Pediatric- Patient Bagging

[kdavispn]

Hello nurses! I need to know the rationale for not bagging a patient with a concentrator. This is just FYI info for me. Thanks in advance.

[tothepointeLVN, LVN]

So no supplemental oxygen?

In reality in a true emergency I would just grab the bag and well start bagging and not worrying about adding o2 unless I had someone to help but thats what happens in the home hospital is different.

[kdavispn]

So no supplemental oxygen?

In reality in a true emergency I would just grab the bag and well start bagging and not worrying about adding o2 unless I had someone to help but thats what happens in the home hospital is different.

Yes, I agree with you, 100 percent. I too am grabbing the ambu, but She said "Never!" and I thought, "NEVER!" should I know why? It ended up being a test question so I thought it was important.

Thank you for helping though. I can tell you have great insight. Have a great day.

[Candyn]

I have questions, this is interesting. Are you saying you do not connect Ambu bag to O2 only if you do not have time? For example: you are the first one who found patient in respiratory arrest then it makes sense the first thing you do is call a code or someone for help then start bagging until someone comes and available to get connection to O2. My instructor told me to connect it to wall during simulation and yank it as high as I can. So if you bag without adding O2, you will help with ventilation, but what happen if patient is in respiratory distress or arrest and need extra O2? Another point I need to elaborate more from this discussion is you can get more O2 from the tank than condensor? Is condensor O2 on the wall?

Hehehe sorry for lot questions:)

[tothepointeLVN, LVN]

Candyn,

This post is in the private duty nursing section so everything we are talking about is about the UNIDEAL situation that occurs in the home. We don't HAVE a code team we just have ourselves and after a delay the paramedics in an emergency

There are NO wall supply of O2. An oxygen condensor is this noisy clunky machine that takes room air and condenses it into 100%. They usually only go up to 5LPM sometimes 10. They take about 30seconds to boot up if not already then you need to set and connect. O2 tanks are never where you expect them to be because the families will tidy them up and put them away usually in a different spot each time.

So what your instructor told you is correct but thats for the hospital setting where you have help and equipment. In reality in the home you might be bagging with one hand and calling 911 with the other.

[kdavispn]

Candyn,

This post is in the private duty nursing section so everything we are talking about is about the UNIDEAL situation that occurs in the home. We don't HAVE a code team we just have ourselves and after a delay the paramedics in an emergency

There are NO wall supply of O2. An oxygen condensor is this noisy clunky machine that takes room air and condenses it into 100%. They usually only go up to 5LPM sometimes 10. They take about 30seconds to boot up if not already then you need to set and connect. O2 tanks are never where you expect them to be because the families will tidy them up and put them away usually in a different spot each time.

So what your instructor told you is correct but thats for the hospital setting where you have help and equipment. In reality in the home you might be bagging with one hand and calling 911 with the other.

Well played. You know your stuff. Thanks Candyn.

[tothepointeLVN, LVN]

LOL PDN is an imperfect science