ATS GUIDELINES Bundle

Pediatric Chronic Home Ventilation

American Thoracic Society Quick-Reference GUIDELINES Apps

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11 Oximetry monitoring Caregivers should be able to: Demonstrate the proper and secure placement of the oximeter probe Demonstrate the ability to differentiate true from false oximeter readings Verbalize steps for responding to an oximeter alarm Verbalize an understanding of normal oxygen saturations and a plan for responding to saturations that fall below the normal range Suctioning equipment Caregivers should be able to: Demonstrate the correct catheter size to use for the patient Demonstrate the correct suction pressure and catheter depth to use to clear tracheostomy Demonstrate how to test for suction pressure Demonstrate a clean suction technique Nebulizer/metered dose inhaler (if ordered) Caregivers should be able to: Verbalize when the prescribed inhaled medications are required Demonstrate how to deliver inhaled medications in ventilator circuit if applicable a Further instruction and competency assessment will be required if patient requires equipment/ therapy beyond those listed above (e.g., pulmonary clearance therapies, cardiorespiratory monitors, end-tidal CO 2 monitors, etc.). e goal should be to ensure that all caregivers are fully versed in all aspects of the child's care. Table 3. Suggested Educational Objectives for Family and Professional Caregivers of Children Requiring Home Mechanical Ventilation a (cont'd)

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