RC 111 lab 3/13

Overview of the Recap of Machine Issues

• Recap of Machine Recall:

  • Reason for recall: Power cord issues caused machine to shut off unexpectedly while in use.

  • Consequence: Patients suffocated while asleep due to power loss.

• New Machine Introduction:

  • New machine: NKV 330, a non-invasive ventilation machine.

  • Features: Compatibilities with CPAP, ST mode, and AVAP mode explained.

Machine Setup and Operation

• General Machine Setup:

  • Connected to 50 PSI power source.

  • Capable of utilizing two tanks for gas supply.

  • Internal battery present but currently alarming due to failure.

• Operating Modes:

  • Sets current mode through menu options: CPAP, ST, AVAP.

    • CPAP Settings:

      • Adjust pressure, C flex (rise), and FiO2 levels.

      • Ramp feature may take time to reach set pressure (e.g., 5 minutes ramp to 8 cm H2O).

    • ST Mode Settings:

      • Set IPAP, EPAP, rate, and eye time (normal range: 0.8 to 1 second depending on patient size).

      • Increase of pressure based on flow rate and FiO2 settings.

    • AVAP Settings: Explained briefly, focus on CPAP and ST for competencies.

Alarms and Settings

• Alarm Features:

  • Set high/low rates, high/low tidal volumes, and pressure limits.

  • LIPT indicates apnea duration before machine provides breath.

• Patient-Specific Adjustments:

  • Adjust and match settings according to patient requirements and specific masks used.

  • Importance of ensuring proper fit to minimize leak.

Mask Fitting and Patient Interaction

• Importance of Proper Mask Fit:

  • Masks should fit properly to prevent leaks and ensure effectiveness.

  • Measurement guide for mask sizes should be used.

• Patient Explanation and Coaching:

  • Educate patients on sensation and purpose of CPAP machines.

  • Demonstrate how to fit the mask correctly while maintaining comfort.

  • Emphasize acclimatization: compare sensation to sticking head out of a fast-moving vehicle.

  • Train patients to remove the mask independently.

Practical Application and Scenarios

• Competencies:

  • Scenarios provided will test practical application of system knowledge.

  • Focused assessment of CPAP and ST modes vital.

• Sample Patient Interaction:

  • Example dialogues engage patients, assess their prior experience, and help settle them into treatment.

  • Ensure clear communication regarding air pressure expectations while accommodating patient needs.