Ministry of Health

King Saud Medical City

Nursing Affairs
NURSING STAFF DEVELOPMENT DEPARTMENT
Competency Check-off
CARE OF VENTILATED PATIENT
(INVASIVE/NON-INVASIVE)
Name: Job Number : Job Title: Rating:

Hospital/Unit: Contract Date:

M NM
Evaluation key: Tick (√) the corresponding space provided. Method of Evaluation:
M – Met NM - Not Met NA – Not Applicable Knowledge : Exam (Written/ Verbal) Skills :Demonstration/Discussion Attitude : Observation
Rating Scale:
M (Met) -90-100% NM (Not Met) - 89% & below and remedial plan is designed ONCE. NA (Not Applicable)- entries to be deducted from Total Score
Remedial: Yes : No :
Critical Steps: Patient safety & Nursing standards are the basis in selection of critical elements. Every critical Step in the competency will be highlighted with an Asterisk. Should
any of these will not be met staff is considered incompetent and remedial shall be done.

VALIDATION REVALIDATION
EVALUATOR ASSESSMENT
COMPETENCIES M NM
NA
(1) (0)
NO. KNOWLEDGE
1. Recognizes indications for invasive and non-invasive ventilation.*
2. Describes common ventilator modes with corresponding settings and their implication.*
3. Identifies types of ventilator alarms and troubleshooting interventions.
4. Discusses complications of mechanical ventilation and its preventive mesaures.*
SKILLS
5. Identifies patient correctly.
6. Assesses patient clinical status.
7. Gathers necessary materials and equipment.
8. Performs hand hygiene and wears appropriate personal protective equipment.
9. FOR NON-INVASIVE – Ensures appropriate mask size for patient on NIPPV
10. Assesses patient’s tolerance of the mask.
11. FOR INVASIVE - Checks ventilator settings on the ventilator
Applies preventive measures to eliminate ventilator associated complications(i.e.VAP, pressure
12.
Injury, MV dependence…etc).*
13. Checks placement and stabilization of the artificial airway( advanced & adjunct).*
14. Confirms level of tube at teeth level and tube cuff inflation.
Assesses frequently for change in respiratory status by evaluating ABGs result, oxygen saturation,
15.
respiratory rate, use of accessory muscles, breathing sounds and vital signs. *
Assesses the need of sedation/muscle relaxant based on GCS, pain, anxiety level , alarms, fighting
16.
with ventilator…etc.
17. Obtains accurate daily weight and precise intake and output.
Monitors hemodynamic status, cardiovascular function, nutritional status, GI function and reports
18.
any abnormalities and correlates with respiratory status.
Provides oral care every 4 hours and PRN and assesses for development for pressure areas from
19.
artificial airways( advanced and adjunct).
20. Implements elements of VAP bundle and fills up the VAP bundle checklist accordingly.*
21. Performs daily assessment of readiness to wean from ventilator.
Suctioning
22. Assesses clinical signs for suctioning and airway patency at least every two hours and PRN.

NSDD- Unit Specific Competency_ CARE OF VENTILATED PATIENT -Adult Page 1 of 2

 23. Performs suctioning only when needed based on assessment.*
24. Positions patient accordingly.
25. Pre-oxygenates patient 100% before suctioning unless contraindicated.*
26. Unlocks suction catheter.
27. Advances catheter into endotracheal tube to about 10-15 cms / until patient coughs.
28. Applies suction only during withdrawal and not longer than 10 seconds.*
Rinses and flushes catheter and tubing with sterile saline solution and repeats suctioning until air
29.
passage is clear.
30. Reassesses patient and records vital signs.
31. Repeats procedure if needed and after stabilization your patient.
32. Documents accurately.
ATTITUDE
33. Maintains privacy at all times.
34. Provides psychological support and communicates to patient even without response.
35. Exhibits appropriate level of concern to the patient.
Raw Score

Formula: Raw Score / Total Score X 100% =__ % (Rating)

Rating : ________% M NM

Remarks:

NEEDS REMEDIAL: YES NO

REMEDIAL DATE: __________________________

Evaluator’s Comments/Recommendations:
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
______________________________________________________________________________________________________________

Evaluated by: ____________________________________ Job Title __________________ Date __________________

Evaluator’s Name / Signature / Job Number

Staff Nurse’s Comments:

_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________

Conformed by: _________________________________________ Date ____________________

Staff Name / Signature

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