Pulmonary Concepts in Critical CareNursing Care of a Ventilator Patient
NAME ___________________________ POSITION __________ UNIT ___________

EVALUATOR _____________________POSITION __________ DATE __________

NURSING CARE OF A PATIENT ON A VENTILATOR PERFORMANCE SKILLS CHECKLIST

Critical Performance Elements

Yes

No

COMPETENCY STATEMENT: Provides nursing care for the patient requiring mechanical ventilation.    
1. Identifies the indications for mechanical ventilation.    
2. Lists the steps in preparing for intubation:

a. Notifies physician and respiratory therapist.

b. Assembles the necessary equipment.

   
3. Determines the patient’s ventilator settings on a given ventilator and verifies against the physician’s orders:

a. FIO2, tidal volume, rate, and mode.

b. Identifies additional settings according to patient orders.

   
4. Describes the various modes of ventilation and their implication.    
5. Describes at least two complications associated with patient’s response to mechanical ventilation and their signs and symptoms.    
6. Describe the causes of given ventilator alarms and nursing measures taken to trouble shoot given alarm.    
7. Describe some preventative measures taken aimed at prevention of ventilator- associated complications.    
8. Given a nursing intervention in the care plan of the ventilated patient, be able to explain the rationale.    
9. Verbalizes the standards of care according to care plan and documents pertinent information including the following: type of airway, position and size; type of ventilator and settings; breath sounds and pulmonary assessment; interprets ABG results; weaning attempts and patient tolerance.    
10. Verbalizes ventilator standards IAW Infection Control Manual Guidelines and Respiratory Therapy in Intensive Care Units SOP.    
11. Emergency equipment available in patient room: ambu bag, mask, appropriate size suction catheter and no outdated equipment.    

COMMENTS:

February 04, 2009

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