Protocol Education
RTs were given 2 months to complete education on the initial HFNC
protocol and subsequent changes. Education for the initial protocol was
completed between August and October 2017. Education regarding the
ability to simultaneously wean continuous albuterol and HFNC was done
between January and March 2019; for the change in flow weaning rate
between May and July 2020, and for the HFNC holiday between July and
September 2021. The education was performed by the RT supervisor and RT
clinical specialists in the PICU. Questions were answered and
clarifications were provided to team members by electronic communication
and daily huddles during the first 2 months of each modification.
Additional education was provided for all new RT staff members, PICU
physicians, and advanced practice providers as needed. Rotating
residents were provided education on the HFNC protocol at the beginning
of their service block.