PEL/VIP: Respiratory Therapy – RT Modality Trigger Form Recommendations
- Receive Order or Referral for RT evaluation
- Review the Patients chart and history
- Interview and assess the patient
- Recommend RT therapies
- Document RT modalities and patient information on PEL provided tracking tools
- Perform RT follow up visits weekly and prn after initial eval, change therapy as needed
RT therapies indications
Bronchodilator therapy vs. MDI/DPI Therapy –
Indications for Nebulizer Indications for MDI/DPI
- Documented Pulmonary Disease 1. Patient is able to follow directions & cooperate
- FEV1 < 65% predicted 2. Patient can do a 5 second breath hold
- Wheezing / Bronchospasm 3. Patients RR is < 25/minute
- Acute Pulmonary Infection
Hyperinflation Therapy- Incentive Spirometry, Cough and Deep Breathing, & Splinting techniques
Indications
- Any patient scoring a 2 or greater on the pneumonia scoring tool
- Any patient with a pneumonia diagnosis or lung disease
- New presence of Atelectasis or Pneumonia
- Febrile patient
Bronchial Hygiene Therapy- Acapella, Flutter & VEST therapy
Indication
- Ineffective Cough
- Retained Secretions
- Any patients with Mucous Producing Disease
- Patients that have had recurrent pneumonias in past year
- Patients with an artificial airway
Patients on these therapies should be seen a minimum of weekly and prn until patients condition improves or is discharged from the facility or program
Please fax all documentation to 708 581-7990