icon. Please keep in mind that information on the PHPCP should be patient-friendly,
phrased to be easily understood by people who don't have medical training.
This form can be completed by a Respiratory Therapist. For additional information, see the Overview of Discharge Orders, Instructions, and the Patient Care Referral Form.
To help clinicians recall what will be seen by the patient, each field
with information entered that prints on the Post-Hospital Patient Care
Plan (PHPCP) is flagged with the
icon. Please keep in mind that information on the PHPCP should be patient-friendly,
phrased to be easily understood by people who don't have medical training.
Face Sheet Discharge Orders and Instructions are not available in the newborn nurseries. You cannot access the forms, even if you select a patient from the associated maternity unit lists or from patient lookup.
If you haven't already:
Select the patient and click Face Sheet Discharge (ALT+F) or Discharge (ALT+G).
Click the Respiratory Therapy folder to access the form.
Complete the form:
Type a brief description the respiratory problem and plan of care. To work in a larger text area, click the field, then click Zoom. To return to the order, click OK.
Click the option to indicate the type of patient treatment: Tracheostomy, Ventilator, or Non-Invasive Ventilation/CPAP.
Describe detail of the selected treatment in each section as applicable:
The information applicable to the selected treatment is displayed. Drag the scroll bar on the right or click its up/down arrows to view the rest of a long form. Press TAB to move quickly from field to field.
Artificial airway (tracheostomy or ventilator patient):
Click to select the airway type.
For Trach, select the brand and size from the drop-down lists.
For Endotracheal tube, select the endotube type and size from the drop-down lists. Enter the date the patient was intubated.
For Trach or Stoma, enter the dates the trach was started and most recently changed.
Type the values for the current FiO2 and SpO2.
For Trach, click Yes or No to indicate whether the tube is cuffed, and if it is, whether the cuff is up. If the cuff is up, check TTS if applicable. Type the cuff pressure.
Click the applicable checkbox to indicate any or all of the following: Fenestrated, Dual Cannula, Extra Long, Custom/Modified, or Percutaneous.
Click the checkbox to indicate that the patient uses a speaking valve, then type a description of the speaking valve tolerance.
Ventilator settings (ventilator patient):
Select the mode from the drop-down list.
Type the Tidal Volume, Inspiratory Time, PEEP, Pressure Control, Rate, Peak Flow, and Pressure Support.
Measured Values (ventilator patient): Type information in the applicable fields.
Most recent blood gas (ventilator patient):
Click to select the option for the source.
Type information in the applicable fields.
Airway secretions (artificial airway or ventilator patient):
Type Suction Frequency, and secretion Quantity, Character, and Color.
Check Suction, In-Exsufflator, and/or Chest Physiotherapy. Type in the Other field to describe any other airway clearance procedure.
Click to check one or more airway clearance procedures as needed. To include comments, check the box, then type a description in the text field.
Type to describe the patient's Response to Inhaled Medications.
Non-Invasive Ventilation/CPAP (non-invasive ventilation/CPAP patient):
Click to select Continuous, Nocturnal, or Other. If other, type a description.
Click to select from the Mode drop-down list.
Click to select from the Interface drop-down list.
Type values for IPAP, EPAP/CPAP, Oxygen, and BackupRate.
If you would like to check your spelling, click Spell Check. When you have completed the check, click OK to close the Spell Check complete message.
Complete other Instructions forms if applicable. See also: Instructions for Discharge Orders and Instructions .
Save the changes:
Click Save.
Type your signing key in the field provided.
Click OK (ALT+O).
See also: