Puritan Bennett 980 Ventilator System Planning for Training Checklist

Transcription

1 Planning for Training Checklist Type of training? Evaluation training (trying the product) Installation training (own the product) Follow-up training (own the product) Who is the audience? (Insert number of all roles who will attend. When possible, do not mix monitors with programmers or prescribers.) Monitors Programmers Prescribers Other (specify) What kinds of patients do they ventilate? (Check all that apply) Neonates Pediatrics Adults Will you provide food and drink? Yes. What kind? No Indicate if your audience has ever used any of these Puritan Bennett ventilators. Puritan Bennett 7200 ventilator Puritan Bennett 840 ventilator Puritan Bennett 980 ventilator Which breath types/features have the trainees used? VC+ VS BiLevel TC PAV *+ Leak comp Respiratory mechanics Trending NeoMode 2.0 Which s and breath types are these trainees typically using? (Check all that apply) AC VC AC PC VC+ SIMV VC SIMV PC BiLevel APRV VS PS TC PAV *+ Nasal CPAP Is the Puritan Bennett 980 ventilator fully checked out and equipped with the filters, breathing circuit and test lung that match the trainee s typical patient type? Yes No. If no, take action to address Are there air and oxygen gas supplies in the training area? Yes No. If no, an external compressor is needed Is there power near the ventilator setup location? Yes No. If no, a power strip is needed

2 Best Practices for Training The following reminders can help prevent common mistakes even the best trainers may make. 30 Minutes Before the Training Connect the Puritan Bennett 980 ventilator to AC power and connect/turn on the gas supplies. Attach the test lung and start ventilating using the and breath type most familiar to the trainees. Whenever possible, use the New Patient default settings. Verify no alarms are in violation and all latched alarms have been cleared. Make sure there are enough chairs for all attendees. Adjust lighting and chairs to ensure all attendees can see the Puritan Bennett 980 ventilator user interface and all visual aids. If using a projector, test it. Ask the facility s training coordinator if there are any last minute change requests. Here is a checklist of items to keep in mind as you get ready for a training session: 1 Keep a positive attitude. Have an opening and a closing. Make training objectives clear. Review and stick to the agenda (if applicable). Involve learners in the session. Encourage questions; never criticize trainees. Gear session towards learners needs. Be honest about not knowing something. If you don t know the answer to a question, admit it. Indicate you will get back to the questioner with an answer and make sure to follow through. Use visuals and a variety of learning techniques. Use transfer-of-training techniques (hands-on practice) that ensure trainees can apply what they have learned in the session in their work environment. Reference 1. O Neill, M. Do s and Don ts for the New Trainer. Infoline. 2003;9608: and%20donts%20infoline.pdf. Accessed June 5, COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life are U.S. and internationally registered trademarks of Covidien AG. Other brands are trademarks of a Covidien company Covidien. 13-VE-0045(1)a (Best Practices) 6135 Gunbarrel Avenue, Boulder, CO covidien.com/rms

3 Basic Checklist for Monitors (Nurses) Touch Screen Identify Location Ventilator setup button Ventilation settings Vital patient data Additional patient data Large font patient data Demonstrate Use ToolTips Touch, turn, accept Double tap Touch Screen Bezel Control Keys Identify Location and Function Manual inspiration key Alarm silence key Alarm reset key Status Display Show how to: Identify power source See battery status See alarm volume setting See patient pressure/peep Graphics Constant access icons Menu tab/menus left Waveform layout icon Alarm banner Home icon Elevate O 2 % icon Alarm icon Alarms Identify Meaning and Location Audible and visual alarms Low, medium and high-priority Criteria, recommended solutions and hot links Ventilation Settings Locate Set Values Modes and breath types of ventilation Tidal volume/pressure Flow/inspiratory time PEEP O 2 % Patient Data Monitoring Identify Location and Meaning Peak pressure Respiratory rate (f TOT ) Exhaled tidal volume Minute volume Describe Puritan Bennett 980 Ventilator Features/Benefits Ventilation assurance/ Backup ventilation strategy Filtration Adjustments, selection may help clinicians improve patient comfort Adjustments, settings selection may help clinicians reduce sedation use NOTE: This checklist is provided to the healthcare provider for use, if desired, in assessing training of its personnel on use of the Puritan Bennett 980 ventilator. The hospital should make its own determination as to which portions of the checklist are relevant to its procedures and to the responsibilities of its personnel, and its own determination as to any additional competency elements to assess for its personnel. COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life are U.S. and internationally registered trademarks of Covidien AG. Other brands are trademarks of a Covidien company Covidien. 13-VE-0045(1)a (Monitors/Nurses) 6135 Gunbarrel Avenue, Boulder, CO covidien.com/rms

4 Basic Checklist for Programmers (Respiratory Therapists) Touch Screen Demonstrate use ( touch, turn, accept, double tap, swipe, etc) Ventilator setup button Ventilation settings Alarm settings/display Audible and visual alarms Low, medium and high-priority Criteria, recommended solutions and hot links Waveform layout icon Graphics Change scale Identify measured Make bigger or values smaller Review previous Pause Store an image Constant access icons Menu tab (more settings) ToolTips Elevate O 2 % icon Home button Demonstrate access Patient data; choose what to display Additional patient data Large font patient data Logs Touch Screen Bezel Control Keys Identify location and function Screen brightness Display lock Manual inspiration inspiratory pause expiratory pause Alarm volume Alarm reset Alarm silence Status Display Show how to identify: Power source Patient pressures Battery status Patient circuit size and type cleared by SST Ventilator operational hours EST, SST and POST results General Features Describe Puritan Bennett 980 ventilator feature benefits Ventilation assurance/ Backup ventilation strategy state Air filtration features Modes/breath type adjustments Hot-swappable batteries Configurable elevate O 2 % Quick start Omni-directional visual alarm Leak Sync Explain how the Leak Sync works Leak Sync NOTE: This checklist is provided to the healthcare provider for use, if desired, in assessing training of its personnel on use of the Puritan Bennett 980 ventilator. The hospital should make its own determination as to which portions of the checklist are relevant to its procedures and to the responsibilities of its personnel, and its own determination as to any additional competency elements to assess for its personnel.

5 Basic Checklist for Programmers (Respiratory Therapists) Select the clinical applications topics below according to your Planning for Training Checklist Leak Sync Software Explain how the Leak Sync works Leak Sync NIV Describe the potential clinical benefits of NIV Describe/point out how to set up NIV Explain how the NIV works NIV Volume Control Plus (VC+) Describe the potential clinical benefits of VC+ Explain why VC+ may provide better synchrony than standard volume control (VC) Describe and point out how to set up VC+ Explain how the VC+ works Explain the alarm strategy used with VC+ Understand what can cause delivered V T to be less than set value and how to resolve List the limitations or contraindications of VC+ Pressure Control (PC) Describe and point out how to set up PC Describe how to use the timing padlocks BiLevel Mode Describe the potential clinical benefits of BiLevel Describe and point out how to set up BiLevel Describe how to use the timing padlock to lock release time Describe spontaneous support options List the limitations or contraindications of BiLevel Describe the changes that can potentially impact oxygenation and ventilation PAV *+ Software Describe the potential clinical benefits of PAV *+ Describe and point out how to set up PAV *+ Explain how the PAV *+ works Discuss use of WOB and % support Describe the specific PAV *+ alarm strategy Describe when PAV *+ is to be applied as well as Tube Compensation (TC) Describe the potential clinical benefits of TC Describe and point out how to set up TC Explain how the TC works Describe the specific TC alarm strategy Describe when TC is to be applied as well as its Volume Support (VS) Describe the potential clinical benefits of VS Explain why VS may provide more consistent ventilation than standard PS Describe and point out how to set up VS Explain how the VS works Describe the specific VS alarm strategy Describe when VS is to be applied as well as the COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life are U.S. and internationally registered trademarks of Covidien AG. Other brands are trademarks of a Covidien company Covidien. 13-VE-0045(1)a (Programmers/RTs) 6135 Gunbarrel Avenue Boulder, CO covidien.com/rms

6 Basic Checklist for Prescribers (Physicians) Touch Screen Demonstrate use ( touch, turn, accept, double tap, swipe, etc) Ventilator setup button Ventilation settings Alarm settings/display Audible and visual alarms Low, medium and high-priority Criteria, recommended solutions and hot links Waveform layout icon Graphics Change scale Identify measured Make bigger or values smaller Review previous Pause Store an image Constant access icons Menu tab (more settings) ToolTips Elevate O 2 % icon Home button Demonstrate access Patient data; choose what to display Additional patient data Large font patient data Logs Touch Screen Bezel Control Keys Identify location and function Screen brightness Display lock Manual inspiration inspiratory pause expiratory pause Alarm volume Alarm reset Alarm silence Status Display Show how to identify: Power source Patient pressures Battery status Patient circuit size and type cleared by SST Ventilator operational hours EST, SST and POST results General Features Describe Puritan Bennett 980 ventilator feature benefits Ventilation assurance/ Backup ventilation strategy state Air filtration features Modes/breath type adjustments Hot-swappable batteries Configurable elevate O 2 % Quick start Omni-directional visual alarm Leak Sync Explain how the Leak Sync works Leak Sync NOTE: This checklist is provided to the healthcare provider for use, if desired, in assessing training of its personnel on use of the Puritan Bennett 980 ventilator. The hospital should make its own determination as to which portions of the checklist are relevant to its procedures and to the responsibilities of its personnel, and its own determination as to any additional competency elements to assess for its personnel.

7 Basic Checklist for Prescribers (Physicians) Select the clinical applications topics below according to your Planning for Training Checklist Leak Sync Software Explain how the Leak Sync works Leak Sync NIV Describe the potential clinical benefits of NIV Describe/point out how to set up NIV Explain how the NIV works NIV Volume Control Plus (VC+) Describe the potential clinical benefits of VC+ Explain why VC+ may provide better synchrony than standard volume control (VC) Describe and point out how to set up VC+ Explain how the VC+ works Explain the alarm strategy used with VC+ Understand what can cause delivered V T to be less than set value and how to resolve List the limitations or contraindications of VC+ Pressure Control (PC) Describe and point out how to set up PC Describe how to use the timing padlocks BiLevel Mode Describe the potential clinical benefits of BiLevel Describe and point out how to set up BiLevel Describe how to use the timing padlock to lock release time Describe spontaneous support options List the limitations or contraindications of BiLevel Describe the changes that can potentially impact oxygenation and ventilation PAV *+ Software Describe the potential clinical benefits of PAV *+ Describe and point out how to set up PAV *+ Explain how the PAV *+ works Discuss use of WOB and % support Describe the specific PAV *+ alarm strategy Describe when PAV *+ is to be applied as well as Tube Compensation (TC) Describe the potential clinical benefits of TC Describe and point out how to set up TC Explain how the TC works Describe the specific TC alarm strategy Describe when TC is to be applied as well as its Volume Support (VS) Describe the potential clinical benefits of VS Explain why VS may provide more consistent ventilation than standard PS Describe and point out how to set up VS Explain how the VS works Describe the specific VS alarm strategy Describe when VS is to be applied as well as the COVIDIEN, COVIDIEN with logo, Covidien logo and positive results for life are U.S. and internationally registered trademarks of Covidien AG. Other brands are trademarks of a Covidien company Covidien. 13-VE-0045(1)a (Prescribers) 6135 Gunbarrel Avenue Boulder, CO covidien.com/rms