![]() If the mode is one of the pressure cycled moves (from Vent Mode question above), enter the approximate expired tidal volume. Use the preset tidal (prescribed) volume if the mode is one of the volume cycled modes (from Vent Mode question above). (Please refer to instructions for Vent Mode on page 4.)Īctual Tidal Volume: What is the tidal volume at the time of observation?Įnter the actual tidal volume in milliliters (mL). If you entered "3" for the ventilator, you should NOT be collecting this data. Quick reference tables are available on the last page of this document to calculate predicted body weight for tidal volume.Įnter the target tidal volume in milliliters (mL). Target Tidal Volume: What is the target tidal volume based on PBW? Enter the patient’s height in inches in the “in” column if your unit uses inches.Enter the patient’s height in centimeters in the “cm” column if your unit uses centimeters.“Does patient have a risk factor for ARDS?” AND “Does the patient have ARDS?”Įvaluate daily for patients receiving mechanical ventilation and whose vent mode equals 1 or 2.ĭepending of which measurement your unit uses, enter EITHER centimeters OR inches. If “3” for any specific patient, skip ahead to the last two columns: If “1” or “2” for any specific patient, continue to next column. Extracorporeal Membrane Oxygenation (ECMO).High Frequency Oscillatory Ventilation (HFOV).Airway Pressure Release Ventilation (APRV).Įnter 3 – if the patient’s ventilator is set to one of the following Other Modes:.Continuous Positive Airway Pressure (CPAP).Pressure Regulated Volume Controlled (PRVC).Įnter 2 – if the patient’s ventilator is set to one of the following Pressure-Cycled Modes:.Synchronized Intermittent Mandatory Ventilation (SIMV).Continuous Mandatory Ventilation (CMV).Vent Mode: What mode of ventilation is being used at the time of observation?Įnter for all patients receiving mechanical ventilation.Įnter 1, 2, or 3 on the data collection tool depending on which type of vent mode is present at the time of observation.Įnter 1 – if the patient’s ventilator is set to one of the following Volume-Cycled Modes: ![]() Do not enter any more information regarding that bed for this date. Enter " E" if there is no patient in the bed.įor any specific patient, if the patient is not currently intubated/trached AND on mechanical ventilation, STOP.Enter "N" if the patient is NOT currently intubated/trached and mechanically ventilated.Enter " Y" if the patient is currently intubated/trached and mechanically ventilated.Patients treated with noninvasive ventilation are counted as "N.".Mechanical ventilation is defined as receiving ventilator support via a subglottic secretion drainage endotracheal tube or tracheostomy tube. Intub/Trach & Mech Vent: Is the patient currently receiving mechanical ventilation?Įnter for all patients. ![]() ).Įnter all the bed numbers on the tool, whether the patient is on mechanical ventilation or not. DATA FIELDĮnter today’s date as MM/DD/YYYY format (e.g. Please print this data collection tool with the vent modes on page 2 of this document for easier data collection. ![]() Patients are considered mechanically ventilated on a specific day if they are mechanically ventilated at the time of observation.Īll of the vent modes are listed on the back of the data collection sheet for your reference. If possible, complete it around the same time each day, ideally during patient rounds. Please complete this tool once a day, every day. High Frequency Oscillatory Ventilation (HFOV)Įxtracorporeal Membrane Oxygenation (ECMO) Pressure Regulated Volume Controlled (PRVC)Ĭontinuous Positive Airway Pressure (CPAP)Īirway Pressure Release Ventilation (APRV) Synchronized Intermittent Mandatory Ventilation (SIMV) Enter the heading number in the Vent Mode column. Select the patient’s ventilator mode from the table below. Plateau Pressure (cm H2O) – Enter value or NKĭoes patient have a risk factor for ARDS?ĪRDS = Acute respiratory distress syndrome E = Empty Intub = Intubation Mech Vent = Mechanically Ventilation N = No NK = Not known PEEP = Positive-end expiratory pressure Trach = Tracheostomy Vent Mode = Ventilator Mode Y = Yes Ventilator Modes Target Tidal Volume (mL) (based on PBW) – Enter value Hospital_ Unit_ Date _ Fill out for all bedsįill out if patient is mechanically ventilated
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