Hill-Rom MetaNeb System, User Manual

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18 The MetaNeb® System User Manual (174432 REV 7)
The MetaNeb® System In-Line with Ventilator Protocol
THE METANEB® SYSTEM IN-LINE WITH VENTILATOR PROTOCOL
WARNING:
Only persons trained to use the The MetaNeb® System and ventilators
should perform therapy on ventilated patients.
Frequency
In-line use of The MetaNeb® System with a ventilator ranges in frequency
from four (4) to eight (8) times daily as determined by the patient's
response to the therapy.
There is no need for CPEP, as this therapy can be accomplished with the
ventilator.
Procedure
1. Make sure the unit operates correctly. Refer to “Pre-Use Check” on
page 14.
2. Follow your institutional guidelines for infection control.
3. Introduce yourself, and explain the procedure to the patient.
4. Make a note of the current ventilator alarm and mode settings.
5. The patient should be in a position to maintain the head of the bed
angle at > 30 degrees if possible.
6. Assess the patient per institutional guidelines.
7. Prepare the handset for in-line use as follows:
a. Remove the selector
ring from the patient
end of the handset.
b. Install the black
occlusion ring to make
sure the exhalation
orifice is blocked.
c. Use the adapter
(15 mm x 22 mm) to
connect the handset
to the spring-valve tee
adapter.
8. Fill the nebulizer with the
prescribed medications as applicable. Refer to “Add Medication to the
Nebulizer” on page 13.
9. Connect The MetaNeb® System to an approved 50 psi oxygen source.