Get the free K ' ?!lzJ/6 - The University of Toledo - utoledo

Name of Policy: Policy Number: Department: Approving Officer: Patient Response to Therapy THE UNIVERSE'TY OF 3364-136-03 -07 Respiratory Care and Neurodiagnostic Services Associate Vice President,

All hospital patients receiving free standard care, who require intensive care, are to be considered in the medical facility and will be seen in accordance with established protocols. (1) Each request for urgent or emergent respiration assistance is to be considered on its own merits; however, emergency respiration assistance will generally be provided only when medically indicated. (2) Emergency respiration assistance should be considered only for patients who have a probable diagnosis, have failed to seek appropriate professional treatment, fail to follow resuscitation guidelines or who do not respond quickly enough to standard resuscitation efforts. (3) All patients who require resuscitation support should receive urgent or emergent respiratory care at the discretion of the medical staff. Complications, such as severe brain damage, asphyxiation or acute lung injury, can result from inadequately recognized diseases or treatments. If a patient fails to respond to the standard of care, the respiration room should be immediately considered when the hospital should not perform cardiopulmonary resuscitation or invasive airway management; if the patient is a candidate for invasive airway management, only if medically indicated. (12) When an urgent or emergent oxygen demand is exceeded, immediate oxygen must be provided. This may necessitate that additional oxygen be administered. However, the decision to administer supplemental oxygen is made solely upon the patient's condition. (4) The use of a noninvasive form of resuscitation, such as a mechanical ventilator as an adjunct to resuscitation support on life support, in lieu of a ventilator should not be considered a standard of care for a patient with a probable diagnosis, failed to seek appropriate service, failing to follow treatment protocol, failing to respond to prompt medical intervention, or who does not respond to the prompt application of resuscitation efforts. (11) In the absence of contraindications, the chest compressions required (1 LPM at 2 LPM) can be provided via a manual CPR device equipped with a continuous flow of air or by ventilators when the patient cannot be adequately supported via a ventilator.

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