Self-Assessment Checklist · Smiths Medical Pneupac®babyPAC ™Ventilator -Self-Assessment...

Pneupac® babyPAC™ Ventilator Self-Assessment Checklist

AIRWAY MANAGEMENT

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Smiths Medical Pneupac® babyPAC™ Ventilator - Self-Assessment Checklist Page 1

Section 1: babyPAC™ external features

I can... Achieved

or Not Date

a) Define the patients for whom the babyPAC™ is suitable.

b) Identify the controls, indicators and alarm module on the front ofthe ventilator.

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I can... Achieved

or Not Date

c) Describe the five settings of the Function Selector switch:

CPAP –

IMV+CPAP –

CMV+PEEP –

CMV+ACTIVE PEEP –

0 –

d) Explain the PEEP/CPAP Control settings.

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I can... Achieved

or Not Date

e) Explain how to calculate the frequency/breathing rate settings andshow how to make the settings using the TINS and TEXP controls.

f) Describe the use of the Relief Alarm Pressure Control.

g) Explain the use of the Inspiratory Pressure Control and theInspiratory Time control switches.

h) Explain the function of the Oxygen Concentration control.

i) Identify the indicators and silence button on the alarm module.

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I can... Achieved

or Not Date

j) Explain the meaning of the red, amber and green indicators onthe alarm module.

k) Describe the correct action when presented with a High Pressurealarm.

l) Describe the correct action when presented with a Low Pressurealarm.

m) Describe the label on the side of the ventilator.

n) Insert the correct battery in the battery compartment.

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I can... Achieved

or Not Date

o) Identify the connectors on the side of the ventilator. Identify thealarm.

Comments

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Section 2: The patient circuit

I can... Achieved

or Not Date

a) Identify the parts of the patient circuit and demonstrate how toattach the hose to the ventilator.

c) Disassemble and assemble the expiratory valve. Explain whichparts of the expiratory valve can be autoclaved.

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Section 3: Setting up the ventilator

I can... Achieved

or Not Date

a) Set up the ventilator for use.

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General Comments

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babyPAC™ VENTILATOR

SELF ASSESSMENT CHECKLIST

ANSWERS SECTION

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Section 1: babyPAC™ external features

Performance criteria. I can… Intended Answer/Outcome

a) Define the patients for whomthe babyPAC™ is suitable.

The Pneupac® babyPAC™ ventilator is suitable for neonates andof Infantsup to 20 kg.

b) Identify the controls, indicatorsand alarm module on the frontof the ventilator.

c) Describe the function ofeach mode.

CPAP- A continuous pressure applied during Inspiration & Expiration to apatient who is spontaneously breathing.- This improves the functional residual capacity of the lungs andoxygenation.

IMV+CPAP- For use when patients dependence on CMV is being reduced.-TEXP is increased by a factor of 10.- Positive pressure is applied by adjusting CPAP control.

CMV+PEEP- Mode is most commonly used when gas consumption is a concern.- During expiratory phase PEEP is generated by restricting the flow.This may diminish but overall gas consumption is reduced.

CMV+ACTIVE PEEP- During expiratory phase PEEP is generated by delivering a flow. Thisway PEEP remains constant, improving the efficiency of oxygenation.

O - Off.

Inspiratory TimeControl TINS

Functionselectorswitch

Pressurerelief controland audiblealarm

Oxygensupplyindicator

Airsupplyindicator

Oxygenconcentrationcontrol

PEEP/CPAPcontrol

InspiratoryPressurecontrol

Alarmmodule

Expiratory TimeControl TEXP

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d) Explain the PEEP/CPAPControl settings.

Allows you to regulate the PEEP or CPAP, depending on the mode:- When CMV modes selected, gives continuous adjustment ofpressure during expiratory phase (PEEP)- When CPAP or IMV+CPAP modes selected, gives continuousadjustment of CPAP.

e) Explain how to calculate thefrequency/breathing ratesettings and show how tomake the settings using theTINS and TEXP controls.

Refer to the chart on top of the ventilator to see the frequency/breathingrates for the possible TINS and TEXP combinations, then adjust thecontrols as required.

f) Describe the use of theRelief Alarm Pressure Control.

This is set to stop the over-inflation of the patient.

g) Explain the use of theInspiratory Pressure Control,and the Inspiratory TimeControl switches.

The Inspiratory Pressure Control gives continuous adjustment of endinspiratory pressure. It is used in conjunction with TINS control to alterthe inspiratory waveform and delivered tidal volume.

h) Describe the function of theOxygen Concentration control.

Used to set the precise oxygen concentration for the patient between21% and 100%. The concentration percentage is read on the yellow orthe white gauge, depending on the air/oxygen connections.

i) Identify the indicators andsilence button on the alarmmodule. High pressure

Indicator (Red)NormalCycleIndicator(Green)

Low Pressure(Disconnect)Indicator(Amber)

Single gasoperationindicator(Green)

Low BatteryIndicator (Amber)

SilenceIndicator(Amber)

Silencebutton

Patient InflationPressureIndicator

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j) Explain the meaning of the red,amber and green indicators onthe alarm module.

Above the manometer, a flashing red indicator with an audible alarmshows high pressure. A flashing amber indicator with audible alarmshows low pressure (disconnect warning). The green indicator flashesto show the normal ventilation cycle.

Below the manometer, the amber indicator shows low battery.The amber indicator flashes if the alarm has been silenced (the start-uptest includes alarm mute for one minute).

The green indicator flashes whenever the ventilator is operating on asingle gas supply (oxygen only or air only). If two cylinders are initiallyconnected and one becomes depleted, the ventilator alarm will “chirrup”as well as flashing the green indicator.

k) Describe the correct actionwhen presented with a HighPressure alarm.

Check the patient, then check the Patient circuit for a blockage.

l) Describe the correct actionwhen presented with a LowPressure alarm.

Check the patient, then check the Patient circuit for disconnection orleakage.

m) Describe the label on the sideof the ventilator.

The label on the side of the ventilator shows the alarms that theventilator may sound.

n) Insert the correct battery in thebattery compartment.

Correctly inserts the appropriate battery into the compartment on theside of the ventilator.

Demonstrates an understanding that the ventilator must be fitted withan MRI-compatible battery if it is to be used in a MRI environment.

o) Identify the connectors on theside of the ventilator. Identifythe alarm.

Air entrainmentport

Patient outletconnection

Audible highpressure pneumatic

alarm

Air supply gas Inletconnection

Oxygen supply gasinlet connection

To PatientPatient circuit

connection

From Patient Gasreturn port

expirator valve

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Section 2: The patient circuit

Performance criteria. I can ... Intended Answer/Outcomea) Identify the parts of the

patient circuit anddemonstrate how to attachthe hose to the ventilator.

Push the hose connections over the ports on the ventilator as shownin this photo.

b) Disassemble and assemble theexpiratory valve. Explain whichparts of the expiratory valvecan be autoclaved.

The expiratory valve and diaphragm are removed from theexpiratory valve housing on the ventilator as shown in this photo.

Both items can be autoclaved.

Expiratory valve Patient hose

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Section 3: Setting up the ventilator

Performance criteria. I can ... Intended Answer/Outcomea) Set up the ventilator foruse.

1. Connect to gas supply and turn on gas supply slowly. Checkthat the low gas supply indicator has changed from red to white(oxygen)/black and white (air).

2. Select ' CMV+PEEP '.3. Check that the alarm indicators flash in sequence and that

the alarm sounds to indicate the correct function.4. Set the ventilation parameters to suit the patient.5. Briefly occlude the patient connection with the thumb and check

that the peak inflation pressure reading on the manometer isappropriate for the patient and that the audible alarm sounds.

6. Connect patient to ventilator and check the patientpressure manometer to ensure correct ventilation.

7. Check chest movement and Inflation Pressure Manometerto ensure correct ventilation.

8. Make adjustments as necessary.9. Temporarily reduce the high pressure alarm setting to just below

the set inspiratory pressure and check that the pneumatic alarmsounds and the high inflation pressure indicator shows red, thenreset to the required level.

10. Monitor the patient's condition.

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Smiths Medical - Pneupac® babyPAC™ ventilator:

A Framework for Reflection

What is reflection?

Reflection is a generic term for those intellectual and emotional activities in which an individual

engages to explore their experiences to lead to new understanding and appreciations.

It is a highly personal process and the outcome is a changed perspective and/or learning.

Schon (1991) describes two types of reflection:

Reflection during practice, which takes place during the activity of practice

Reflection on practice, where the person looks back on their practice.

Why reflect?

Schon* (1988) suggests that reflection provides the means to review and think about an

experience, exploring what happened in context, linking it to past experiences, together with

recognising previous and present knowledge. This way, meaning can be extracted and the

incident evaluated in terms of what is being combined into current practice.

How to reflect

This framework is designed to guide you to reflect on the knowledge gained and provide

evidence of learning. Summarise your learning in your own words following the suggested

headings on the pages provided.

*Reference: Schonn D. A. (1988) Educating the Reflective Practioner, San Francisco : Jossey-Bass.

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Suggested headings

What have I learnt from this training programme that maintains or develops my professional

knowledge and competence?

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What can I apply immediately to my practice and client care?

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What else do I need to do/know to extend my professional development in this area?

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Is there anything I didn't understand, or need to explore further, or read more about in order to

clarify my learning?

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Further headings What other professional development needs have I identified?

This may be as a result of reviewing a work situation or incident in the light of the learning gained.

How might I achieve the above needs?

It may be helpful to convert these needs into short, medium and long-term goals in an action plan. This

can be added in your portfolio.

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babyPAC™ VentilatorSelf-Assessment Checklist

Name

Title

Hospital/Department

Date of training

Notes

□ This checklist will assist you in determining your own competence to use the Pneupac®

babyPAC™ Vent i la tor.

□ You will need a ventilator and patient circuit to complete the checklists.

□ You should work through the two checklists in this booklet, then sign the sections below.

If you do not feel competent in the use of the device, you should seek further training.

Self assessment statement Please sign below

I have received training in the safe setup and correct use of thePneupac® babyPAC™ ventilator, and have completed theself- assessment sections in this checklist:

Section 1 – babyPAC™ external features

Section 2 – The patient circuit

Section 3 - Setting up the ventilator

I have read and understood the instructions and the warnings andcautions in the Pneupac® babyPAC™ Ventilator User Guide. Itis the user’s responsibility to read the IFU.

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Smiths Medical International LtdEnterprise Way, Luton,Beds, LU3 4BU, UKTel: +44 (0)1582 430000

US Representative:Smiths Medical ASD, Inc.St. Paul, MN 55112, USATel: 1-214-618-0218

Australian RepresentativeSmiths Medical Australasia Pty. Ltd. Brisbane, QLD 4113, AustraliaPhone: +61 (0) 7 3340 1300

www.smiths-medical.comFind your local contact information at www.smiths-medical.com/customer-supportSmiths Medical is part of the global technology business Smiths Group plc. Please see the Instructions for Use/Operator’s Manual for a complete listing of the indications, contraindications, warnings and precautions. Pneupac, babyPAC and the Pneupac and Smiths Medical design marks are trademarks of Smiths Medical. The symbol ® indicates the trademark is registered in the U.S. Patent and Trademark Office and certain other countries. ©2014 Smiths Medical. All rights reserved. TV195624GL-012014

PRODUCT(S) DESCRIBED MAY NOT BE LICENSED OR AVAILABLE FOR SALE IN CANADA AND OTHER COUNTRIES

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CertificateThis is to certify that

has participated in a Training Program for the

Pneupac®

babyPAC™Ventilator

and has received instruction in

1. Inspecting the ventilator and using the controlson the ventilator.

2. Assembling and cleaning the patient circuit.3. Setting up the ventilator for use.

Trainer

Hospital/Department

Date

Pneupac, babyPAC and the Pneupac and Smiths Medical designmarks are trademarks of the Smiths Medical. The symbol ® indicatesthe trademark is registered in the U.S. Patent and Trademark Officeand certain other countries. TV195627GL-012014

© 2014 Smiths Medical. All rights reserved.

Smiths Medical International LtdEnterprise Way, LutonBeds, LU3 4BU, UK.Tel: 01582 430000Fax: 01582 430001Email: [email protected]

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Self-Assessment Checklist · Smiths Medical Pneupac®babyPAC ™Ventilator -Self-Assessment...

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