Ventilatory Control and Assessment —
Training activity: 5

Details

Evaluate patient’s responses to non-invasive ventilation, determining effectiveness and generating a plan for ongoing treatment and follow up

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.

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

• What are the key indicators of effective NIV?
• How do you interpret physiological data (e.g., blood gases) to assess NIV efficacy?
• What are the crucial elements of a plan for ongoing NIV treatment and follow-up?
• What skills in monitoring and interpreting a patient’s response to NIV are you hoping to enhance?
• What challenges do you expect in determining the long-term management plan?
• Will you review the expected physiological changes in response to effective NIV?
• Will you familiarise yourself with protocols for NIV monitoring and weaning?
• Have you discussed the assessment of NIV effectiveness and long-term planning with your training officer?
• What are your initial thoughts on the complexities of long-term NIV management and patient support?

In action

• What data are you currently reviewing to assess the patient’s response to NIV? Which physiological parameters and clinical signs are you prioritising? Why?
• What decisions are you making about the effectiveness of the current NIV settings and the need for adjustments? What are the key indicators guiding these decisions?
• How effectively are your actions allowing you to determine if the NIV is achieving its intended goals? What challenges are you facing in this evaluation?
• What insights are you gaining about the dynamic nature of patient responses to NIV as you monitor them? How does this inform your understanding of ongoing management?
• Are there further assessments or investigations that would help you evaluate the response more comprehensively? Do you need to discuss your findings with a senior colleague at this stage? Are you working within established protocols and your scope of practice?

On action

• Summarise how you evaluated the patient’s response to non-invasive ventilation (NIV). What physiological parameters and clinical observations were used to determine the effectiveness of the NIV? What were the key indicators of whether the NIV was achieving its goals? Describe the plan generated for ongoing treatment and follow-up.
• What specific skills or knowledge related to evaluating NIV effectiveness and planning ongoing care did you develop or improve? How did you integrate different sources of information (physiological data, clinical assessment, patient feedback) to evaluate the NIV? What factors influenced your decisions regarding the ongoing treatment and follow-up plan?
• What areas for continued development in evaluating NIV effectiveness and long-term management have been identified? How can you apply the learning from this evaluation process to future patients on NIV? What specific actions or ‘next steps’ will you take to further develop your understanding of NIV management, including withdrawal criteria? What support or resources might you need for further development, such as reviewing different patient pathways?

Beyond action

• Have you had further opportunities to evaluate patients’ responses to NIV? How did your assessments and plans for ongoing treatment evolve?
• Have you been involved in long-term follow-up of patients on NIV? What factors influenced the ongoing management?
• Consider if your understanding of the physiological parameters and clinical signs used to assess NIV effectiveness has improved.
• Have you discussed your evaluation strategies with the multidisciplinary team?
• Are you now more skilled at identifying signs of effective and ineffective NIV?
• Has this experience influenced your approach to generating comprehensive follow-up plans?
• How has this training activity contributed to your understanding of long-term management of patients on NIV?
• How will you approach future evaluations of NIV effectiveness?
• What clear actions for continued development in the ongoing management of NIV patients have you identified?

Relevant learning outcomes

#	Outcome
# 1	Outcome Interpret blood gas measurements in a range of patients.
# 2	Outcome Use the results of blood gas measurements, in conjunction with other physiological parameters and patient history, to effectively plan appropriate treatment and/or interventions.
# 5	Outcome Employ effective communication skills and compassion with a range of patients enabling patients to understand their treatment pathway.
# 6	Outcome Assess a patient’s requirement for, initiate and evaluate effectiveness of, non-invasive ventilation therapy.
# 7	Outcome Appraise patient pathways from diagnosis to end of life care.
# 8	Outcome Practice effectively as part of a multidisciplinary team to interpret complex scientific and technical data which will form part of the diagnosis and management plan.