STANDARD COMPETENCIES:

 

 I. Demonstrate how to initiate mechanical ventilation using various non-invasive, home care, and critical care ventilators to include circuit-fitting, pressure sourcing, and self-testing.

 II. Demonstrate how to apply modes of ventilation specific to non-invasive, home care, and critical care ventilators.

 III. Demonstrate how to set-up and trouble-shoot alarm limits and safety features of various non-invasive, home care, and critical care ventilators.

 IV. Demonstrate how to monitor ventilator graphics and lung mechanics on various non-invasive, home care, and critical care ventilators to include specific weaning parameters.

 V. Demonstrate how to record interfaced data taken from various non-invasive, home care, and critical care ventilators.

 TOPICAL OUTLINE:

 

 Critical Care Ventilation:

 I. Drager XL

 a. Discuss the function of each control on the front panel of the Drager XL

 b. Compare the set-up of the Drager XL with that of the other ventilators.

 c. Assess the alarm settings and alter as required.

 d. Describe in full detail the special functions available on the Drager XL.

 e. Compare and contrast the modes on the Drager XL.

 

 II. Puritan Bennett 840

 a. Explain the 3 primary functions of the expiratory filter.

 b. Describe how an SST is run and list the tests performed.

 c. Provide a definition of the parameter settings in the lower screen.

 d. List the information listed on the upper screen.

  e.   Describe indicator lights on Status Indicator Panel and Breath Delivery Unit.

 f.   Compare vertical and horizontal adjustments on available scalar waveforms.

 g. Identify causes of abnormal measurements of respiratory mechanics.

 h. Explain the function of rise time percent and expiratory sensitivity.

 i. Define modes of ventilation available including trigger, limit and cycle parameters.

 j. Contrast the function of the expiratory valve during pressure and volume ventilation.

 

 III. Maquet Servo i

 

 a. Describe the available power sources.

 b. Compare the use of the front panel, the quick access knobs, and the main rotary dial during parameter and mode setting.

 c. Describe parameter adjustment on the Servo I ventilator.

 d. Explain the function of the following: Servo I Ultra Neb, inspiratory rise time, inspiratory cycle off, breath cycle time, and trigger time-out.

 

 IV. Viasys AVEA

 

 a. Explain the power sources of the AVEA.

 b. Describe the function of each of the membrane buttons.

 c. Identify indicators located on the ventilator front.

 d. Determine the current power source and batter status.

 e. Outline the parameter set up when “New Patient” is selected..

 f. Name the limit for the I:E ratio variable.

 g. Compare the trigger, target (limit), and cycle variables for the available modes of ventilation.

 h. Identify the icons and waveforms on the main screen.

 i. Identify visual and audible alarms for the level of priority.

 j. Explain how to access the following: ventilator set up, screen menu, main screen, advanced settings, alarm limits, and mode menu.

 k. Describe the purpose of each of the advanced settings.

 

 Long-term, Transport, and Home Ventilation:

 V. Pulmonetics LTV

 

 a. List the features that distinguish the LTV 1000.

 b. Explain the attachment points on the LTV for the patient circuit, power cord, oxygen source, and remote cable connector.

 c. Name the power sources that can be used with the LTV.

 d. Describe the function of the panel controls and alarm settings.

 e. Explain the setting and reading of PEEP values.

 f. Review the procedures for turning on and off the ventilator, including the ventilator checkout tests.

 g. Discuss the function of the Extended Feature menu items.

 h. Identify the normal and alarm condition illumination of the screen displays and indicator.

 Identify alarm messages and their meaning

 

 Non-invasive ventilation:

 VI. Respironics BiPAP® Vision

 

 a. Explain the power sources for the Vision.

 b. Identify indicators located on the ventilator front.

 c. Identify the items on the main screen.

 d. Identify visual and audible alarms for the level of priority.