Specialties Pediatric
Published Aug 21, 2000
ALISON CLARK
1 Post
DOES ANYONE HAVE A POLICY FOR NURSE LED WEANING OF VENTILATION?
pedihomecare
2 Posts
Originally posted by ALISON CLARK:DOES ANYONE HAVE A POLICY FOR NURSE LED WEANING OF VENTILATION?
Aren't you given doctors orders for weaning?
Usually, we taper off on PEEP and pressure support gradually. Also reduce breath rate as tolerated at the same time. Other parameters can also be reduced or eliminated depending on the type of ventilation
Try to get the patient off the ventilator two times a day onto CPAP (continuous positive airway pressure) or onto a "nose"
for a short time.
I don't know if this will help you as weaning is often tailored to each individual patients situation.
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Babylover
Juniper
Currently we have doctors directives which are updated daily for weaning but we are about to develop a nurse led weaning protocol to give nurses greater autonomy and improve 24hr patient care. We do have a couple of examples of other units protocols and therefore I would be interested to see any you have managed to find.
UK2USA
146 Posts
There has been some advancement towards nurse weaning in the UK. Currently, if you are a senior nurse with a paediatric ITU qualification and 2 years PICU experience you can undertake the Advanced Respiratory Module through South Bank University in London. The completion of this will allow staff to wean, increase or change ventilation modes... and also extubate.
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