Questions related to bundle components of UPE audits
Laminated card on ventilator showing history of ETT position and retaping.
What is the airway card?
RN/RT, RN/RN, RN/other (OT, Tech, PT, MD)
What are options for 2 provider cares with the RN dedicated to the ETT?
Within 1 hour of the UPE event.
When should a group debrief occur?
Tool hung in the room of all intubated patients with guidelines for bedside imaging and procedures.
What is the Job Aid?
A High Risk Situation where the RN is dedicated to the ETT.
What is:
Slight position change (tilt or shift)
Abdominal/ line placement x-rays
Other imaging –ECHO, Ultrasound
PICC line placement
EEG placement and removal
Eye exams
The Fellow (leader), Bedside RN, and RT are required but can also include any others involved in the UPE.
Who should attend the debrief?
Repositioning, chest xrays, skin-to-skin holding, ETT re-taping, eye exams.
What are High Risk Situations requiring 2 providers at the bedside?
A very High Risk Situation where the RT is dedicated to the ETT.
What is:
Intubation
ET tube re-taping, changing securement device, or exchange
Arrival of a new intubated patient
Chest x-ray (routine & STAT)
Any travel off unit
Transfer out of crib/ isolate
Kangaroo Care
Bag and suction
Code white
Oscillator use
Full position change
Linen changes
Any bedside surgery
Ideally the RT since the RT will be the one inputting the incident report.
Who fills out the debrief form?