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CareFusion Children's Health LTV, Manual

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CareFusion Children's Health LTV Manual Download Page 21

TRACh Team 

 

21 

 

LTV VENTILATOR & SAFETY CHECKLIST 

 
 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 
 

Physician Ordered Settings 

Patient summary window read out data 

Mode 

Exhaled Tidal Volume 

Set Breath Rate  

Peak Pressure 

Tidal Volume 

PEEP 

Pressure Control 

Total Respiratory Rate (f) 

Inspiratory Time 

 

Pressure Support 

 

Sensitivity 

 

Peep 

 

Ventilator Settings 

 

Mode 

 

Set Breath Rate  

 

Tidal Volume 

 

Pressure Control 

 

Inspiratory Time 

 

Pressure Support 

 

Sensitivity 

 

Peep 

 

Alarms 

 

High Pressure Limit 

 

Low Pressure Limit 

 

Low Minute Volume  

 

Equipment Safety Check 

Patient Safety Check 

 

Spare trachs readily available 

 

Same size w/obturator 

 

Smaller size w/obturator 

 

Trach tie one finger tight 

 

Connected to Pulse Oximeter as 
ordered 

 

Ventilator set as ordered 

 

Self-inflating bag w/mask attached to 
oxygen tank 

 

 

15-liter flow regulator attached to 
oxygen tank 

 

Oxygen tank fill level 

 

 

Suction machine readily available 

 

 

Detachable battery fully charged 

 

Summary of Contents for Children's Health LTV

Page 1: ...hor TRACh Team 2017 Children s Health All rights reserved This information is not intended as a substitute for professional medical care Always follow your healthcare professional s instructions LTV VENTILATOR MANUAL ...

Page 2: ...his ventilator circuit then connects to their trach The ventilator is used to help your child with breathing The length of time your child stays on the ventilator will depend on their condition some children need support for only a few hours of the day some children need support only during the night and some children need the ventilator for 24 hours a day The LTV or and ReVel ventilator images s ...

Page 3: ..._____________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ______________...

Page 4: ...key buttons are located on your child s ventilator See below for the front panel display Airway Pressure Display Display Window Patient Effort Indicator Power Source Alarm Settings Power Button Mode Breath Selection Set Value Knob PEEP Alarm Silence Reset Control Buttons ...

Page 5: ... to know where to connect the ventilator circuit See below for circuit connections The LTV or and ReVel ventilator images s is are 2016 CareFusion Corporation Used with permission Bacterial filter Ventilator Circuit 3 clear lines color coded for attachment ...

Page 6: ...Used with permission How To Clean The Air Filters 1 Remove the filters from the ventilator 2 Wash the filters in warm water and mild soap 3 Rinse thoroughly with clean water 4 Allow to air dry 5 Replace back into the ventilator 6 If you notice your filters are beginning to break down contact your DME Company for a replacement doctor Remove clean your filters at least once every week Replace your e...

Page 7: ...the ventilator applies to the lungs during a breath your child takes on their own 6 Sensitivity this is how easy it is for your child to get a breath from the ventilator 7 Alarm Limits these are limits that protect your child from too much and or too little pressure from the ventilator 8 Mode this is ordered by your child s doctor and will be a pressure or volume mode PEEP this is a constant press...

Page 8: ...hat can be found here are total respiratory rate f tidal volume Vte and peak pressures PIP Select Button f Vte and PIP are shown here f on the monitoring screen is the total respiratory rate or the number of breaths your child is given by the ventilator in one minute Vte on the monitoring screen is the tidal volume or the amount of volume returning to the ventilator from your child s lungs PIP is ...

Page 9: ...The long tubing also has 3 clear lines attached these 3 lines monitor your child s breathing Clearing Condensation from the Circuit Water in the tubing is normal It is usually seen in the longer tubing If you notice water in the tubing it is important to empty the water You do not want the water to enter your child s trach You can empty the water by quickly disconnecting the tubing from your child...

Page 10: ...Steps for Assembling Changing the Circuit 1 Wash your hands with soap and water for 15 seconds and dry your hands with a clean towel 2 Gather your supplies 3 Open the new circuit and lay it out on a clean surface 4 Check the new circuit to make sure you have all of the circuit pieces needed 5 Remove the existing circuit from the trach and ventilator 6 Remove the heater wire from the dirty circuit ...

Page 11: ...the ventilator circuit at the Wye the end that connects to your child s trach tube with your hand i Press the select button this will begin the leak test this usually takes 20 seconds j The summary screen should read PASS k If screen reads Fail check the ventilator circuit connections and repeat the leak test l Press the control lock button 3 times this will take you back to the ventilator setting...

Page 12: ... oxygen concentrator 3 Attach oxygen tubing to the oxygen connector 4 Turn the oxygen concentrator on and change to the prescribed oxygen liter flow 5 If your child needs more oxygen you can turn up the liter flow on the concentrator 6 If your child needs more oxygen than the oxygen concentrator can provide switch the oxygen tubing to the oxygen tank and adjust the liter flow The LTV or and ReVel ...

Page 13: ...ressure alarm setting Your child s trach tube may have come out or the cuff maybe deflated which would cause an air leak There could be a hole or tear in the tubing or the circuit could be loose or come off Check your child s trach to make sure it is properly in place Check the cuff to make sure the balloon is properly inflated to the correct volume Check the circuit for a hole or tear and make su...

Page 14: ...iving breaths to your child with a self inflating bag and call 911 REMOVE PTNT The ventilator is powered up in the Ventilator Checkout or Ventilator Maintenance mode This happens when you are turning the ventilator on to complete a Leak Test The ventilator is not delivering gas Make sure your child is taken off the ventilator Complete the Leak Test before placing your child back on the ventilator ...

Page 15: ...your child does not have a backup ventilator begin giving breaths to your child with a self inflating bag and call 911 DEFAULTS The ventilator detects invalid settings during the power on self test Switch your child to the backup travel ventilator and contact your DME Company If your child does not have a backup ventilator begin giving breaths to your child with a self inflating bag and call 911 D...

Page 16: ... time the ventilator will operate on internal power up to 60 minutes depends on settings charge level and condition of the battery If the battery dead it takes up to 8 hours to re charge Detachable Battery Sprint Pack External battery The LTV can work from a 12V DC Free Standing car battery using the external battery cable connector or using a DC car adaptor The External Battery Packs can only be ...

Page 17: ...ery Level indicator is off The length of time the ventilator will work on internal power up to 60 minutes depends on settings charge level and condition of the battery See below LED Color Charge Status Green The external battery charge level is acceptable Amber The external battery charge level is low LED Color Charge Status Flashing Amber The ventilator is going through a pre charge test of the b...

Page 18: ...supplies equipment Same size trach and obturator Smaller size trach and obturator Suction catheters Self inflating bag WITH face mask Normal saline Extra trach ties Lubricating jelly Scissors Syringe if your child has a cuffed trach HME S Phone list of emergency contacts and physicians Ventilator Feeding Pump Portable Suction Machine Pulse Oximeter Machine Oxygen Tank Nebulizer if necessary Be sur...

Page 19: ...al filter that connects to the ventilator 6 Remove the angled end of the long tubing from the water chamber and connect to the bacterial filter 7 Briefly check your child for chest rise to make sure the ventilator is functioning correctly The LTV or and ReVel ventilator images s is are 2016 CareFusion Corporation Used with permission Be sure to attach a HME in line with the ventilator circuit for ...

Page 20: ...lectrical outlet or use a power strip provided by your DME Company Never try to fix the ventilator Contact your DME Company to schedule any repairs needed for your child s ventilator Take extra care to see that younger children do not play with the ventilator screen and accidentally change your child s ventilator settings Always have a working phone with you in case an emergency should happen Oxyg...

Page 21: ...Pressure Control Inspiratory Time Pressure Support Sensitivity Peep Alarms High Pressure Limit Low Pressure Limit Low Minute Volume Equipment Safety Check Patient Safety Check Spare trachs readily available Same size w obturator Smaller size w obturator Trach tie one finger tight Connected to Pulse Oximeter as ordered Ventilator set as ordered Self inflating bag w mask attached to oxygen tank 15 l...

Page 22: ...ild detergent NA Ventilator Daily damp cloth with hot water and mild detergent NA Ventilator Circuit NA Per DME Green Circuit Adapter Trilogy vents only NA Each circuit change Heater Chamber reusable vs disposable Each circuit change hot water and mild detergent Each circuit change clean or change Heater Wires Each circuit change damp cloth with hot water and mild detergent NA Bacterial Filter NA ...

Page 23: ... Limb a piece of the ventilator circuit which takes air from the ventilator to your child Mucus Plug a collection of mucus in the trach making it difficult for your child to breathe Normal saline sterile salt water Oxygen a gas we breathe in Self inflating bag a breathing bag that fills with air and does not need any oxygen to fill also known as an Ambu Bag Trachea the windpipe or airway that conn...

Page 24: ...1 3 Bryant K Davis C Lagrone C 1997 June Streamlining Discharge Planning for the Child With a New Tracheostomy Journal of Pediatric Nursing 12 3 191 192 4 Home mechanical ventilation resource center 2011 March 18 Home ventilation 101 Retrieved October 4 2011 from http www accpstorage org newOrganization networks HomeCare HVRCHomeVentilation101 pdf 5 Pulmonetic Systems 2005 LTV series ventilator op...

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