TABLE OF CONTENTS

GENERAL INFORMATION . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . 1
POLICY STATEMENT . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . 1.1
RESPIRATORY CARE PLAN FOR THE PROVISION OF PATIENT CARE . . . . . . . . 1.2

ADVERSE DRUG REACTION MONITORING/REPORTING PROGRAM . . . . . . . . . . . . . . . . .2

EQUIPMENT AND EQUIPMENT CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

INCOMPLETE ORDERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7

PROCESSING INSPECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 8

MEASUREMENT OF SATURATION OF OXYGEN (SaO2) BY OXIMETRY . . . . . . . . . . . . . . .9

PEAK FLOW METERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

MEASUREMENT OF RESPIRATORY MECHANICS ON THE NON-INTUBATED PATIENT . . .15

SPUTUM INDUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

AEROSOL TREATMENTS (COOL OR HEATED) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

CHEST PHYSICAL THERAPY (CPT)/POSTURAL DRAINAGE AND PERCUSSION (PD&P) ADULT. . .26

CONTINUOUS AEROSOL THERAPY VIA MASK/FACE TENT . . . . . . . . . . . . . . . . . . . . . . 28

CONTINUOUS HEATED AEROSOL THERAPY VIA ARTIFICIAL AIRWAY . . . . . . . . . . . . . 30

COUGHING AND DEEP BREATHING EXERCISES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

INTERMITTENT POSITIVE PRESSURE BREATHING (IPPB) ADULT . . . . . . . . . . . . . . . . . 37

ADULT METERED DOSE INHALERS (MDI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

METERED DOSE INHALERS ON MECHANICALLY VENTILATED PATIENTS
USING AEROVENT . . . 47

NEBULIZER MEDICATION (NEB NED) ADULT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

NEBULIZED MEDICATION (NEB NED) WITH PENTAMIDINE . . . . . . . . . . . . . . . . . . . . . . 53

ENDOTRACHEAL/TRACHEOSTOMY TUBE SUCTIONING . . . . . . . . . . . . . . . . . . . . . . . .55

ENDOTRACHEAL/TRACHEOSTOMY TUBE SUCTIONING WITH A CLOSED
SYSTEM CATHETER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

NASOTRACHEAL SUCTIONING (ADULT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . 60

CHEST PHYSICAL THERAPY (CPT)/POSTURAL DRAINAGE AND PERCUSSION (PD&P) FOR PEDIATRICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63

INTERMITTENT POSITIVE PRESSURE BREATHING(IPPB) PEDIATRIC . . . . . . . . . . . . . . 66

NEBULIZED MEDICATION (NEB MED) PEDIATRICS . . . . . . . . . . . . . . . . . . . . . . . . . . . .69

OXYGEN ADMINISTRATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

OXYGEN PRECAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78

ASSESSMENT OF GAS FLOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79

OXYGEN HUMIDIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..80

CARDIOPULMONARY RESUSCITATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81

POLICE ON PATIENT ASSESSMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
MEDICAL RECORD INVESTIGATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..82
PATIENT INTERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84
SENSORIUM ASSESSMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
OBTAINING A PULSE RATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
OBTAINING A VENTILATORY RATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..88
INSPECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
AUSCULTATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

INFECTION CONTROL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..95

JOB DESCRIPTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96
RESPIRATORY CARE SUPERVISOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
REGISTERED RESPIRATORY THERAPIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99
CERTIFIED RESPIRATORY THERAPY TECHNICIAN . . . . . . . . . . . . . . . . . . . . . .102
PERFORMANCE EVALUATION/COMPETENCY CHECKLIST . . . . . . . . . . . . . . . ..104

      This service reflects the author’s own opinions about Home Health Care services. Although the information and Policies are from sources deemed very reliable, they are not guaranteed. PN System © owner disclaims any personal liability for loss incurred as a result of the applications of any information offered in this application process, or in the use of our services. If expert, professional, medical, clinical assistance is required, the services of a component professional person should be sought. Your Director of Nursing, MUST review/approve the Policies/procedures/forms, also you and your Agency guarantee to comply with all Federal/Local/State laws to use our services.