Page 43 - Norco Patient Orientation Handbook e-book
P. 43
If dirty, clean exterior of feeding pump with a damp soapy cloth.
Store feeding supplement at room temperature. Refrigerate any opened unused liquid nutrition that is not in
use.
If alarm-troubleshooting guide reads, “contact service representative”, contact Norco immediately.
Functional check schedule: Performed every six (6) months.
Preventive Maintenance Schedule: Performed annually.
HIGH FLOW HEATED HUMIDIFIED OXYGEN DELIVERY
Education
Discuss the purpose of High Flow Heated Oxygen delivery: 1) To warm and humidify high flow oxygen
delivery systems >8lpm. 2) To treat hypoxemia (decreased Pa02/Sa02). 3) To prevent severe nasal
congestion/dryness associated with high flow oxygen delivery. 4) To treat hypothermia.
Discuss contraindications of High Flow Heated Oxygen delivery: 1) Patients with occluded nostrils or
severe septal defects should consult a physician before use. 2) Any situation in which high humidity is
contraindicated (see AARC Clinical Practice Guidelines).
Demonstration
Discuss the functions of the heated wire circuit humidifier: 1) Power button. 2) Alarm silence button. 3)
Temperature setting. 4) Temperature window. 5) Alarm symbols
Attach heated wire circuit humidifier to an IV stand.
Demonstrate circuit assembly: 1) Attach heated wire circuit humidifier to humidifier chamber with
appropriate temperature and heated wire cables. 2) Attach humidifier chamber spike set to the 1000ml
sterile water port. 3) Insert oxygen tubing into the gas inlet port on the heated humidifier chamber at flows
>8lpm. 4) Depress the power button and adjust the temperature to 32-37 degrees Fahrenheit to begin the
therapy.
Discuss temperature adjustment: Temperature is adjusted by turning dial on the face of the humidifier. The
set temperature will be displayed in the monitoring window. *If using the Fisher Paykel MR850, the
temperature will automatically increase to a preset level.
Explain that the actual circuit temperature will be displayed in the monitoring window.
Discuss acquisition of supplies and follow up.
Cleaning/Maintenance/Troubleshooting
Change the heated wire circuit, humidifier chamber and high flow cannula once a week.
The patient must be disconnected to a standard oxygen system at the prescribed flow during the circuit
change.
Clean the heated wire circuit humidifier with a soapy wash cloth to clear dust or debris.
Discuss alarm troubleshooting. See manual on heated wire humidifier for specific alarm conditions.
Functional check schedule: Performed annually.
Preventive Maintenance Schedule: None
HOSPITAL BEDS
Education
Discuss the appropriate use of full electric, semi-electric and manual beds (e.g., when should a full, semi-
electric or manual bed be used and why).
Demonstration
Discuss weight restrictions for standard bed (400 lbs), and heavy-duty Bariatric beds (600 lbs).
