Physiotherapy Red Medical Device Competency

Can you select the contraindications to the use of positive pressure?
Undrained pneumothorax
Flail rib segment
Inhaled foreign body
Mainstem bronchus tumour
Active pulmonary haemorrhage
Pulmonary embolus
Pleural effusion
Can you select the scenarios where you would be cautious about the use of a positive pressure device?
Rib fractures
Cardiovascular instability
PEEP dependence
High oxygen requirement
Emphysematous bullae
Labile ICP
Tracheoeophageal fistula
Severe bronchospasm
How much oxygen can be delivered through IPPB?
40%
100%
How much oxygen can be delivered through the Nippy Clearway?
100%
40%
Select all statements that are true:
The manufacturer's instruction manuals are available on the OOH physiotherapy training folder
The device and their disposables are available in the respiratory store cupboard
Nippy clearway circuits should be changed monthly
IPPB circuits should be changed weekly
All patient interfaces and filters should be changed weekly
Patient interfaces should be cleaned after each use
Devices should never be left with the patient
Devices should be cleaned before returning respiratory store cupboard
Devices do not need signed out
What should be checked prior to using each device?
The device servicing is in date
The serial number of the device
That the device is in good working order
Nothing, it should all be in working order if in the storeroom
Which of the following are contraindications to nasopharyngeal suction?
Basal skull fracture
Choanal atresia
Cleft lip and palate
Select the situations in which suction may be indicated:
To ensure patency of an artificial airway
Audible/visible secretions
Decreased cough effort
Decreased oxygen saturations
Decrease in tidal volumes
At parental request
Select scenarios when suction would carry a higher risk for the patient
Immediately after a feed
Low platelets
Low ETT
Labile ICP
Laryngospasm
Stridor
High PEEP
High O2 requirement
Tracheo-oesophageal fistula
The patient is upset
Suction pressure range from neonates up to adolescents goes from 8kPa to 26.5kPa (60-200mmHg)
True
False
Minimum depth for NP suction is measured:
From tip of the nose to to angle of the mandible
Until you hit resistance
Minimum depth for OP suction is measured:
From central incisors to the angle of the mandible
To visible depth
Minimum suction depth for an artificial airway is measured by:
Using the tracheostomy proforma
Using a spare tracheostomy and passing 1cm beyond end
Measure length of ETT (internal + external depth) plus 1cm
Passing the catheter as far as it goes
Choose the correct statements about selection of suction catheter size
Double the size of an artificial airway
The smallest size that is effective
The size that does not fully occlude the airway
The suction catheter size that is available in the bedside
Select the correct statement about saline instillation volumes
Neonates = 0.1-0.2mls
Infant = 0.5mls
Child = 0.5-1mls
Teenager = 1-2mls
2mls of saline for all ages
Name:
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