Repositioning the patient

Repositioning the patient


See video on rtsupport.org http://www.rtsupport.org/vidroute/skintoskin


  1. Ensures airway is secure at documented location
    1. Visually verify airway placement
    2. Evaluate airway securement (does it need to be replaced?, snug to face, not coming off the skin)
  2. Drain condensation from tubing
    1. Visually check any low spots in tubing for condensation
    2. Drain condensation away from patient
    3. If unable to drain, quickly disconnect to empty onto a clean paper towel.
  3. Sx patient’s mouth and nose--Reasoning--Prevents any upper airway secretions from being aspirated or draining during turning
  4. Removes vent circuit from securement device (Vent arm, angel frame). Holds circuit secure while unlocking the wheel brakes.
  5. Moves equipment into proper position---If moving out of bed, adjust equipment position as close to final destination as possible without placing tension on the airway
  6. Maintains secure grip on the Airway and head of the patient
  7. Focus only on patients airway,vitals and waveforms
    1. What are you looking for? Changes in waveforms (new onset leak, persistent high pressure, drop in flow, Ti fill rate, tension on airway, integrity of airway securement?)
  8. Repositions patient with breaks if needed clinically
  9. After reposition, Re-evaluates patients status