Respiratory Airflow Animation
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Standard Workflow – Ventilator Unit Therapists
Daily workflow and documentation expectations for ventilator and tracheostomy care.
1Start of Shift
- ✓Take report from the outgoing therapist; confirm patient status, ongoing treatments, and any pending tasks.
- ✓Quick wellness check on all assigned patients:
- Confirm comfort from both a visual and audible standpoint.
- Reassure patients you will be starting rounds shortly.
2Safety, Readiness & Airway/Ventilator Management
- ✓Verify patient orders in the chart/EMR.
- ✓Confirm bedside emergency equipment (Ambu bag, spare trachs, inner cannulas, surgical lubricant).
- ✓Perform ventilator checks on all assigned machines.
- ✓Check and record pulse oximetry readings.
- ✓Suction ventilator and trach collar patients as needed.
- ✓Perform trach care, including inner cannula change.
- ✓Replace HME devices (per schedule).
- ✓Replace sterile water for trach collar patients.
3Treatments & Therapy
- ✓Administer scheduled nebulizer treatments.
- ✓Document and support ventilator weaning trials (including capping and PMV trials) in progress notes.
4Documentation
- ✓Complete ventilator check assessment form.
- ✓Complete progress notes for ventilator weaning, capping, PMV trials, and assessments.
- ✓Record treatments and interventions in the MAR before the end of the shift.
- If a MAR task is not completed, mark NO and document the reason.
- ✓Update orders as required.
- ✓Note reasons for any incomplete tasks.
Documentation Guidelines
- Document during rounds or immediately after performing care.
- Do not delay documentation until the end of the shift.
- If you are unable to document for any reason, notify your manager during the shift.
5Supplies & Medications
- ✓Order medications when stock is low.
- ✓Notify respiratory director/manager if critical supplies are low.
- ✓Organize and restock the respiratory supply room and carts.
6End of Shift
- ✓Complete Shift Hand‑Off Report and update respiratory assignment sheet.
- ✓Conduct thorough handoff to incoming therapist, reviewing changes in patient status, orders, and pending tasks.