Advanced Assessment Topics

Advanced Assesment(NICU/PICU)

• Complete a full floor assessment in addition to the following:
• Chest x-ray results: How expanded are the lungs? Where is the tip of you ETT? Are there infiltrates, atelectasis, fluid, blebs, mucus plugs, etc.
• ABG results
• Capnography- Capnometry (PICU): Is it close to blood gases? How far off is it from the PCO2? Is it being used just for trending?
• Perfusion/patient color
• Oxygen and specialty gas requirements
• Ventilator status
• Is this patient's first intubation? If not, why was patient intubated before?
• Ventilator days (is it day 1 or day 31)
• Type of airway: size, depth, cuffed vs. non-cuffed, leak around airway?
• Mode
• Oxygen/specialty gas
• Sedation
• Is patient on vasopressors? If so how much?
• Has patient failed extubation? If so why and how many times?
• If patient is on pressure trigger why?
• If patient has tubing compliance off why?