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PMV Assessment and Trial Guidelines

This document summarizes a patient's assessment for use of a Passy-Muir Speaking Valve (PMV). It includes sections on the patient's medical history, current condition including ventilator settings and swallowing status, results of an initial PMV trial, and recommendations for follow up. The PMV was trialed to help with communication, swallowing, secretion management, and other goals. Follow up will include reassessment of the patient's progress on using the valve.

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1K views2 pages

PMV Assessment and Trial Guidelines

This document summarizes a patient's assessment for use of a Passy-Muir Speaking Valve (PMV). It includes sections on the patient's medical history, current condition including ventilator settings and swallowing status, results of an initial PMV trial, and recommendations for follow up. The PMV was trialed to help with communication, swallowing, secretion management, and other goals. Follow up will include reassessment of the patient's progress on using the valve.

Uploaded by

api-114739487
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • General Patient Information
  • PMV Placement Data

PASSY-MUIR SPEAKING VALVE (PMV) ASSESSMENT

I. GENERAL PATIENT INFORMATION


Primary Ox
Intubation
Date performed
_ yes
Emergency
no
Oral Nasal
Comments:

Airway Related Ox
Extubation
Date performed
length of Intubation

Tracheotomll
Date performed
_surgical _ percutaneous

II. BESIDE ASSESSMENT


Vital Signs Stable
Yes
No
If no, explain

Steroids:

Tracheostomll Tube
Type
Size
Cuffed vs. Cuffless
Infiated Deflated
Inhaled
POIIV Reason

Secretions
Oral
Amount
Consistency
Color

Tracheal
Amount
Consistency
Color

Ventilator Settings

AlC rate

Ventilator Weaning
Trach Collar
SIMV/PS
Start Date
Schedule
Progress on Trach Collar Trials:

Tidal Vol
FI02
SpontVol
PEEP/CPAP
Compliance
Airway Resist

SIMV rate
PS
Pro Control
PIP
PalvD

Progress on SIMV/PS:

Nutritional Status
NPO
Oral (Diet level)
Food Consistency
Tube Feeding
Comments:

Swallowing Status
Clears secretions
- Yes
HiStory of aspiration
Yes
History of reflux problems _Yes
Bedside Swallow
_Passed
3 phase esophagram
Passed

Stomach

Small Bowel

No
No
No
Failed
Failed

Cognltive-Communicatlon Status
_Alert
Comments

Oriented

Disoriented

_ Nonresponsive

Mouthing Words

Air Flow I Cuff Leak


Cuff deflation (vent patient):
#Cc air removed from cuff (vent)
_ Oral leak observed (cough, voice, secretions)

Finger Occlusion (non-vent):


Stridor:
_Yes
Exhalation:
_PaSSive

32

No
Forced

III. PMV PLACEMENT DATA


Date

Time of Day

02 SAT IHR

Resp Rate

Accessory Muscles
Yes
No

Cough
_Strong
Guarded
Weak

Clears Secretions
_Yes
No

Anxiety
- Yes
No
Explain:

Vocal Intensity
_Strong
Weak

Speech
_ Intelligible
_ Unintelligible
Aphasic

Vocal Quality
_Whispery
Clear
Raspv

Back Pressure air


release on removal
Yes
No

Comments (including limitations to use):

PMV not appropriate, reason

Follow-up Recommendations (mark all that apply and describe reason):


DENT Consult:
o Trach Downsizing:
o Reassess In 24-48 hours
o Other:
Goals for PMV Use:

o Communciation
o Swallowing

o Airway Strengthening
o Cognitive Reorientation

o Secretion Management
o End of Life Issues

Reassessment (Attach a Progress Notes sheet for additional comments):

Date

Signature

Date

33

S';gnature

  PASSY-MUIR SPEAKING VALVE (PMV) ASSESSMENT I. GENERAL PATIENT INFORMATION Primary Ox Airway Related Ox Intubation E
    III. PMV PLACEMENT DATA Date Time of Day 02 SAT IHR Resp Rate Accessory Muscles Cough Clears Secretions Anx

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