Training activity information
Details
Apply high frequency oscillation ventilation to include:
- Set up
- Preparation
- Connection to the patient
Type
Developmental training activity (DTA)
Evidence requirements
Evidence the activity has been undertaken by the trainee.
Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.
An action plan to implement learning and/or to address skills or knowledge gaps identified.
Considerations
- Equipment is fit for purpose
- Infection control
- Contraindications
- Risk management
- Continuous monitoring
- Patient centred care and support
- Communication with patients, relatives and the clinical team
- Top up education for bedside healthcare professionals
Reflective practice guidance
The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.
Before action
- Specifically, what are the intended outcomes regarding the set up, preparation, and connection of HFOV to a patient?
- What is your understanding of the principles of HFOV, its clinical indications (which may differ from conventional ventilation), and potential risks?
- Are you knowledgeable about the specific HFOV ventilator available in your department, including its settings and operational procedures?
- What are the key safety checks and considerations when initiating HFOV?
- What specific aspects of HFOV application do you hope to gain a better understanding of, such as the differences in circuit design or the method of patient connection compared to conventional ventilation?
- How does HFOV relate to your existing knowledge of respiratory physiology and ventilation strategies?
- Discuss this training activity with your training officer, ensuring you understand the patient profile (if applicable) and the learning objectives for this specific DTA.
- Consider potential technical or practical difficulties you might encounter during set up or connection and plan how you might approach troubleshooting them.
- Reflect on your current level of familiarity with HFOV. What specific areas do you feel you need to prepare further on before this activity?
In action
- What are the actions involved in setting up, preparing, and connecting the high-frequency oscillation ventilation? What considerations are guiding your actions at each stage? How are you ensuring the specific requirements for high-frequency ventilation are being met?
- Are there any specific challenges related to the unique aspects of high-frequency ventilation that you are encountering? How are you monitoring the equipment and the patient during the application? What adjustments are you anticipating might be necessary as the therapy commences?
- If there are discrepancies between the planned setup and the actual situation, how are you resolving them? Are you considering alternative connection methods or equipment if initial attempts are unsuccessful?
On action
- Outline the steps involved in the setup, preparation, and connection of high-frequency oscillation ventilation. What were the unique aspects of this process compared to conventional ventilation setup? Did you observe any specific responses from the patient or the equipment?
- What did you learn about the principles and practicalities of high-frequency oscillation ventilation? Were there any challenges related to the equipment or patient interface? How did you ensure the specific parameters for high-frequency ventilation were correctly set? What did you learn about monitoring a patient receiving this type of ventilation during the initial application?
- What specific skills related to high-frequency ventilation would you like to develop further? Are there any specific resources or guidelines you need to consult? How will this experience inform your approach to future situations requiring high-frequency oscillation ventilation?
Beyond action
- With more experience in ventilation techniques, do you now perceive the challenges and benefits of high-frequency oscillation ventilation differently? Have you encountered discussions or cases where high-frequency oscillation ventilation was considered or used? How did your experience inform your understanding? Reviewing your reflect-on-action notes, are there any questions you had then that you can now answer based on further learning?
- Has this DTA enhanced your understanding of the range of ventilation strategies available? Have you been able to apply any knowledge gained from this experience to other complex ventilation scenarios? How has this experience contributed to your ability to troubleshoot issues with advanced ventilation modes?
- What transferable skills (e.g., managing complex systems, adapting to unfamiliar equipment, understanding physiological responses to interventions) were developed through this DTA? What are your goals for further developing your skills and knowledge in advanced ventilation techniques?
Relevant learning outcomes
| # | Outcome |
|---|---|
| # 5 |
Outcome
Set up, apply and manage a range of adjunct ventilation therapies. |
| # 6 |
Outcome
Assess clinical and technical issues with ventilators and troubleshoot accurately. |