CPS Safety Watch/Alert – Respiratory Compromise

March 15, 2018    |   By: Tina Hilmas, RN, BSN, CPPS

BACKGROUND

Respiratory Compromise is a state in which there is a high likelihood of decompensation into respiratory insufficiency, respiratory failure or death, but in which specific interventions (enhanced monitoring and/or therapies) might prevent or mitigate decompensation.

Respiratory Compromise creates problems that are often serious and potentially life-threatening, but they are almost always preventable with the proper tools and approach.  Appropriate patient monitoring and therapeutic strategies are necessary for early recognition, intervention and treatment.

Common themes include:

  • Lack of appropriate monitoring and early identification of respiratory compromise
  • Distractions, complacency or failure to identify high risk patients at transitions of care
  • Not anticipating respiratory complications or lack of situation awareness
  • Complications and risks from procedural sedation

ACTIONS TO TAKE:

  • Understand the pathophysiology and clinical factors of respiratory compromise
  • Early identification of patients at risk
  • Appropriate and timely patient monitoring
  • Appropriate and prompt interventions and treatment

 

RESOURCES
*Respiratory Compromise Institute

Thanks to Dr. Brian Froelke, CPS

 

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