New Grad Radio: Intensive Care & Emergency Nurse
Season 1: Follow the Journey of a Graduate Nurse, starting in the Intensive Care Unit (ICU).
Season 2: Find out what it's really like to work in the Emergency Department (ED).
Season 3: Foundations of Intensive Care Nursing for those 'up-skilling' to enter intensive care during the COVID pandemic.
A Snapshot of Recent Episodes
Physiotherapists in ICU with Samantha Hagan
Physiotherapists play such an essential role in the care of the patient within the Intensive Care Unit.
On today's episode, I speak with Samantha Hagan. Sam was one of the first physio's I worked with as I started as a new grad nurse within ICU. Over those first few months I learnt an incredible amount from Sam. From the specific recruitment manoeuvres; to detailed chest auscultation; Chest X-Ray interpretation; and overall, the role of the physio within ICU.
Sam does a great job in outlining the role of the physiotherapist within ICU; details the rationale of specific manoeuvres including Manual Hyperinflation, and Vibes; details the equipment used; and outlines strategies for how Nurses and Physio's can best work together.
Troubleshooting the Ventilator + Alarms
Now that we've gone over the Modes & Settings, let's start talking about some of the most common alarms, what they mean, and what we could do about them as registered nurses.
There is one alarm in particular, Peak Pressure (High Airway Pressures), that has the potential to lead to an airway emergency. I outline a systematic approach to assess the situation; how to escalate, and how to overcome.
The key messages are:
- If you're ever unsure: Ask
- If the ventilator continues to peak pressuring, the patient is not ventilating during that time
- If in doubt, call for back up, and hand bag the patient using the Bag Valve Mask attached to Oxygen 15L/min.
Mechanical Ventilation - Modes (Pressure Support Ventilation)
Now you might notice, due to turning down the level of sedation, the patient may start to take a few more spontaneous breaths on their own.
This is where Pressure Support Ventilation (PSV), another type of mode, comes into it.
In today's episode, I detail the setting of Pressure Support; and mention at what stage we may switch the patient from a 'Rate' (ie SIMV) to PSV; and highlight a few key things for nurses to keep an eye on when doing so.
- Host: New Grad Radio
- Episodes: 150
- Audience: Nurse
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