SARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY
|
|
- Bruce Watts
- 6 years ago
- Views:
Transcription
1 PS1006 SARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY TITLE: OXYGEN ADMINISTRATION (INCLUDING Job Title of Reviewer: EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Director, Respiratory Care Services (Resp) (Pt. Care) 06/10/03 9/17 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS PROVIDING NURSING CARE 1 of 6 PURPOSE: POLICY STATEMENT: EXCEPTIONS: To establish protocol driven clinical pathways for the administration and management of oxygen therapy, including emergency management, by licensed personnel. 1. Nursing personnel and respiratory therapists will work collaboratively with the initiation, adjustment, and discontinuation of oxygen devices per physician orders and/or Respiratory protocols. This includes notification of the Respiratory Therapist by the nurse and contacting the physician as needed. 2. Oxygen may be temporarily administered without a physician s order by licensed personnel, within their scope of practice, when indicated by emergency circumstances. Any patient (infant/pediatric/adult) suffering from symptoms of hypoxia and/or respiratory distress, will be considered an emergency. Contacting the Rapid Response Team should be considered. 3. After initial emergency oxygen administration, a physician order must be obtained. Continuous pulse oximetry will be used by the respiratory therapist and/or RN to monitor effective outcome. In most instances, the goal for oxygenation saturations should be 94% or greater. 4. For patient condition changes, refer to SMH Policy (01.ADM.00) Chain of Command. This policy excluded Labor & Delivery Unit and the Neonatal ICU (refer to Nursing/Respiratory Department policy Guidelines for Newborn Delivery Team ). For patients requiring CPAP/BiPAP, refer to Nursing/Respiratory Policy / Prepared by: Wanda Turner \\smhfile01\paperless\department policies\nursing\nur_patientcare\126_167.doc 1/3/05
2 2 of 6 DEFINITIONS: 1. Low Flow Oxygen Device a. Nasal Cannula providing LPM 2. High Flow Oxygen Device (will include) a. Venturi Mask (24-50% FI02) Adjust liter flow according to manufacturer s recommendations. b. Aerosol Generator Mask Adjust liter flow and venturi device to achieve desired FI02 (24-90% FI02) c. Partial Re-breather Masks Adjust liter flow to provide sufficient flow to keep the reservoir bag inflated during inspiration (60-70% FI02) d. Non- re-breather Masks Adjust liter flow to provide sufficient flow to keep the reservoir bag inflated. (90-100% FI02) e. High Flow Nasal Cannulas (different O2 delivery device) Nasal cannula providing 6-15 L/minute f. Heated, Humidified High flow Nasal Cannula (such as Opti-flow/vapotherm/etc.) Nasal Cannula providing up to 60Lpm FI % PROCEDURE: Delineation of Responsibilities (Low Flow and High Flow) Low Flow High Flow Nurse Initiate (per policy with MD notification) Adjust (per MD order) Discontinue (per MD order) Initiate (per MD order)* Adjust (per MD order)* Discontinue (per MD order)* Nursing is not to initiate/adjust/discontinue heated, humidified high flow Respiratory Therapist Initiate * Adjust * Discontinue* (* Per physician order and/ or Respiratory Care Protocols) nasal cannula Initiate * Adjust * Discontinue * (*Per physician order and/or Respiratory Care Protocols)
3 3 of 6 CLINICAL GOALS: POTENTIAL COMPLICATIONS: 1. Treat hypoxemia 2. Decrease work of breathing 3. Decrease myocardial work 1. Oxygen toxicity 2. Hypoventilation (in patients with a hypoxic drive) 3. Absorption atelectasis (with high oxygen concentrations) 4. Pressure necrosis due to related equipment SPECIAL CONSIDERATIONS: 1. Patients with chronic lung disease may tolerate Sa02 s <92%. 2. Patients demonstrating signs/symptoms of cardiovascular stress (i.e., tachycardia, hypertension, chest pain, peripheral cyanosis, and arrythmias) may require Sa02 s greater than or equal to 94%. 3. Supplemental 02 should be titrated to obtain cardiorespiratory stability. 4. Patients demonstrating marginal Sa02 s at rest (i.e., 92-93%) may require oxygen with exercise. 5. Patients showing progressive drops in SaO2s should be monitored closely, and the physician should be notified of the change in the patient s condition. Notification of a Respiratory Therapist should be considered. EMERGENCY OXYGEN: 1. Methods of delivery of emergency oxygen: a. Emergency: Neonate or Small Infant 1. Oxygen is best delivered in this instance by free-flow oxygen set at 5 liters/minute. a) Connect oxygen b) Administer free-flow oxygen to infant by holding oxygen tubing to O 2 flow meter set at 5 liters/minute approximately one inch away from the infants face with a cupped hand or a resuscitation mask. c) If immediately available, may place a low-flow nasal cannula at 0.25 liters/minute-2
4 4 of 6 liters/minute. The Respiratory Therapist may initiate a humidified high-flow nasal cannula at 2-8 liters/minute or per MD order. Adjust blender fio2 to maintain pulse oximetry with ordered parameters b. Emergency: Large Infant or Child: 1. By mask or pediatric nasal cannula. a) Administer oxygen with adjustable pediatric mask or pediatric nasal cannula. b) Connect oxygen tubing to O 2 flow meter and adjust flow meter to deliver up to 1-6 liters per minute. c) Humidified oxygen nasal cannula should be used on infants less than 6 months of age. d) The Respiratory Therapist may initiate humidified high-flow nasal cannula at 2-8 liters/minute. Adjust blender fio2 to maintain pulse oximetry with ordered parameters. c. Emergency: Adult: 1. In the case of patients with a history of COPD that are CO2 retainers, maximum liter flow will be 2 liters per minute with a nasal cannula by a nurse or up to 6 liters per the respiratory therapist. The RN/respiratory therapist will then have the RC team leader notified STAT and the nurse will contact the physician in charge for a verbal order and other instructions. 2. For the non-copd patients, administer oxygen of up to 6 liters per minute by nasal cannula. 3. In the judgment of the RC team leader, if the patient needs a higher FIO 2 than specified above, a partial or non-rebreathing mask or other appropriate oxygen delivery device may be applied and the physician will be notified immediately. d. Additional Considerations: 1. In consideration of potential oxygen toxicity in infants, oxygen analysis is to be performed and monitored closely on all oxygen delivery systems. The patient is monitored by pulse oximetry guidelines and an ABG may be done as needed. 2. Pulse oximetry should be used by the respiratory therapist and/or RN to monitor effective outcome on all patients. Continuous therapy should consist of
5 5 of 6 proper temperature, humidity, and patient monitoring. 3. Documentation in the EMR per Respiratory Care Policies/flowsheets and nursing reassessment flowsheets. RESPONSIBILITY: It is the responsibility of the Respiratory Care Team Leaders to assure that this policy is understood and adhered to by all Respiratory Care personnel. It is the responsibility of the Clinical Managers/Directors to assure that this policy is understood and adhered to by all licensed Nursing personnel. REFERENCES: Respiratory Care Procedures CTH.003, 004,.005,.006. SMH Policies. (01.ADM.00). Chain of Command. (01.PAT.83) Rapid Response Team. SMH: Author. SMH Nursing/Respiratory Policies. Non-Invasive Positive Pressure (NPPV) Ventilation (CPAP/BiPAP). ( / ). Guidelines for Newborn Delivery Team ( / ) SMH: Author. AUTHOR(S): Donetta Dangleis, RRT, Respiratory Care Manager Benny Kruger, RN, MSN, CCRN, CNN, APN, Critical Care and Hemo Jessica DePaulo, MSN, RN, CCRN, APN, Critical Care Amy Alexander, BSN, RN, CPS, 10WT Chris Wirth, MSN, RN, APN, Pediatric Unit ATTACHMENT(S): None
6 6 of 6 APPROVALS: Signatures indicate approval of the new or reviewed/revised policy Date 9/15/17 Title: Mark Pellman, Director, Respiratory Services Title: Title: Title: Committee/Sections (if applicable): Clinical Practice Council 8/3/17 Pulmonary Council 8/17/17 Vice President/Administrative Director (if applicable): Name and Title: 9/21/17 Name and Title: Connie Andersen, Vice President, Chief Nursing Officer
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: TRACHEOSTOMY SPEAKING VALVE EFFECTIVE DATE: REVISED DATE: POLICY TYPE: 135.008 (Respiratory Therapy) (Patient Care) 134.900 (Rehab) 10/93
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: NURSING AND PHARMACY GUIDELINES FOR THE ADMINISTRATION OF IV TREPROSTINIL (REMODULIN ) Job Title of Reviewer: Director, Pharmacy POLICY
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE NEONATAL TRANSPORT TEAM
UNIT: SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE NEONATAL TRANSPORT TEAM STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: 11/93 3/18 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: NURSING AND PHARMACY GUIDELINES FOR THE ADMINISTRATION OF IV EPOPROSTENOL (FLOLAN, VELETRI ) POLICY #: EFFECTIVE DATE: REVISED DATE: POLICY
More informationSARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY
PS1070 SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY TITLE: ADMISSION/DISCHARGE CRITERIA: POST ANESTHESIA CARE UNITS (PACU) EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: Job Title of
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE MATERNAL TRANSPORT TEAM
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE MATERNAL TRANSPORT TEAM EFFECTIVE DATE: REVISED DATE: STANDARD TYPE:, 4/95 1/18 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS PROVIDING NURSING
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE CARDIAC ACUTE CARE AND CARDIAC PROGRESSIVE UNITS
SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE CARDIAC ACUTE CARE AND CARDIAC PROGRESSIVE EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: 1/88 4/18 DEPARTMENTAL INTERDEPARTMENTAL DEPARTMENTS
More informationSARASOTA MEMORIAL HOSPITAL POLICY
PS1013 TITLE: SARASOTA MEMORIAL HOSPITAL POLICY EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: 11/18/05 04/20/18 Clinical Non-Clinical 1 of 6 Job Title of Responsible Owner: Director, Cardiac and
More informationSt. Vincent s Health System Page 1 of 8. Nursing Administration HOSPITAL SHARED POLICY?
St. Vincent s Health System Page 1 of 8 TITLE: Rapid Response Team FACILITY: St. Vincent s East FUNCTION: ORIGINATING DEPT: Nursing Administration HOSPITAL SHARED POLICY? EFFECTIVE DATE: _X_ Yes No DOCUMENT
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PEDIATRIC FALL PREVENTION EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Job Title of Reviewer: Director, Women & Children s Department (pediatrics)
More informationHome Oxygen Therapy Policy and Administration Manual
Ministry of Health & Long-Term Care Home Oxygen Therapy Policy and Administration Manual Assistive Devices Program Ministry Of Health & Long-Term Care https://www.ontario.ca/page/assistive-devices-program
More informationDepartment of Veterans Affairs VHA HANDBOOK HOME RESPIRATORY CARE PROGRAM
Department of Veterans Affairs VHA HANDBOOK 1173.13 Veterans Health Administration Transmittal Sheet Washington, DC 20420 November 1, 2000 HOME RESPIRATORY CARE PROGRAM 1. REASON FOR ISSUE: This VHA Handbook
More informationPROCEDURAL SEDATION AND ANALGESIA: HOSPITAL-WIDE POLICY
CLINICAL PRACTICE POLICY PAGE: 1 OF 6 PURPOSE: These policies will allow clinicians to provide their patients with the benefits of procedural sedation and analgesia while minimizing the associated risks.
More informationPEDIATRIC ALOC Guidelines. ALOC Guidelines ALOC
PEDIATRIC Guidelines Guidelines The Alternate Level of Care () Guidelines are intended to assist the reviewer in identifying the next safest and appropriate level of care options. They allow the reviewer
More informationALOC Guidelines ALOC. PEDIATRIC ALOC Guidelines
PEDIATRIC Guidelines Guidelines The Alternate Level of Care () Guidelines are intended to assist the reviewer in identifying the next safest and appropriate level of care options. They allow the reviewer
More informationCVICU. Attending feedback in the course of patient care. Assessment of clinical decisions Observation on Rounds. Annual In-service evaluation
ACGME Competency-based Goals and Objectives ROTATION Cardiovascular Critical Care Unit, PGY 4, 5, 6 CVICU Goal 1. Develop a comprehensive and physiology-based understanding of evolving illness in children
More informationIndications for Calling A Code Blue or Pediatric Medical Emergency
Code Blue/Pediatric Medical Emergency Code Blue is a term used to alert the Code Team and hospital staff of the significant deterioration in an individual s status (e.g. unresponsiveness, absence of blood
More informationImproving Patient Surveillance: Instituting a Respiratory Risk Screening Tool
Improving Patient Surveillance: Instituting a Respiratory Risk Screening Tool Sandra Maddux, RN, MSN, CNS-BC, Michelle Giffin, RN, BSN, & Patti Leglar, RN-C, BSN Purpose To share an evidence-based protocol
More informationSARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL DEPARTMENT POLICY TITLE: CONTINUING NURSING EDUCATION ACTIVITY PROCESS Job Title of Reviewer: EFFECTIVE DATE: REVISED DATE: POLICY TYPE: (admin) 4/10 3/18 DEPARTMENTAL
More informationSaving Lives: EWS & CODE SEPSIS. Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013
Saving Lives: EWS & CODE SEPSIS Kim McDonough RN and Margaret Currie-Coyoy MBA Last Revision: August 2013 Course Objectives At the conclusion of this training, you will be able to Explain the importance
More informationCARE OF THE PATIENT REQUIRING CONTINUOUS FLOLAN INFUSION GUIDELINE
Page Number: 1 of 5 TITLE: CARE OF THE PATIENT REQUIRING CONTINUOUS FLOLAN INFUSION GUIDELINE PURPOSE: To provide guidelines for the nursing care of the patient with a Flolan infusion delivered thru continuous
More informationCLINICAL SKILLS & OBSERVATION CHECKLIST
CLINICAL SKILLS & OBSERVATION CHECKLIST Employee: Please check Yes or No at time of hire and annually for Adult and/or Pediatric experience RN Supervisor: Please date and initial after observation & demonstration
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PEDIATRIC FALL PREVENTION EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Job Title of Reviewer: Director, Women & Children s Department (pediatrics)
More informationRisk Mitigation - Continuing Care Branch
Risk Mitigation - Continuing Care Branch Home Oxygen Service Procedures & Guidelines, Edition 7 February 16, 2016 Procedure and Guidelines: Version Control: Home Oxygen Service Replacement of Home Oxygen
More informationCHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENT PATHWAY
CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATHWAY PROCESS OUTCOMES ADMISSION This will help you understand what will happen to you during your stay at the hospital. If you do not understand, please feel free
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: NURSE STAFFING POLICY #: EFFECTIVE DATE: REVISED DATE: POLICY TYPE: PAGE: Job Title of Reviewer: (Administrative) 11/87 3/18 DEPARTMENTAL INTERDEPARTMENTAL
More informationGAMUT QI Collaborative Consensus Quality Metrics (v. 05/16/2016)
1) Ventilator use in patients 1 with advanced airways reported as Percent of patient transport contacts with an advanced airway 2 supported by a mechanical ventilator. 2) Scene and bedside times for STEMI
More informationSARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE
SARASOTA MEMORIAL HOSPITAL NURSING PROCEDURE TITLE: ISSUED FOR: (crc15-nursing) (crc.02-respiratory) Nursing Respiratory Care Services DATE: REVIEWED: PAGES: 02/93 9/17 1 of 8 RESPONSIBILITY: RN, LPN II
More informationSARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY
SARASOTA MEMORIAL HOSPITAL PERIOPERATIVE DEPARTMENT POLICY TITLE: ANESTHESIA CARE AND INTRAOPERATIVE Job Title of Responsible Owner: EFFECTIVE DATE: REVIEW/REVISED DATE: TYPE: Director of Perioperative
More informationContinuous Lateral Rotation Therapy (CLRT): Development and Implementation of an Effective Protocol for the ICU
Continuous Lateral Rotation Therapy (CLRT): Development and Implementation of an Effective Protocol for the ICU Submitted by: Leslie Swadener-Culpepper, RN, MSN, CCRN, CCNS Clinical Nurse Specialist for
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE DEPARTMENT OF IV THERAPY (IV THERAPISTS)
UNIT: SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE DEPARTMENT OF IV THERAPY (IV THERAPISTS) STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: 04/91 5/05, 3/08 DEPARTMENTAL
More informationFrequently Asked Questions UPDATED 8/4/14 PRIOR AUTHORIZATION FOR OXYGEN HAS BEEN POSTPONED UNTIL AUGUST 1, 2014 PRIORITY
Frequently Asked Questions UPDATED 8/4/14 PRIOR AUTHORIZATION FOR OXYGEN HAS BEEN POSTPONED UNTIL AUGUST 1, 2014 PRIORITY PRIOR AUTHORIZATION SCHEDULE since OHCA has not required Prior Authorization for
More informationActivation of the Rapid Response Team
Approved by: Activation of the Rapid Response Team Senior Operating Officer, Acute Services, GNCH; and Senior Operating Officer, Acute Services, MCH Edmonton Acute Care Patient Care Policy & Procedures
More informationCLINICAL PRIVILEGES- PEDIATRIC SEDATION SERVICE APP
Name: Page 1 Initial Appointment Reappointment Department Specialty Area All new applicants must meet the following requirements as approved by the governing body effective: 8/7/2013 Applicant: Check off
More informationEffective: Revised: April 15, 2016 SUCTIONING, MODIFIED STERILE TRACHEAL
SUCTIONING, MODIFIED STERILE TRACHEAL Purpose: Tracheal suctioning is performed to remove secretions and maintain a patent airway. Additional Authority: Nevada Revised Statute, Nevada Nurse Practice Act,
More informationROTATION SUMMARY PEDIATRIC ANESTHESIA ELECTIVE
ROTATION SUMMARY PEDIATRIC ANESTHESIA ELECTIVE Rotation Contacts and Scheduling Details Rotation Director: Kelly Yeh, MD Director of Pediatric Anesthesia Santa Clara Valley Medical Center kelly.yeh@hhs.sccgov.org.,
More informationCourse Syllabus RC CLINICAL 1 RC 221
Course Syllabus RC CLINICAL 1 RC 221 Class Hours: 0 Laboratory Hours: 24 Credit Hours: 6 Course Description: Entry Level Standards: This course is designed familiarize the student with respiratory care
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: NEWBORN INFANT/PEDIATRIC SECURITY POLICY #: EFFECTIVE DATE: REVISED DATE: (Neonatal) (Maternal) (Pediatric) (Security) 11/95 2/09, 11/09
More informationPolicies and Procedures. ID Number: 1138
Policies and Procedures Title: VENTILATION Acute-Care of Mechanically Ventilated Patient - Adult RN Specialty Practice: RN Clinical Protocol: Advanced RN Intervention ID Number: 1138 Authorization: [X]
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PEDIATRIC PAIN MANAGEMENT FOR Job Title of Reviewer: Director, Children s EFFECTIVE DATE: REVISED DATE: POLICY TYPE: (Peds) 10/06 9/07,
More informationADC ED/TRAUMA POLICY AND PROCEDURE Policy 221. I. Title Trauma team Activation Protocol/Roles & Responsibilities of the Trauma Team
Section: ADC Trauma ADC ED/TRAUMA POLICY AND PROCEDURE Policy 221 Subject: Trauma Team Activation Protocol/Roles & Responsibilities of the Trauma Team Trauma Coordinator UTMB respects the diverse culture
More informationSARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE
UNIT: SARASOTA MEMORIAL HOSPITAL STANDARDS OF CARE STANDARDS OF PRACTICE GENERAL MEDICAL SURGICAL UNIT STANDARD #: EFFECTIVE DATE: REVISED DATE: STANDARD TYPE: (Gen med-surg) 1/98 10/08 DEPARTMENTAL INTERDEPARTMENTAL
More informationMONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY
POLICY MONITORING AND SUPPORT OF PATIENTS RECEIVING MODERATE SEDATION AND ANALGESIA DURING DIAGNOSTIC AND THERAPUTIC PROCEDURES POLICY A policy sets forth the guiding principles for a specified targeted
More informationCRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT
CRITICAL CARE OUTREACH TEAM AND THE DETERIORATING PATIENT Outreach Objectives To avert or ensure more timely admission to DCCQ To ensure that patients discharged from Critical Care continue to progress
More informationThe University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Anesthesia
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Anesthesia 1. GOAL: Maintenance of Airway Patency and Oxygenation. Recognize and manage upper airway obstruction and desaturation.
More informationRespirator. Prerequisit. ive review to. Comprehensi. exam success C5, C6, C7, C8, C16) C7,C12,C15,C16, ,C18) C19, C20) C15, C18, C19, C20)
Respirator ry Care Examinationn Preparation (RSPT 2230) Capstone Course Credit: 2 semester credit hours (2 hours lecture, 1 hour lab) Prerequisit te/co-requisite: RSPT 1113, RSPT 1207, RSPT 1261, RSPT
More informationPolicies and Procedures. I.D. Number: 1145
Policies and Procedures Title: VENTILATION CHRONIC- CARE OF MECHANICALLY VENTILATED ADULT PERSON RNSP: RN Clinical Protocol: Advanced RN Intervention LPN Additional Competency: Care of Chronically Mechanically
More informationOXYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE V3.0
OYGEN THERAPY AND SATURATION MONITORING OF THE NEONATE - CLINICAL GUIDELINE V3.0 1. Aim/Purpose of this Guideline 1.1 To provide guidance on the assessment and management of infants requiring oxygen therapy
More informationdoes staff intervene; used? If not, describe.
Use this pathway for a resident who requires or receives respiratory care services (i.e., oxygen therapy, breathing exercises, sleep apnea, nebulizers/metered-dose inhalers, tracheostomy, or ventilator)
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
+PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: INTRAVENOUS PATIENT CONTROLLED ANALGESIA AND NARCOTIC INFUSIONS Job Title of Reviewer: Acute Pain Coordinator EFFECTIVE DATE: REVISED
More informationSedation/Analgesia by Non-Anesthesiologists. THE UNIVERSITY OF TOLEDO Approving Officer:
Name of Policy: Policy Number: 3364-100-53-11 Department: Hospital Administration Medical Staff ^HEALTH THE UNIVERSITY OF TOLEDO Approving Officer: Chief Executive Officer - UTMC Responsible Agent: -Chief
More informationRespiratory Therapy Program Technical Standards
Respiratory Therapy Program Technical Standards Technical Standards define the observational, communication, cognitive, affective, and physical capabilities deemed essential to complete this program and
More informationHAWAII HEALTH SYSTEMS CORPORATION
All Positions HE-13 6.822 Function and Location This position works in the respiratory therapy unit of a hospital and is responsible for supervising several respiratory therapy technicians in providing
More informationCoding Guidelines for Certain Respiratory Care Services January 2018 (updates in red)
Coding Guidelines for Certain Respiratory Care Services (updates in red) Overview From time to time the AARC receives inquiries about respiratory-related coding and coverage issues through its Help Line
More informationRapid Assessment and Treatment (R.A.T.) Team to the Rescue. The Development and Implementation of a Rapid Response Program at a Regional Facility
Rapid Assessment and Treatment (R.A.T.) Team to the Rescue The Development and Implementation of a Rapid Response Program at a Regional Facility Dynamics 2013 Lethbridge Chinook Regional Hospital 276 Bed
More informationOrganization: Adventist Healthcare Shady Grove Medical Center
Organization: Adventist Healthcare Shady Grove Medical Center Title: A Team-Based, Innovative Approach to Providing Safer Care by Reducing the Incidence of Chronic Lung Disease in the Premature Newborn
More informationInteractive Trauma: Beyond the Moment of Impact
, About the Speaker MSN, RN, CEN, CPEN, TCRN Bill is a dynamic and energetic speaker whose unique style not only provides insight to his audience but also to creates an engaging and fun atmosphere for
More informationFamily/Caregiver Education Checklist Return Demonstration of Knowledge FIRST 24 HOURS
of Knowledge FIRST 24 HOURS The following checklists will be completed by a PDN RN or LPN to ensure family/caregiver s skill level is adequate to safely take care of their child independently Teaching
More informationBeachey W (3 rd Ed.) Mosby (2012). ISBN:
RSPT-1050 - Clinical Cardiorespiratory Physiologic Anatomy 4.00 credits Prerequisite: Admission into the Respiratory Therapy program and BIOL-2710. Corequisite: RSPT-1060 (formerly RSP 105) This course
More informationUniversity of Virginia Medical Center Clinical Protocol for Moderate or Deep Sedation/Analgesia in Adult Patients
A. PURPOSE University of Virginia Medical Center Clinical Protocol for Moderate or Deep Sedation/Analgesia in Adult Patients Sedation and analgesia are used alone or in combination to facilitate the performance
More informationProcedure REFERENCES. Protecting 5 Million Lives from Harm Campaign, Institute for Health Care Improvement (IHI), 2007.
Title: Nursing Chain of Command for Deterioration of Patient Condition and/or Medical Follow-up DESCRIPTION/OVERVIEW This procedure provides patient care staff guidance for ensuring effective communication
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE USE OF PORTABLE OXYGEN DURING PATIENT TRANSFERS SCOPE Calgary Zone Rockyview General Hospital: Acute Care with the exception of emergent situations, ICU, NICU, and OR transfers to PACU APPROVAL AUTHORITY
More informationRecognising a Deteriorating Patient. Study guide
Recognising a Deteriorating Patient Study guide Recognising a deteriorating patient Recognising and responding to clinical deterioration Background Clinical deterioration can occur at any time in a patient
More informationAPPROVAL DATE June TITLE: Cardiac Defibrillation
APPROVAL DATE June 2017 MANUAL: Standardized Procedure SECTION: Pediatric CHET TITLE: Cardiac Defibrillation TRACKING # SP 3-01 POLICY PROCEDURE STANDARD OF CARE STANDARDIZED PROCEDURE GUIDELINE OTHER
More informationDecember 2008 RT Cerner Enhancements FAQ December 12, 2008
December RT Cerner Enhancements FAQ December 12, Facility/Audience: Check information on each item Addition of Lag Time to Assignment Shift Change In order to see your Assignment during shift change, you
More informationPlease provide us with the following information, in case we need to contact you to clarify any of your responses: Name: Title/Position: Phone number:
Please provide us with the following information, in case we need to contact you to clarify any of your responses: Name: Title/Position: Phone number: Email: These first few questions will tell us about
More informationthe victorian paediatric emergency transport service pets
the victorian paediatric emergency transport service pets The Victorian Paediatric Emergency Transport Service The Victorian Paediatric Emergency Transport Service (PETS) is based at the Paediatric Intensive
More informationCLINICAL SKILLS ASSESSMENT (CSA)
CLINICAL SKILLS ASSESSMENT (CSA) Applicant Guide INTRODUCTION The College of Respiratory Therapists of Ontario s (CRTO s) entry-topractice assessment process provides a mechanism for applicants for registration
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: ACUTE AND POST OPERATIVE EPIDURAL/INTRATHECAL PAIN Job Title of Responsible Owner: Acute Pain Coordinator EFFECTIVE DATE: REVISED DATE:
More informationIntroducing Emergency Medicine to Medical Students
Introducing Emergency Medicine to Medical Students Lecture Objectives: 1. Describe a curriculum for medical students on an emergency medicine rotation. 2. Review methods of assessment for differentiating
More informationEASTERN ARIZONA COLLEGE Pediatric Advanced Life Support
EASTERN ARIZONA COLLEGE Pediatric Advanced Life Support Course Design 2013-2014 Course Information Division Allied Health Course Number EMT 221 Title Pediatric Advanced Life Support Credits 1 Developed
More information2016 HCPro, a division of BLR. All rights reserved. These materials may not be duplicated without express written permission.
Surviving Sepsis: How CDI Can Improve Sepsis Core Measure Compliance Sarah Jackson, RN, BSN Clinical Documentation Specialist II Rush Oak Park Hospital Oak Park, IL 1 Learning Objectives At the completion
More informationPEDIATRIC PULMONOLOGY CLINICAL PRIVILEGES
Name: Page 1 Initial Appointment Reappointment All new applicants must meet the following requirements as approved by the governing body effective: 8/5/2015. Applicant: Check off the Requested box for
More informationSARASOTA MEMORIAL HEALTH CARE SYSTEM CORPORATE POLICY
TITLE: SARASOTA MEMORIAL HEALTH CARE SYSTEM CORPORATE POLICY REPORTING OF CRITICAL RESULTS AND DIAGNOSTIC PROCEDURES POLICY #: EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: 02/20/06 3/30/18 Clinical
More informationMASTER OF SCIENCE IN RESPIRATORY CARE
Master of Science in Respiratory Care 1 MASTER OF SCIENCE IN RESPIRATORY CARE Master of Science in Respiratory Care Overview This program provides an excellent career opportunity to join the first approved
More informationCLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart
CLINICAL PROTOCOL National Early Warning Score (NEWS) Observation Chart November 2014 1 Document Profile Type i.e. Strategy, Policy, Procedure, Guideline, Protocol Title Category i.e. organisational, clinical,
More information2016 SUMMER STUDENT NURSE EXTERNSHIP PROGRAM SKILLS CHECK LIST
2016 SUMMER STUDENT NURSE EXTERNSHIP PROGRAM SKILLS CHECK LIST STUDENT NURSE EXTERNNAME SCHOOL OF NURSING STUDENT AGREEMENT: I request the Clinical Skills Check list be released to (hospital/agency). I
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE OBSTETRICAL TRIAGE ACUITY SCALE (OTAS) SCOPE Provincial: Women s and Infant s Health APPROVAL AUTHORITY Vice-President, Research, Innovation & Analytics SPONSOR Maternal Newborn Child & Youth, Strategic
More informationN: Emergency Nursing. Alberta Licensed Practical Nurses Competency Profile 135
N: Emergency Nursing Alberta Licensed Practical Nurses Competency Profile 135 Competency: N-1 Multi-Systems Assessment N-1-1 N-1-2 N-1-3 N-1-4 Demonstrate knowledge and ability to apply critical thinking
More informationReturned Missionary Study Guide
Returned Missionary Study Guide Skills to Refresh if Returning to Capstone: 1st Semester skills Head to Toe Assessment (Need to be able to document each of these.) o Vital Signs BP Pulse Respirations Temperature
More informationProject Palav Pioneer Medical Research Foundation USA: 501(c)(3) non-profit organization India: 80G approved NGO
Saving babies with weak lungs Project Palav www.palav.org Pioneer Medical Research Foundation USA: 501(c)(3) non-profit organization India: 80G approved NGO Purpose Reach out and update our activities.
More informationDepartment of Emergency Medical Services
MIAMI DADE COLLEGE MEDICAL CENTER CAMPUS SCHOOL OF HEALTH SCIENCES Department of Emergency Medical Services CLINICAL COURSE OUTLINE EMS 1431 EMERGENCY MEDICAL TECHNICIAN BASIC 1 EMS 1431 EMERGENCY MEDCIAL
More informationInstitutional Handbook of Operating Procedures Policy
Section: Admission, Discharge, and Transfer Institutional Handbook of Operating Procedures Policy 9.1.29 Responsible Vice President: EVP & CEO Health System Subject: Admission, Discharge, and Transfer
More informationCHRONIC OBSTRUCTIVE PULMONARY DISEASE
GREY BRUCE HEALTH NETWORK EVIDENCE-BASED CARE PROGRAM CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATHWAY Updated June 2009 Review June 2011 2006-2010 Grey Bruce Health Network ADMISSION This will help you understand
More informationENVIRONMENT Preoperative evaluation clinic. Preoperative evaluation clinic. Preoperative evaluation clinic. clinic. clinic. Preoperative evaluation
Goals and Objectives, Preoperative Evaluation Clinic Rotation, CA-1 and CA-2 year UCSD DEPARTMENT OF ANESTHESIOLOGY PREOPERATIVE EVALUATION CLINIC ROTATION GOALS AND OBJECTIVES, CA-1 and CA-2 YEAR PATIENT
More informationNeonatal Intensive Care Unit (NICU) Level of Care Authorization and Reimbursement Policy
In the event of conflict between a Clinical Payment and Coding Policy and any plan document under which a member is entitled to Covered Services, the plan document will govern. Plan documents include,
More informationSARASOTA MEMORIAL HOSPITAL CANCER RESEARCH PROGRAM POLICY
PS1006 SARASOTA MEMORIAL HOSPITAL CANCER RESEARCH PROGRAM POLICY TITLE: Satellite Site Management Plan Job Title of Reviewer: POLICY #: EFFECTIVE DATE: REVISED DATE: POLICY TYPE: Elizabeth Carr, R.N.,
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE SUPERVISED EXERCISE PROGRAM SCOPE Provincial: Alberta Healthy Living Program APPROVAL AUTHORITY Vice President Primary Health Care SPONSOR Executive Director Primary Health Care PARENT DOCUMENT TITLE,
More informationSARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY
SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: PRESSURE INJURY PREVENTION POLICY EFFECTIVE DATE: REVISED DATE: 126.251(Patient care) 4/18 Job Title of Responsible Owner: Director, Education
More informationMEDICAL DIRECTIVE Critical Care Outreach Team (CCOT) Abdominal Pain
Authorizing physician(s) Intensivists who are part of the Critical Care Physician Section Authorized to who CCOT Responders (RRTs and RNs) that have the knowledge, skill and judgment and who have successfully
More informationNational Institutes of Health, National Heart, Lung and Blood Institute (NHLBI)
October 27, 2016 To: Subject: National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI) COPD National Action Plan As the national professional organization with a membership of over
More informationM: Maternal/ Newborn Care
M: Maternal/ Newborn Care Saskatchewan Association of Licensed Practical Nurses, Competency Profile for LPNs, 3rd Ed. 113 Competency: M-1 Maternal/Newborn Nursing M-1-1 M-1-2 M-1-3 Demonstrate knowledge
More informationPediatric Intensive Care Unit (PICU) Elective PL-1 Residents
PL-1 Residents Interns are required to have sufficient knowledge of their patients in order to present them to the team on rounds, and to construct a differential diagnosis and treatment plan. They are
More informationRECOMMENDATION FOR CONSIDERATION
Board Meeting Date: June 15, 2016 RECOMMENDATION FOR CONSIDERATION Subject: Critical Care Transfer of Care Data Elements and Form VTR#: 0616-04 Committee/Task Force: Critical Care Transport Task Force
More informationSARASOTA MEMORIAL HOSPITAL POLICY
PS1070 SARASOTA MEMORIAL HOSPITAL POLICY TITLE: SAFE PATIENT HANDLING POLICY #: EFFECTIVE DATE: REVIEWED/REVISED DATE: POLICY TYPE: Job Title of Responsible Owner: Director of Cardiac Progressive and Neurology
More information1. Receives report from EMS and/or outlying facility. 5. Adheres to safety and universal precaution guidelines.
Trauma Nurse Specialist 1. Receives report from EMS and/or outlying facility. 2. Reports to trauma room and signs in. 3. Relays reports to trauma team members. 4. Assists with resuscitation readiness:
More informationUniversity of South Alabama Pat Capps Covey College of Allied Health Professions Department of Cardiorespiratory Care
University of South Alabama Pat Capps Covey College of Allied Health Professions Department of Cardiorespiratory Care Application for Professional Phase of the Cardiorespiratory Care Program I. Personal
More informationAbstract of thesis entitled. The Clinical Protocol in using High Flow Nasal Cannula in Critically ill patients. Submitted by YEUNG HIU LAM
Abstract of thesis entitled The Clinical Protocol in using High Flow Nasal Cannula in Critically ill patients Submitted by YEUNG HIU LAM for the degree of Master of Nursing at The university of Hong Kong
More informationWadsworth-Rittman Hospital EMS Protocol
Wadsworth-Rittman Hospital EMS Protocol Prehospital Advanced Life Support Protocol Revised: May 2004 Version 04.1 DISCLAIMER Every attempt has been made to reflect sound medical guidelines and protocols
More informationA guide to the Home Oxygen Order Form
A guide to the Home Oxygen Order Form Part A front cover Air Products Clinicians Helpline Telephone: 01270 218050 8.00am-5.00pm, Monday to Friday (open 24 hours for urgent calls only) Introduction During
More information