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Nurses Role in Advanced Airway Management
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NURSES ROLE IN ADVANCED AIRWAY MANAGEMENT
"Blues Brothers - We Go Blue, So Patients Don't Have Too!"
Regan Sullivan - James O'Keefe - Jackson Chetwynd-Jones
Southern Cross University Hospital (SCUH)
In-Service - Airway Management
Today we will be presenting to you all the nurses’ role in advanced airway management with a furthered presentation on preparing a nurse to be confident and assertive in providing advanced airway management within a resuscitation team.
History of Airway Management
Armand Trousseau & Friedrich Trendelenburg
Anatomy & Physiology of the Airway
The four main functions of the lungs are noted to be:
- Ventilation
- Diffusion
- Perfusion
- And distribution
The basic chain for oxygen transport includes:
1. Ventilation
2. Pulmonary Gas Exchange
3. Oxygen transport on HB in RBC
4. Local tissue perfusion
5. Diffusion into tissues
6. Tissue utilisation
7. Lastly, cellular function
Anatomy
Anatomy
The Nurses Role in Advanced Airway Management
- The key to the management of an airway is through a thorough assessment, to firstly ensure whether the airway is patent or not.
- The traits that an airway nurse should carry are confidence, assertion and leadership qualities, as this potentially could ensure positive outcome.
https://www.youtube.com/watch?v=VndU2zap_Rg
- Our clinical leadership plan is to educate new nurses in an acute area regarding confidence and assertion in airway management to ensure a positive outcome. The new age nurse must hold characteristics of a transformational leader in which to motivate people to be intrinsically confident within themselves.
- Airway adjuncts used; oral or nasopharyngeal airway, endotracheal (ET) or tracheostomy tube. Artificial airways can be used for both short and long term airway management.
- Suction is a KEY strategy to allow for minimal complications, whilst the team is trying to maintain an airway.
- The role of the airway nurse during a resuscitation is to provide a clear path for the Doctor to get an accessible airway available for the patient.
ANZCOR & Capnography
- ANZCOR is now a national standard of resuscitation, and all hospitals and health provider’s resuscitation guidelines have the foundation created by ANZCOR.
- Capnography provides objective, breath-to-breath feedback on ventilation through the duration of patient contact, and changes immediately if the airway is displaced or a problem with ventilation develops.
ANZCOR & Capnography
Station 1 - ASSERTION TRAINING
Assertion Training
1. Do not be passive
2. Do not be aggressive
3. BE ASSERTIVE
- Head up, shoulders back, chest out, legs apart, use your knowledge as a nurse!
Quick Scenario – I am a junior doctor within the workplace.
“I can't be bothered signing this medication, just give it to the patient anyway”
Respond being assertive, knowing your scope of practice, knowing that YOU are a strong nurse!
Station 2 - What To Do?
Advanced Airway Management
- Insertion and progression of basic to advanced airway tools.
Station 2 - What To Do?
Station 3 - Scenario Time
Station 3 - Scenario Time
Clinical Scenario
1. Basic Airway Management
2. Advanced Airway Management
3. Gain an Airway
Patient collapses - MET call has begun.
1420
1424
1422
NOW
You are on the Airway Management Team - WHAT ARE WE GOING TO DO?
Patient (JULIE) is having an adverse reaction to a drug. She falls into respiratory failure.
Questionaire
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