I will respond to myself many months ago!!! This is just my
Learn every way oxygen can be delivered. Learn all you can about COPD. Learn the difference between Pressure Control, Volume Control PRVC, CPAP (weaning modes)... Learn Tidal Volume, PEEP, Fi02... Review breath sounds, lung sounds, even the funny named ones!!!
Most importantly, find a nice respiratory therapist. They can be your absolute best friend and angel!!! Ask them questions. Watch them do procedures. Watch their technique. Ask for tips. Volunteer to help them. Ask for warning signs to look for. Know when to page them. Be nice enough to them that if you page them for a really dumb reason, they can laugh and explain what happened and what to do next time!!!
But most importantly, know what to do if a patient decannulates!!! And always always always remember that if you can't figure out what the heck is wrong with the vent, ambu bag ambu bag ambu bag!!!
If the vent looks like it's broken; If the tidal volume is really low; If the vent screen is blank; If the pt is inexplicably desatting while on the vent on 100% O2 and has been suctioned (& all connections appear to be in tact); If there's a major air leak ... Please just BAG THEM!!!!