Ventilator Training Module

Ventilator Training Module

LTV (Lap Top Ventilator) Teaching Script LTV User guides: http://www.carefusion.com/documents/guides/user-guides/rc_ltv-1000_ug_en.pdf http://www.carefusion.com/documents/guides/user-guides/rc_ltv-1100_ug_en.pdf http://www.carefusion.com/documents/guides/user-guides/rc_ltv-1200-and-ltv-1150_ug_en.pdf 1. Make sure the caregiver knows the different parts of the circuit a. Inspiratory Limb b. Expiratory Limb c. Wye d. Pressure Lines e. Water Trap 2. Attach the circuit to the ventilator with a bacterial filter 3. Walk through the steps of a leak test *A good resource https://www.youtube.com/watch?v=isnoop26gsu 4. Adjust the ventilator settings per physician orders 5. Setup heather with the ventilator and adjust heat settings (HC 500 set to 3 or 4 for 28 to 30 degrees or MR850 invasive 37 degrees or non-invasive 31 degrees 6. Have the caregiver verbalize the following: a. Breath Rate (BPM): the numbers of breaths per minute that your child will receive b. Tidal Volume: the amount of volume given to your child per breath c. Pressure Control: the amount of pressure that is applied to the lungs during a ventilator breath d. Inspiratory Time: this is the amount of time the pressure is applied to the lung e. Pressure Support: the amount of pressure your child gets when they breathe a spontaneous breath f. Sensitivity: this sets how easy it is for your child to initiate a breath on his/her own g. Alarm Limits: These are limits that protect your child from too much and/ or too little pressure from the ventilator h. PEEP: this is a pressure that is always present during exhalation (breathing out.) It helps to keep the lung inflated i. Mode: verifies the mode is set correctly and how to identify (Volume or Pressure and SIMV/ CPAP) lights are green j. Control Lock: Locks the Control Panel Page 2

LTV (Lap Top Ventilator) Teaching Script 7. Review the following information on the patient summary screen: a. Breath Rate b. Tidal Volume c. PIP d. Patient Effort Indicator e. Airway Pressure Indicator 8. Identify: a. Oxygen connection port b. Alarms High Pressure Low Pressure / Low Minute Volume Circuit Disconnect / Sense Apnea (20 second ventilator default to a backup rate of 12) c. Battery Internal battery Green good 45 minute charge Yellow low 10 minute charge Red critical low 5 minute charge Total battery time is 1 hour d. Charge Status e. Sprint Pack The charge status indicator shows the charge state of the internal battery. This LED is on anytime the ventilator is supplied with external power and the internal battery is being charged The several factors that affect the cycle life of each battery are: temperature, length of storage, ventilator settings, and the amount of discharge during each cycle. Each Sprint Pack Battery has a normal operating time of two and one half hour, five hours using two batteries from a 100% charge to a full discharge based on nominal ventilator settings. Page 3

LTV (Lap Top Ventilator) Teaching Script 9. How to clean the Fan Filter and the Inlet Filter a. Clean each filter weekly b. Remove each filter from the ventilator c. Soak the filters in warm water and mild soap d. Rinse thoroughly e. Allow to air dry completely f. Replace filter back into ventilator g. If the filter develops holes, please replace h. Change the bacterial filter weekly Page 4

Trilogy Teaching Script Trilogy User guides: http://aeroflowinc.com/wp-content/themes/gensis_child_theme/files/trilogy100patientmanual.pdf http://ontvep.ca/w/wp-content/uploads/2014/05/trilogy200-clinical-manual.pdf 1. Make sure the caregivers know the different parts of the circuit a. Circuit (2 pieces) b. Green Adaptor c. Exhalation Port d. Pressure Lines (Active circuit only) e. Water Trap 2. Attach the circuit to the ventilator with a bacterial filter 3. Adjust the ventilator settings per physician order 4. Setup heather with the ventilator and adjust heat setting (HC 500 set to 3 or 4 for 28 to 30 degrees or MR850 invasive 37 degrees or non-invasive 31 degrees 5. Have the caregiver verbalize the following: 1. Mode: Verifies the mode your child is currently in (found in the upper left hand corner of the display screen.) 2. Respiratory Rate (RR): the number of breaths per minute that your child will receive 3. Tidal Volume (Vt): the amount of volume given to your child per breath 4. PIP: the amount of pressure that is applied to the lungs during a ventilator assisted breath. 5. Inspiratory Time: this is the amount of time the pressure is applied to the lung 6. Pressure Support: the amount of pressure your child gets when they breathe a spontaneous breath 7. PEEP: this is a pressure that is always present during exhalation (breathing out.) It helps to keep the lung inflated 8. Sensitivity: this sets how easy it is for your child to initiate a breath on his/her own 9. Alarm Limits: These are limits that protect your child from too much and/ or too little pressure from the ventilator 10. Mode: Make sure the caregiver can differentiate between Primary and Secondary Settings Page 5

Trilogy Teaching Script 6. Review screen for the following information a. Mode b. RR c. Tidal Volume (Vt) d. PIP e. Leak f. Patient Effort Indicator 7. Identifies oxygen connection port 8. Identify Alarms: a. Disconnect alarm b. Apnea alarm c. Apnea rate alarm d. Low tidal volume e. High tidal volume f. Low minute volume g. High minute volume h. Low respiratory rate i. High respiratory rate j. Low leak (no parameters selected for this alarm) k. Ventilator inoperative (remove patient from ventilator and call DME) l. High temp (cool down ventilator as soon as possible) 9. How to view the event log 10. How to view the alarm log 11. Battery Internal battery The battery indicator icon on the display screen will assist you with knowing how much battery you have left for your machine. The level of green shading will indicate to you how much battery charge you have. If the area turns yellow, your battery has approximately 20 minutes remaining. If the area turns red, the battery has approximately 10 minutes. If a lightning bolt is displayed, this indicates the battery is being charged. AC / Power Internal Battery AC power charges the internal and detachable battery. The internal battery is intended for use during short periods of time. It is a backup battery. The internal battery last for approximately 3 hours Once it is depleted, the battery takes 8 hours to recharge Page 6

Trilogy Teaching Script Detachable battery The detachable battery will operate the Trilogy for approximately 3 hours When the Trilogy is connected to an electrical outlet, it automatically charges the detachable battery 12. Air Inlet and Filter a. Remove and clean your filters once every 2 weeks b. Replace your entire filter once every 6 months c. How to clean the air filter 1. Remove the filter from the ventilator 2. Soak the filter in warm water and mild soap 3. Rinse thoroughly 4. Allow to air dry completely 5. Replace filter back into ventilator 6. Change the filter if it is beginning to disintegrate or every 6 months Page 7