2.05 Transportation of Patients Supported by Non‐Invasive (NIV) or Mechanical Ventilation (MV)
Category: UWHC Clinical Policy
Policy Number: 2.05
Effective Date: August 5, 2015
Section: Respiratory Care Services
Transportation of patients supported by mechanical ventilator (MV), or for non‐invasive assisted ventilation
(NIV) for diagnostic or therapeutic procedures or hospital unit transfer is always associated with a degree of risk.
Every attempt should be made to assure that monitoring, ventilation, oxygenation, and patient care (suctioning,
etc.) remain constant during the transport.
A. Transportation of MV or NIV patients should only be undertaken following a careful evaluation of the
1. Inability to provide adequate oxygenation and ventilation
2. Hemodynamic instability
3. Inability to adequately monitor patient cardiopulmonary status
4. Inability to maintain airway control
B. The transport team must consist of a registered nurse and respiratory therapist or anesthesiologist. At
times it may be necessary for a physician to accompany the team. The team will decide when an
approved provider is indicated.
C. All patients will utilize the transport ventilator unless a bedside trial is not tolerated.
D. All MV patients in airborne droplet nuclei isolation will be transported using a bacteria filter inline.
1. Transport ventilators should have an HME
2. Critical Care ventilators with heated humidity should have a HEPA filter on the expiratory inlet.
E. All AFCH MV patients will be transported with ETCO2 monitoring.
F. It is best practice to transport all patients with ETCO2 monitoring. In CSC, if the equipment is available in
the unit, ETCO2 monitoring should be utilized.
G. Emergency Department patients that are mechanically ventilated and have a confirmed mortal
injury/illness may be transferred to F4/4 or B6/6 to begin the terminal wean process. One RCP will be
delegated by the charge therapist to transport the patient to the assigned unit and will remain at
bedside throughout the entire terminal wean and including extubation. Refer to the related link titled,
“Transfer to Comfort Measures for the Intubated Patient in the ED”.
A. A manual resuscitator and mask (of appropriate size)
B. Back up tracheostomy tube (if indicated)
C. Transport ventilator, critical care ventilator or NIV equipment if applicable.
D. Oxygen, air cylinders and battery pack
E. ETCO2 monitor
A. Review patient’s chart.
B. Obtain the appropriate equipment.
C. Introduce yourself to the patient and/or family. Explain the reason for the procedure.
D. Prior to transport, verify the patient’s tolerance of the new support device.
1. All adult mv patients will have 5‐15 minute trial I the transport ventilator.
2. All AFCH mv patients will have a 30 minute trial on the transport ventilator.
E. As part of our ventilator associated pneumonia prevention strategies, all patients should have a cuff
pressure check completed and documented before and after all transports.
A. AARC Clinical Practice Guideline: Transport of the Mechanically Ventilated Patient.
B. CDC Guideline for preventing TB
C. P&P # 2:02, Mechanical Ventilation: adult and pediatric
D. P&P # 2.12, Non‐Invasive Assisted Ventilation
E. Hospital P&P# 13.07 Patient Isolation and Precautions
F. Hospital P&P # 13.17 Control of Tuberculosis
Approved by Director and Medical Director of Respiratory Care.
A copy of this Policy & Procedure is available in the Respiratory Care Office [E5/489].