| Knowledge |
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States Contraindications
and Relative Contraindications
of procedure.
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| Preparation |
| Clinical Standards for Procedures and Interventions. |
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| Confirms airway placement, depth, and sizing before securing. |
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| Identifies and gathers required equipment: commercial ETT holder or tape, protective barrier, bite block (if indicated), skin prep. |
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| Assessment |
| Assesses Vital Signs. |
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| Assesses skin breakdown risk, tube position/markings, and need for repositioning. |
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| Implementation |
| Maintains tube position while loosening old securement; applies new device/tape per manufacturer instructions. |
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| Verifies and documents tube depth/position, skin integrity, and bite block placement if used. |
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| Monitoring & Modifications |
| Monitors patient tolerance, work of breathing, and oxygenation/ventilation response during the intervention. |
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| Adjusts technique/device settings per patient response; discontinues treatment and notifies provider if adverse reactions occur. |
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| Encourages cough and assesses secretion clearance as indicated. |
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| Post-Intervention |
| Post-Intervention Management Steps. |
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