Level 4: Urgent Care

The patient is in a highly unstable and unpredictable condition either related to their primary problem or an exacerbation of other related factors.

Nursing Theme 2 - Respiration

  • First 24 hours following tracheostomy insertion or ongoing care of an unstable tracheostomy
  • Patients in acute respiratory failure, requiring non-invasive ventilation or respiratory support using CPAP or BiPAP
  • Greater than 50% oxygen continuously
  • CNS depression of airway and reflective reflexes
  • Frequent de-saturations on high flow oxygen
  • High risk of aspiration or requires oral pharyngeal suction