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Adult High Flow Nasal Cannula 10-60 LPM
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Email
*
Your email
First name-Last name
*
Your answer
Program
*
Choose your Program
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Davis
Ogden
SLC
Verification
*
Did you check the most recent CXR to verify tube placement and notify the nurse that your are performing Airway Management?
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Yes
No
Equipment
*
Did you collect your equipment before you went to the patient's room? Adult HFNC equipment?
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Yes
No
PPE
*
Personal Protection Equipment. Did you use universal precautions, wash your hands, glove and wear eye protection for this procedure?
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Yes
No
Explain
*
Did you explain this procedure to the patient and the family if the family was in the room during this procedure?
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Yes
No
Vitals
*
What is the HR, BP, RR, Sp02, Pt. color and level of dyspnea
Your answer
Position Pt.
*
Did you place the patient in semi fowlers?
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Yes
No
ABG
*
What is most recent ABG
Your answer
Interface
*
What is the interface to the patient?
Choose
Cannula
Trach adpater
Adapter to Trach Mask
Fi02
*
What is the Fi02
Your answer
Flow
*
What is the flow setting (10 to 60 lpm)
Your answer
Temp
*
What is the temp setting
Your answer
Adjust
*
Did you adjust the circuit for patient comfort?
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Yes
No
Notify
*
Did you notify the nurse/M.D. of the results and an make the appropriate respiratory therapy changes?
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Yes
No
Clean Up
*
Did you clean up the mess you made?
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Yes
No
Comments
Chart any significant concerns
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