Nepthalie Guardiario

• Interview client/family members to assess their needs
  
• Provide the client with comfort care
  
• Provide the client with cognitive assessments
  
• Provide the client with training in the maintenance of their medical equipment
  
• Train the client’s family regarding care
  
• Provide the client with health education
  
• Provide recommendations to the client and family
  
• Plan and oversee home care visits
  
• Design and coordinate discharge plans as needed
  
• Provide clients with support and assistance with activities of daily living
  
• Assist with personal care, feeding, grooming, and hygiene
  
• Assist clients with use of adaptive equipment and assistive devices
  
• Provide clients with emotional support and reassurance
  
• Provide clients with respite care as needed
  
• Oversee all client care activities
  
• Effectively maintain and provide the highest level of medical
  

• Operate and maintain designated medical facility (clinic) as per International SOS standards
  

• Educate medical and non-medical staff in medical matters where relevant.
  
• Act as medical escort when required for appropriate medical evecuations Occasionally assist with locums in our medical clinic worldwide,
  

• Set up volume and pressure limited ventilators.
  
• Adjust and change modes of ventilations and ventilator parameters as ordered by the physician.
• Perform and document periodic ventilator check on appropriate flow sheet.
  
• Utilize oxygen analyzers to measure O2 concentrations.
  
• Interact with physicians and allied health personnel regarding the patient and the
  

appropriateness of therapy when necessary.

• Implement and evaluate on-going pulmonary maneuvers.
• Cleans and disinfects ventilators before and after hooking the patient using precept and spraying with Lysol disinfectant.
• Administer aerosolized medications via small volume agents, wetting agents.
  
• Set up and maintain appropriate oxygen delivery system like low flow and high flow systems.
  

Attached pulse oximeter to patients who needs their SaO2 monitored and also to see their

• response to therapy or diagnostic procedure.
  
• Teach pre and post-surgical patients the proper use of IS (incentive spirometer)to strengthen
  

respiratory muscle.

• Teach breathing exercise to patients with respiratory disease to decrease their work of
  
• breathing, improve their oxygenation and control of breathing.
  
• Administer intermittent positive pressure breathing (IPPB) to deliver aerosolized medications
  
• to open small airways and even distal alveoli and also help clear secretions.
  
• Utilize Non-invasive ventilations upon doctor's orders as a means of ventilator support which uses nasal mask and prongs when intubations or tracheostomy is not possible this is indicated
  
• to aid in mobilizing secretions, optimize bronchodilator therapy, prevent/reverse atelectasis and reduce air trapping.
• Continuous Positive Airway Pressure (CPAP) is done maintenance of airways to a pressure above atmospheric condition during spontaneous ventilation.
• Utilize weaning techniques such as T-piece, SIMV, PSV.
  

Endotracheal and tracheostomy care

• Endotracheal, tracheostomy tube suctioning done.
  
• Sterilize re- usable accessories(humidifiers, water trap, etc.) with cidex.
  
• Provide an on- going equipment maintenance check.
  
• Report all defective equipments.
  
• Updated patient charts with data such as medications to keep records current and support accurate treatments.