(1) Individuals who
are dependent on invasive mechanical ventilation as a means of life support and
individuals who are transitioning from mechanical ventilation, may participate
in the Ventilator Assisted Program.
(2) Individuals who are dependent on BiPAP or
CPAP due to acute respiratory failure or exacerbation of chronic illness, may
participate in the Ventilator Assisted Program for a period of time as
determined by a physician or Pulmonologist.
At time of move-in, the facility must
make reasonable attempts to identify the customary routines of each resident
and the resident's preferences in how services may be delivered. Minimum
services to be provided include:
Assistance with activities of daily living that addresses the needs of each
resident dependent on invasive mechanical ventilation as a means of life
support. These services must meet or be in addition to the requirements in the
licensing rules for the facility. Services must be provided in a manner that
promotes resident choice, dignity, and sustains the resident's
Health care services
provided in accordance with the licensing rules of the facility, along with the
following additional health services:
services related to the Ventilator Assisted Program.
(B) Speech services related to the Ventilator
therapy related to the Ventilator Assisted Program.
(c) Physician provided oversight of the
resident who is dependent on invasive mechanical ventilation as a means of life
support. A physician may delegate a task in a Ventilator Assisted Program Unit
only if it is for tasks within the scope of a Respiratory Therapists or
Registered Nurses license.
Ventilator Assisted Program Licensed Respiratory Therapist may participate in
the delivery of unit services that are ancillary to respiratory care for the
residents, including, but not limited to social work, discharge planning, and
training of primary caregivers or family members in care of discharged
(4) An RN
shall ensure completion and documentation of a comprehensive assessment of the
resident's capabilities and needs as described in 411-086-0060(1).
The facility shall establish a care plan
for long-term respiratory stability for individuals and utilize mechanical
ventilation capacity efficiently and effectively.
(a) The goal is to wean individuals from
mechanical ventilator dependency, when medically appropriate, and to transition
them into a lower level of care.
(b) The facility shall be proactive in
identifying an individual's potential to be weaned and in applying weaning
techniques according to evidence-based, nationally accepted practice
facility shall ensure and document that sufficient ventilator equipment is
maintained in good working order as recommended by the manufacturer including,
but not limited to:
(g) Manual resuscitator.
(h) Pulse oximetry monitoring
(i) Nutrient infusion
(j) Any medically necessary
durable medical equipment (DME) and supplies.
(7) The facility shall maintain and keep
general maintenance records on all ventilators and general equipment. Resident
in-room specific records must be maintained and provided to the Department when