Download Ventilation version 2 current Draft 2010

Child’s cooperation where possible.
child & family.
7. Prior to changing the circuit
assess the child to ensure they
are adequately ventilated /
oxygenated by other means
(e.g. Self inflating resuscitation
bag/ alternative circuit/ oxygen
mask/ Thermovent).
•
To ensure adequate ventilation/
oxygenation is maintained
throughout the procedure.
8. Ensure sufficient monitoring and •
observation of the child during
procedure
To detect signs of oxygen
desaturation and deterioration
To prevent burns/scalds.
9. Switch humidifier and ventilator
off-beware of the heating
element on the humidifier which
will be hot- and remove circuit
to be replaced.
•
•
To prevent burns and scalds
To allow clean circuit to be
assembled
•
To ensure correct assembly of circuit
and prevent risk of cross infection.
NB: ventilator should be higher
than humidifier when in use and
humidifier lower than child’s
tracheostomy, to prevent water
entering either ventilator or
tracheostomy.
12. Assemble the clean circuit as
shown in Pictures 1 and 2 of
Appendix A.
•
To ensure correct assembly of
equipment.
13. Protect all endings and avoid
contamination (minimal
handling of ends)
•
To minimize risk of infection and
prevent contamination
14. Wipe all equipment with a clean
damp cloth & clean the airway
temperature probe in
accordance with manufactures
guidelines.
•
To minimize risk of infection and
prevent contamination.
10. Wash hands in accordance
with local PCT hand hygiene
policy.
11. Apply alcohol gel to hands
leave to dry before touching
equipment.
15. Connect the new system to the
ventilator and humidifier.
Guidelines for Children in the community requiring Long Term Ventilation
©BACHS 2010
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