RT should be bagging the patient at this time until the Provider is ready for the intubation. Most are given quickly over 5-10 seconds.įirst the sedative, then once the patient has decreased LOC and you get the next verbal OK from the Provider, administer the paralytic. Once everyone is ready for the intubation, wait for the Provider’s verbal “ok” to give the medications, and administer the medications as above. ![]() Make sure to accurately label each, so you don’t mix up the sedative and the paralytic! Verify the final doses/amounts with another nurse. This means you may need to mix saline with powdered medication to make a solution. Some medications will require reconstitution. Usually one of the nurses will assume the “medicine” responsibility while the others are preparing the patient and equipment. You may need to grab these medications from an “RSI kit” in the Accudose, or they may be located in your code cart. Verbally clarify the name and dose, and begin to draw up the medications. The Provider will give you a verbal order for which sedative(s) and paralytic they want. It takes a team of nurses, respiratory therapists, physicians, and more to have a successful intubation without any complications. It is still important for nurses to understand how the RSI intubation process goes, even if they are not the ones placing the ET tube. The nurse’s role is to prepare the patient and equipment, administer the medications, help manage the airway (although this is usually the job of respiratory therapists), and monitor the patient.Īfterwards, they are required to keep the patient sedated with titratable sedatives. They are also on the front lines to notice and intervene when things go wrong! The nurse’s role is not to physically intubate, but nurses are essential in making sure the intubation goes safely and smoothly. The person who placed the Endotracheal (ET) tube is usually a paramedic, physician, and sometimes an advanced practice provider (PA, NP, or CRNA). ![]() So what is YOUR responsibility as the nurse? Well don’t worry, you shouldn’t actually be the one to intubate the patient (although there are some exceptions such as NICU nurses and Flight nurses).
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