Home Ventilation Training Outline

Section One

· Preliminary meeting with family

· Introduction and Initiation to Home Ventilation

· Family / Support Group Questionnaire

· Initial contact information

Section Two

· Equipment list review

· Home Assessment

· Ventilator Patient Information sheet

· Advance Directives

Section Three

· Review of Respiratory system

· Proper hand-washing technique

· How to take vital signs

Baseline HR: _____________

Baseline RR: ____________

Baseline BP: _____________

· What is a tracheostomy?

· Cuff inflation and deflation

· Care of the tracheostomy site / changing trach tube ties

Section Four

· How to operate a suction machine (stationary and portable)

· How to suction a tracheostomy tube

· How to prepare normal saline / sterile water

· Signs of pulmonary infection

Section Five

· Maintaining and operating a mechanical ventilator

· Ventilator monitoring

· Cleaning and disinfection of equipment and supplies

· Changing the patient ventilator circuit

· Maintaining and operating a heated humidifier

· Using a manual resuscitation bag

· CPR Review

· Community resources / contact information

Section Six

· Transport patient to home.

· Inservice in home.

· Repeat materials covered on days 3, 4 & 5

· Post Emergency Numbers and Forms

· Therapist available in home or close by on a 24 hour basis.

Section Seven

· Re-inservice

· Review materials covered on days 3, 4 & 5

· Question and answer sessions

· Observe family/caregivers performing procedures.

Section Eight

· Review and Reassure

· Test knowledge and response through deliberate sabotage of equipment in a controlled situation.