Harbor Health Care Work Values

Daily Duties at Harbor Health Care:

Trachs, and ventilator dependent individual, all nursing duties. duties where to understand vents.Identify the indications for mechanical ventilation.Specialists from many disciplines work together to help patients and their families through each phase of their therapy and recovery. 2. List the steps in preparing a patient for intubation. 3. Determine the FIO2, tidal volume, rate and mode of ventilation on a given ventilator. 4. Describe the various modes of ventilation and their implications. 5. Describe at least two complications associated with patient’s response to mechanical ventilation and their signs and symptoms. 6. Describe the causes and nursing measures taken when trouble-shooting ventilator alarms. 7. Describe preventative measures aimed at preventing selected other complications related to endotracheal intubation. 8. Give rationale for selected nursing interventions in the plan of care for the ventilated patient. 9. Complete the care of the ventilated patient checklist. 10. Complete the suctioning checklist. To review indications for and basic modes of mechanical ventilation, possible complications that can occur, and nursing observations and procedures to detect and/or prevent such complications. To provide a systematic nursing assessment procedure to ensure early detection of complications associated with mechanical ventilation. must be able to trouble shoot ventilator malfunctionsA. Alarms turned off or nonfunctional – may lead to apnea and respiratory arrest Troubleshooting Ventilator Alarms Low exhaled volume: Cuff leak, Tubing disconnect, Patient disconnected Evaluate cuff; reinflate prn; if ruptured, tube will need to be replaced. Evaluate connections; tighten or replace as needed; check ETT placement, Reconnect to ventilator High pressure: Secretions in airway, Patient biting tubing, Tube kinked, Cuff herniation, Increased airway resistance/decreased lung compliance (caused by bronchospasm, right mainstem bronchus intubation, pneumothorax, pneumonia), Patient coughing and/or fighting the ventilator; anxiety; fear; pain. Suction patient, Insert bite block, Reposition patient’s head/neck; check all tubing lengths, Deflate and reinflate cuff, Auscultate breath sounds, Evaluate compliance and tube position; stabilize tube, Explain all procedures to patient in calm, reassuring manner, Sedate/medicate as necessar Low oxygen pressure: Oxygen malfunctionOther common potential problems related to mechanical ventilation: Aspiration, GI bleeding, Inappropriate ventilation (respiratory acidosis or alkalosis, Thick secretions, Patient discomfort due to pulling or jarring of ETT or tracheostomy, High PaO2, Low PaO2, Anxiety and fear, Dysrhythmias or vagal reactions during or after suctioning, Incorrect PEEP setting, Inability to tolerate ventilator mode.therapeutic and diagnostic use of medical gases and administration apparatus, environmental control systems, and humidifiers and aerosols; administration of drugs and medications to the cardiopulmonary system; invasive and non-invasive ventilator support and the management of life support systems bronchopulmonary drainage by percussion, vibration and positioning; rehabilitation and exercises

What they like about Harbor Health Care:

You give high priority to hiring firms with prestige. Market reputation and prestige of a firm may be determined through on-line research, and conversations with individuals working in your target industry. Note that firms "in the public eye" receive a great deal more critical publicity and attention than those operating with more anonymity. So as you assess your employment opportunities, be sure to seek out the positive aspects of the firm's reputation in addition to noting negative publicity the company may have received.

Tags

REGISTERED NURSE, HEALTHCARE, EDUCATOR, MEDICAL, RN, Medical Educator, BSN, Clinical Instructor, Patient Care, Rehabilitation

Skills

P&L responsibilities, Presentation, Ecommerce Strategy and digital marketing channels optimization - SEO, SEM, email, affiliates - for high-profile accounts., Technology Solutions, Sales Support, Software Implementation, Requirements Analysis & Specification, Leadership , Patient Care, Rehabilitation

These are some of the questions we asked our climbers about their experiences with Harbor Health Care: