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Respiratory Therapy Department Unit Manual

The Unit Practice Manual policies can be viewed or printed using Adobe Acrobat.

Please Note: These policies, procedures and protocols are provided for informational purposes only for the staff of John Dempsey Hospital.  The owner and authors assume no liability whatsoever in connection with the use of the information contained within.

The Lippincott Manual of Nursing Practice should be used for nursing procedures not found in the Nursing Practice or Unit Practice Manual’s. Procedures in the Nursing Practice Manual or Unit Practice Manuals supersede the Lippincott reference.


Mission Statement

Scope of Services

Policy: Adverse and/or Unexpected Reactions to Respiratory Therapy
Procedure: Aeroneb Solo System
Policy: Aerosolization of Pentamidine
Procedure: APRV Ventilation on the 840 Ventilator
Procedure: Arterial Blood Gas Specimen Collection Quick Reference
Policy: Attendance - Sick Leave Professional
Policy: BiPAP Ventilatory Support System
Policy: Call Coverage for Neonatal Transport
Policy: Call Out Procedures
Policy: Charting of Respiratory Therapy
Policy: Chest Physical Therapy
Protocol: Conversion from Small Volume Nebulizer to Metered Dose Inhaler
Procedure: CPAP and BiPAP Units: For Use During Hospital Stay (Nursing Practice Manual)
Policy: Documentation of Problems Encountered when Attempting to Initiate an Order for Respiratory Therapy on Inpatients
Policy: Drawing of Arterial Blood Gas Samples
Procedure: Emerson Automatic Cough Assist Device
Policy: Equipment:  Inoperable, Malfunctioning, or Questionable Equipment
Policy: Heat and Moisture Exchanger (HME)
Policy: Heated Humidifier and Disposable Heated Wire Adult Ventilator Circuit
Policy: Heliox Therapy via Non-rebreather Mask (ED and ICU only)
Policy: Hyperinflation Therapy Protocol
Protocol: Hyperinflation Therapy with EzPap or Acapella Devices
Procedure: Image 3 Full Face Mask Using NPPV
Policy: Inflation and Deflation of Cuffed Tracheostomy Tube
Policy: Managing Acute Respiratory Insufficiency/Failure
Policy: Mandatory Overtime
Policy: Mechanical Ventilation
Protocol: Mechanical Ventilator Discontinuation
Policy: Metered Dose Inhaler (MDI)
Policy: Metered Dose Inhaler (MDI) Usage for Mechanically Ventilated Patients
Policy: Nasotracheal Suctioning
Policy: Ordered Therapy Not Given When Ordered/Scheduled Due to Extenuating Circumstances
Policy: Oxygen Analysis
Policy: Oxygen Therapy Protocol
Policy: Oxygen Therapy
Policy: Oxygen Via Nasal Cannula
Policy: Oxygen Via Partial Rebreathing Mask
Policy: Oxygen Via Simple O2 Mask
Policy: Per Diem Pool
Policy: Percussion
Policy: Pentamidine - Reconstitution of
Procedure: Recruitment Maneuvers
Policy: Role of Respiratory Supervisor
Policy: Role of Float Assignment Therapist
Policy: Role of ICU Assignment Therapist
Policy: Role of the Medical Director
Policy: Role of the NICU Assignment Therapist
Policy: Role of the Respiratory Therapist
Policy: Role of Special Payroll, Agency, and Travelers
Policy: Shift Reports
Policy: Small Volume Nebulizer (SVN) Aerosol Treatments
Policy: Sputum Induction Involving Respiratory Isolation Patients
Policy: Sterilization of Respiratory Therapy Equipment
Policy: Suctioning of Tracheostomy or Endotracheal Tube
Policy: Ventilator Check - Patient Ventilator System Check 
Policy: Venturi Masks/Air Entrainment Masks

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