| Knowledge |
|
States Contraindications
and Relative Contraindications
of procedure.
|
|
|
| Preparation |
| Clinical Standards for Procedures and Interventions. |
|
|
| Identifies and gathers required equipment: large-volume nebulizer, sterile water reservoir, corrugated tubing with drain bag, aerosol mask or tracheostomy collar, and oxygen source. |
|
|
| Assessment |
| Assesses patient condition, indications for humidification, and baseline oxygenation status. |
|
|
| Implementation |
| Fills sterile water reservoir and assembles nebulizer system per manufacturer instructions. |
|
|
| Sets prescribed FiO2 and initial flow rate per manufactors guidelines to achieve visible aerosol mist at the exhalation port. |
|
|
| Monitoring & Modifications |
| Adjusts flow rate as needed to maintain continuous visible mist; decreasing flow if aerosol output causes excessive rain-out. |
|
|
| Checks for condensation in the tubing; drains accumulated water into the drain bag to prevent condensate accumulation into the patient circuit. |
|
|
| Inspects drain bag regularly and empties or replaces as needed to maintain proper drainage and prevent backflow. |
|
|
| Ensures tubing is positioned to prevent kinking, occlusion, or back pressure; replaces components if aerosol output is obstructed. |
|
|
| Assesses patient tolerance, breath sounds, and oxygen saturation; adjusts FiO2 or flow as clinically indicated. |
|
|
| Evaluates effectiveness of humidification therapy and patient goals of therapy. |
|
|
| Post-Intervention |
| Post-Intervention Management Steps. |
|
|