and sets appropriate alarms, sets flow rate between 6 to 8 L/min (can go between 4 to 15 L/min if indicated) Set the CPAP level based on depth of the CPAP tubing
  3. Measure infant for proper interface and connects
  4. Confirms CPAP pressure and infant’s tolerance to settings; Makes any necessary adjustments
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8
Q

Bubble CPAP (Comp 2)
Procedure Steps
(Steps 8-10)

A
  1. Assures proper equipment is at bedside and communicates to nursing staff of settings infant is on
  2. Thanks family, washes / gels hand
  3. Cleans area and documents CPAP Round
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9
Q

Neo / Peds Vent Inline Sx (Comp 2)
Procedure Steps
(18 Steps)

A

Procedure Steps
1. Verifies facility protocol
2. Gathers equipment
3. Utilizes and maintains standard precautions as required
4. Communicates to nursing about procedure
5. Identifies patient, introduces self to family
6. Explains purpose of the procedure
7. Assesses patient before beginning procedure
8. Places patient in proper position
9. Assures that the proper level of vacuum is provided
10. Provides oxygen and hyperinflates prior to suctioning per protocol
11. Performs steps in accordance with “Safe Suction”. Explains this to preceptor
12. Confirms tip of the catheter is not occluding the airway
13. Assesses patient for any adverse effects and is well oxygenated t/o procedure
14. Reassesses patient after procedure
15. Cleans up area
16. Thanks family, assures patient’s safety and needs
17. Disposes of PPE, Hand Wash and Hand Sanitize
18. Record/Report

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10
Q

Neo / Peds Vent Inline Sx (Comp 2)
Procedure Steps
(Steps 1-8)

A

Procedure Steps
1. Verifies facility protocol
2. Gathers equipment
3. Utilizes and maintains standard precautions as required
4. Communicates to nursing about procedure
5. Identifies patient, introduces self to family
6. Explains purpose of the procedure
7. Assesses patient before beginning procedure
8. Places patient in proper position

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11
Q

Neo / Peds Vent Inline Sx (Comp 2)
Procedure Steps
(Steps 9-13)

A
  1. Assures that the proper level of vacuum is provided
  2. Provides oxygen and hyperinflates prior to suctioning per protocol
  3. Performs steps in accordance with “Safe Suction”. Explains this to preceptor
  4. Confirms tip of the catheter is not occluding the airway
  5. Assesses patient for any adverse effects and is well oxygenated t/o procedure
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12
Q

Neo / Peds Vent Inline Sx (Comp 2)
Procedure Steps
(Steps 14-18)

A
  1. Reassesses patient after procedure
  2. Cleans up area
  3. Thanks family, assures patient’s safety and needs
  4. Disposes of PPE, Hand Wash and Hand Sanitize
  5. Record/Report
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13
Q

Neo / Peds ETT Care (Comp 2)
Procedure Steps
(15 Steps)

A

Procedure Steps
1. Verifies physician’s orders / checks protocols / Read pertinent data/notes
2. Gathers / Prepares equipment/devices
3. Ensures emergency replacement airway of same size and type is at bedside
4. Identifies patient; Introduces self to family; Explains purpose of procedure
5. Utilizes and maintains standard precaution as required
6. Assesses patient and verifies airway before beginning procedure
7. Stabilizes airway while removing fastenings
8. Cleans and dries patient’s face
9. Moves tube to new location (ETT)
10. Reinflates cuff with maximum volume of 10 mL or as indicated my manufacturer (if applicable)
11. Secures new ties/tapes/commercial tube holder, applies skin protection product if indicated
12. Verifies appropriate position auscultation and tube markings
13. Suctions tube and pharynx thoroughly
14. Reassesses patient
15. Confirms patient safety and comfort; cleans up area; washes/gel hands and documents appropriately

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14
Q

Neo / Peds ETT Care (Comp 2)
Procedure Steps
(Steps 1-6)

A

Procedure Steps
1. Verifies physician’s orders / checks protocols / Read pertinent data/notes
2. Gathers / Prepares equipment/devices
3. Ensures emergency replacement airway of same size and type is at bedside
4. Identifies patient; Introduces self to family; Explains purpose of procedure
5. Utilizes and maintains standard precaution as required
6. Assesses patient and verifies airway before beginning procedure

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15
Q

Neo / Peds ETT Care (Comp 2)
Procedure Steps
(Steps 7-11)

A
  1. Stabilizes airway while removing fastenings
  2. Cleans and dries patient’s face
  3. Moves tube to new location (ETT)
  4. Reinflates cuff with maximum volume of 10 mL or as indicated my manufacturer (if applicable)
  5. Secures new ties/tapes/commercial tube holder, applies skin protection product if indicated
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16
Q

Neo / Peds ETT Care (Comp 2)
Procedure Steps
(Steps 12-15)

A
  1. Verifies appropriate position auscultation and tube markings
  2. Suctions tube and pharynx thoroughly
  3. Reassesses patient
  4. Confirms patient safety and comfort; cleans up area; washes/gel hands and documents appropriately

RESP 202, Pediatric and Neonatal Advanced Critical Care (3 decks)

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