| Tracheostomy Tubes | Pulse Oximetry | Ventilator Modes and Alarms | Assesment |
|---|---|---|---|
|
Current trach size, step down, ambu bag(with mask), ties, oxygen tubing and tank key, suction catheters, scissors, and trach wedge.
What is inside the emergency red bags?
|
Everyone!! (with the exception of kidos in the hall with a specific order to be off)
Who should be on a pulse ox?
|
S/T
Name the mode: this mode has an inspiratory and an expiratory pressure with a back-up respiratory rate.
|
Put patient on oxygen, if saturation does not improve or color gets worse you should bag the patient.
Patient is alarming low SpO2 after suctioning, what is your next step?
|
|
Two fingers.
How many fingers should you fit under trach ties?
|
Move the probe (ear is a good spot), check to see how cold the patient is and warm up extremity.
The machine is alarming "low perfusion", what should you do?
|
SIMV-PC
Name the mode: this mode has a set rate, pressure control, peep, and inspiratory time.
|
Suction the patient and listen to patient to see if breath sounds have improved.
You just listened to the patient and they have rhonchi/course breath sounds, what should you do?
|
|
The inner diameter of the trach. Ex: 4 mm
What does the I.D stand for on the trach? Ex: I.D 4.0
|
Check patients color and move the probe to get a better pleth.
Alarming low SpO2 and the pleth is poor.
|
Reposition the patient, this alarm will go off when there is a large leak or if the patient is taking small breaths.
The ventilator is alarming "Low MV" what do you do?
|
Look at your patient! If color is good you can move the pluse ox sensor to a different location.
Pulse Ox alarming "Low SpO2", the pleth is bad, and the patient is kicking/moving extremities. What should you do?
|
|
What is an Bivona Trachesotomy Tube
This trach has a pilot balloon filled with sterile water.
|
Remove the chip from the adhesive sensor and place chip on the bluetooth receiver (follow picture on receiver).
How do you sync the bluetooth chip to the pulse ox machine?
|
Start at the patient! Always look at the child first, check the trach and work your way back from to the ventilator. Check circuit connections and heater probes.
The ventilator is alarming "Circuit Disconnect" what do you do?
|
Call the RT for backup, utilize all PRN breathing treatments, if patient does not improve bag the patient to help them recover.
You walk in to give a medication, you notice the patient is nasal flaring and retracting. What should you do?
|
|
What is an Adult Shiley Trachesotomy Tube
This trach has a disposable inner cannula.
|
100 ft
What is the bluetooth wireless range? (feet)
|
Look at the patient! This is caused by secretions clogging the whisper swivel (exhalation valve), clean or clear secretions from swivel.
The ventilator is alarming "Low Circuit Leak" what do you do?
|
Bag the patient and call for help/hit code bell
You walk in the room and notice the patient has minimal chest rise and is dusky, what do you do?
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