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1. Notify RESPIRATORY THERAPIST that there will be a patient on NIV.
2. Turn Ventilator On.
3. Select NEW PATIENT.
4. Enter patient’s Ideal Body Weight (IBW) and press CONTINUE.
5. Select VENT TYPE button, turn knob to select NIV.
6. Select MODE button, turn knob to select SIMV.
7. Select MANDATORY type, turn knob to Pressure Control (PC).
8. Select SPONTANEOUS type, turn knob to Pressure Support (PS). Press CONTINUE.
9. For IPAP 10 / EPAP 5, adjust Psupp button to 5, adjust PEEP button to 5. O2% as indicated.
10. Press ACCEPT to apply settings. Airflow will not begin until mask is attached to patient.

Here is the poster in in powerpoint format.

1. Respiratory Therapy has a designated emergency pager: 1112

Page 1112 first, at all times.

If that pager doesn’t get you the response you want, page the respiratory supervisor: 2244.

2. If you have any concerns about a respiratory therapist you’re working with, get his or her name and send me an email. I will bring it up with their leadership.

3. The hospital has approved two PB840 ventilators designated for the ED. These high end machines do mechanical ventilation and non-invasive ventilation well and are used in our ICUs. We are expecting to have the two-machine commitment deployed within the next month. When that happens, we will streamline our stocking so that all equipment in the ED will be for this machine and attachments for the half-dozen other machines you have seen floating around the department will be removed. This should greatly improve our stocking and facilitate emergency physician-initiated NIV and MV.

In the meantime, if you have any issues with respiratory stocking, email me.

reuben