Airway Rounds
What is the airway card and what does it tell you?
Card on ventilator showing ETT size, position, and re-taping history.
What are some reasons to re-secure an ETT?
Securement device adhesive is lifting or has been soiled with emesis.
Who should attend a group debrief?
The fellow (leader), bedside RN and RT are required but can also include others involved in the UPE.
Case #3
Growing preemie
What is the Job Aid and what does it tell you?
Tool hung in the room of all intubated patients with positioning guidelines for bedside imaging and procedures.
What is optimal positioning for chest x-rays?
Tube is secure, marking at lip is confirmed and chin is neutral.
When should a group debrief occur?
Within 1 hour of the UPE event.
Case #1
Older, chronic patient
When do airway rounds occur?
Every Monday and Thursday at 12pm
What is the external anatomical landmark to visualize tube placement? (ie: tube is secured at 9cm at the __)
Outer lip
Who fills out the debrief form?
Ideally the RT since the RT will be the one inputting the incident report.
Case #2
Baby coming back from OR
What are some things discussed in airways rounds?
Tube securement, frequency of re-taping/repositioning, RN/RT concerns
What are the 3 elements of our UPE Prevention Bundle?
1. The airway is secure and at the correct position
2. The airway card is displayed and accurate
3. 2-person cares during high risk situations
Where is the debrief form located?
It is digital! QR code on Ed Office door. But can be also be completed using paper form in blue storage room.
Case #4
ELBW patient on HFJV