Comprehensive Nursing Care

OF THE VENTILATED PATIENT

Target Audience:
Intensive care nurses (adult care; general and surgical and pediatric care), emergency department nurses

Requirements for participants: RN, Qualified Respiratory Technologist

Number of participants:

8-12

Duration:

1 week

Course Structure:

Presentations and lectures, simulations, case discussions, and clinical observations.

Background

The management of ventilated patients in the hospital setting requires significant resources and trained personnel. With the increase in life expectancy and severity of hospitalized patients, there has been an ever-increasing demand for advanced respiratory care. This need was recently highlighted in the COVID-19 pandemic, where many hospitals were overwhelmed with patients requiring ventilation and the need to rapidly train nursing staff in the principles and guidelines of ventilation management.

Main Objectives

To develop direct treatment skills, including making clinical decisions and managing the treatment of a patient in acute and complex respiratory conditions while choosing appropriate treatment alternatives and exercising discretionary skills.

To learn the principles of caring for ventilated patients and patients with an artificial airway

To learn the basics of invasive and non-invasive ventilation

To develop skills to support and accompany families of patients in acute and complex situations.

Course Coordinator:

Mr. Yakir Misushchin RN, BSn, MPH

Mr. Yakir Misushchin is the Deputy Head Nurse at Sheba Medical Center’s respiratory unit. His role includes collaborating with teams of nurses, doctors, and administrative staff to develop standards for respiratory patients as well as training intensive respiratory-care teams in the medical center. This includes developing a yearly curriculum and training medical teams to enhance respiratory-care knowledge in every hospital department.

Mr. Misushchin completed his BSN nursing degree at the Hebrew University and an MPH in Emergency Incident Management at Tel-Aviv University.

Main Course topics:

  • Anatomy and physiology of the respiratory system
  • Ventilation methods
  • High-frequency ventilation
  • Non-invasive ventilation – definitions and implementations
  • Rapid sequence induction, airway management & intubation
  • Nursing aspects of the acute and chronic ventilated patient
  • Ventilation complications
  • VAP prevention
  • Implementation of new ventilation methods
  • Weaning off the ventilator – approaches in the acute patient
  • Troubleshooting at the interface between the patient and the ventilator
  • Hands-on experience workshop on using ventilators
  • Appropriate use of a ETCO2 capnograph in ventilated patients
  • Administration of HELIOX and NO in cases of respiratory distress
  • Interpretation of a blood gas profile and changes to ventilation accordingly
  • Risk management in ventilated patients and learning from safety investigations
  • Selecting sedation in ventilated patients
  • Respiratory physiotherapy in ventilated patients
  • Use of non-invasive ventilation (NIV) in outpatient care- indications and adaptations
  • Aspects unique to patients with a tracheostomy – swallowing test, use of a speaking device and weaning
  • High-flow nasal cannula oxygen therapy
  • Differences between the ventilation of adults and children
  • Discharging the ventilated patient to a community program
  • The ventilated patient, his family and the care team
* The course structure serves as a guideline and can be modified and tailored according to the needs and objectives of each client.

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