-
Assess the need for mechanical ventilation
Assessment Strategies
given various patient scenarios
by answering questions in an oral or written format
in a laboratory setting with mechanical ventilation equipment
Criteria
assessment includes results of non-invasive monitoring
assessment includes recognition of impending ventilatory and/or oxygenation failure
assessment includes results of cardiopulmonary assessment
assessment includes recommendation for gathering further data as needed
-
Explain general principles of mechanical ventilation
Assessment Strategies
by answering questions in an oral or written format
in a laboratory setting with mechanical ventilation equipment
Criteria
classify ventilators
compare ventilator modes
discuss the patient-ventilator interface
calculate simple pulmonary mechanics to determine ventilator settings
-
Apply non-invasive mechanical ventilation
Assessment Strategies
given various patient scenarios
by answering questions in an oral or written format
in a laboratory setting with mechanical ventilation equipment
Criteria
identify candidates for non-invasive mechanical ventilation
select appropriate mode and ventilator parameters
select, assemble, use and troubleshoot equipment
select, assemble, use, and troubleshoot the patient interface
modify therapy based on patient response
evaluate and monitor patient's objective and subjective responses to therapy
-
Apply invasive mechanical ventilation
Assessment Strategies
given various patient scenarios
by answering questions in an oral or written format
in a laboratory setting with mechanical ventilation equipment
Criteria
identify candidates for invasive mechanical ventilation
select appropriate mode and ventilator parameters
select, assemble, use and troubleshoot equipment
evaluate and monitor patient's objective and subjective responses to therapy
-
Manage patients requiring mechanical ventilation
Assessment Strategies
by operating a variety of ventilators in the lab
Criteria
select appropriate ventilator settings for patient situation
assemble and configure operation
operate ventilator correctly according to patient response
troubleshoot ventilator and circuit
modify therapy based on patient response and patient/ventilator synchrony
-
Interpret waveforms and graphics
Assessment Strategies
by interpreting waveforms and graphics
Criteria
interpretation includes selection of the appropriate graphics
interpretation includes recognition of the mode being delivered
interpretation includes triggering of the ventilator
interpretation includes identification of waveform components
interpretation includes association of waveforms with clinical abnormalities such as excessive work, insufficient time, auto PEEP, over-distension
interpretation includes modification of ventilator based on waveform analysis
-
Evaluate patient response to mechanical ventilation
Assessment Strategies
by evaluating patient responses
Criteria
calibrate the capnography equipment
demonstrate proper use of the capnography equipment
interpret arterial blood gases and make recommendations for ventilator adjustments including adjuncts such as high frequency ventilation and recruitment maneuvers
interpret capnography and make recommendations for ventilator adjustments
correlate capnography with arterial blood gases
correlate pulse oximetry with arterial blood gases
-
Apply weaning/liberation strategies to mechanically ventilated patients
Assessment Strategies
given various patient scenarios
by answering questions in an oral or written format
in a laboratory setting with mechanical ventilation equipment
Criteria
assess patient's readiness for weaning to include MIP, MEP, VC, RSBI and nutritional status
select appropriate weaning strategy
monitor the weaning process
select, assemble, use and troubleshoot equipment used during the weaning process
recommend modification and/or termination of the weaning process
-
Analyze the legal and ethical implications of initiation, continuation, and end of life situations/scenarios
Assessment Strategies
by responding to case scenarios and situations involving legal and ethical situations
Criteria
identify clinical situations in which life support would be initiated, continued, and/or withdrawn
explain the procedures to assess for termination of life support (i.e. apnea testing, neurologic assessment)
describe legal implications involved in initiation, continuation, and withdrawal of life support
describe ethical implications involved in initiation, continuation, and withdrawal of life support
examine the process for surge planning and triage for mass casualties
-
Implement mechanical ventilation strategies to various disease states according to evidenced based practice
Assessment Strategies
given various patient scenarios
by answering questions in an oral or written format
in a laboratory setting with mechanical ventilation equipment
Criteria
identify candidates for nonconventional ventilation strategies (i.e. ARDS, asthma, COPD)
select appropriate mode and ventilator parameters
modify therapy based on patient situation and response (i.e. VAI, VAE, lung protective strategies)
evaluate and monitor patient's objective and subjective responses to therapy
-
Apply strategies to prevent ventilator associated events
Assessment Strategies
Oral, Written and/or Skill Assessment
Criteria
position the patient
provide appropriate oral care
monitor parameters for the ventilator bundle
confirm compliance with the VAE prevention methods