Are two licensed clinicians present for securing, repositioning, and/or manipulating endotracheal tubes?

Was the endotracheal tube at the correct anatomic landmark?

• Validate the ETT is secured by manually grasping the ETT and checking for mobility.
• Neonates (0-30 days post 40 weeks) secured at lip, otherwise at gum/teeth.

Was the correct securement method used on the endotracheal tube?

• Tube securement device per manufacturer's recommendations or ETT tape

Were 2 licensed clinicians present during high risk situations?

• Airway guardian must be dedicated to holding the tube during movement and repositioning.
• High Risk Situations include at least (use local ACA data to append list):
  
  • Bedside imaging procedures
  • Bedside invasive procedures
  • Kangaroo care/parent holding
  • Routine repositioning
  • Switching beds
  • Early mobility
  • Linen changes, baths, weights
  • Patient transport

Comments

If any No is chosen above, please provide more details.