Bronchiolitis Clinical Pathway, Emergency Department and Inpatient – Sample Bronchiolitis Pathway Patient Progression on HFNC
Bronchiolitis Clinical Pathway, Emergency Department and Inpatient – Sample Bronchiolitis Pathway Patient Progression on HFNC
Sample Bronchiolitis Pathway Patient Progression on HFNC
Time | 2300 | 2400 | 0100 | 0200 | 0300 | 0400 | 0500 | 0600 | 0700 |
---|---|---|---|---|---|---|---|---|---|
Patient Pathway Assessment | Severe | Severe | Severe | Moderate/ Mild | Moderate/ Mild | Moderate/ Mild | Moderate/ Mild | Moderate/ Mild 5th assessment |
Moderate/ Mild |
Severe | Severe | Severe | Severe | Severe | Severe | Severe | Severe | Severe | |
HFNC Initiate 1.5L/kg/min |
HFNC 1.5 L/kg/min |
HFNC 1.5 L/kg/min |
HFNC 1.5 L/kg/min |
HFNC 1.5 L/kg/min |
HFNC 1.5 L/kg/min |
HFNC 1.5 L/kg/min |
HFNC 1.5 L/kg/min |
Wean to 1 L/kg/min |
HFNC Wean to 1 L/kg/min |
Assessment with Score CRM | CRM Cont. POX |
CRM Cont. POX |
CRM Cont. POX |
CRM Cont. POX |
CRM Cont. POX |
CRM Cont. POX |
CRM Cont. POX |
CRM Cont. POX |
CRM Cont. POX |
Intervention Assess in 10 Minutes if Intervention was Due to Escalation of Care | Wall suction/neb treatment/ oxygen as ordered | Wall suction/neb treatment/ oxygen as ordered | Wall suction/neb treatment/ oxygen as ordered | Wall suction/neb treatment/ oxygen as ordered | Wall suction/neb treatment/ oxygen as ordered | Wall suction/neb treatment/ oxygen as ordered | Wall or bulb suction/neb treatment/ oxygen as ordered | Wall or bulb suction/neb treatment/ oxygen as ordered | Wall or bulb suction/neb treatment/ oxygen as ordered |
Time | 0800 | 0900 | 1000 | 1100 | 1200 | 1400 | 1600 | 1800 | 2000 |
---|---|---|---|---|---|---|---|---|---|
Patient Pathway Assessment | Moderate/ Mild | Moderate | Moderate | Moderate | Moderate | Moderate | Mild | Mild | Mild |
Severe | Severe | Severe | Severe | Moderate | Moderate | Moderate | Moderate | Mild | |
HFNC | Discontinue HFNC
|
Transition to moderate pathway | |||||||
Assessment with score | CRM Cont. POX |
Discontinue CRM and Cont. POX | Spot check POX | Spot check POX | Spot check POX |
Spot check POX |
Spot check POX |
Spot check POX |
Spot check POX |
Assess in 10 minutes if intervention was due to escalation | Wall or bulb suction/neb treatment/ oxygen as ordered | Wall or bulb suction/neb treatment/ oxygen as ordered | Wall or bulb suction/neb treatment/ oxygen as ordered | Wall or bulb suction/neb treatment/ oxygen as ordered | Wall or bulb suction/neb treatment/ oxygen as ordered | Bulb suction prn | Bulb suction prn | Bulb suction prn | Bulb suction prn |