Policy Manual sample

MDT Home Health Care Agency, Inc. 74 MANUAL RESUSCITATION BAG PURPOSE: A manual resuscitation bag provides a means of ventilating a patient off the ventilator. This may be performed: • In an emergency situation • To hyperinflate and oxygenate the lungs before, during and after suctioning of the patient's respiratory tract • To help loosen secretions in conjunction with lavage RESPONSIBLE PERSONNEL: RN, LPN EQUIPMENT: • Manual resuscitation bag with oxygen source (if ordered) • Connector or mask • Gloves, if contact with secretions is anticipated, if suctioning or lavage is being performed PROCEDURE: 1. Make sure all equipment is within reach. 2. Turn on oxygen flowmeter at a rate of 6 to 8 liters per minute, or as ordered by physician. Oxygen tubing from flowmeter must be attached to the oxygen inlet on bag. 3. Disconnect the ventilator adapter of ventilator from patient's tracheostomy tube. 4. Attach patient connector part of manual resuscitation bag to tracheostomy tube. If a mask is being used, place mask and check for seal. 5. Begin to ventilate by squeezing the bag firmly at the respiratory rate determined by the patient's physician. Increase or decrease the respiratory rate according to patient's level of dyspnea and physical appearance. 6. Continue ventilating with bag until use of ventilator can be reinstated or procedure is completed. 7. The manual resuscitation bag may be used before, during and after suctioning. 8. When the procedure is complete, disconnect the bag from the tracheostomy tube and reconnect the ventilator adapter of the ventilator or oxygen source. 9. Turn off oxygen flowmeter to bag. 10. Clean and store manual resuscitation bag in readily accessible place within arm's reach of patient's bed. DOCUMENTATION: Document the procedure on the patient's Clinical Visit Note. If further action is indicated, document follow-up/notification of Clinical Manager and/or physician.