ERICA VENTILATOR CIRCUIT ASSEMBLY:
Setup: - Connect Bodai corrugated tube to Y piece.
- Inspiratory Line : Temperature probe adaptor on long tubing with humidification red cable in line. Humidifier Fisher Paykel base.
- Expiratory Line : Short tubing. Water trap. Short tubing. Metal box with valve, spring, black bag and metal rod. Grey temperture probe to be added to setup when circuit changed on ventilator (between patients only).

BIRD 8400 CIRCUIT ASSEMBLY :

Setup: - Connect Bodai corrugated tube to Y piece.
- Inspiratory line - NB: Temperature probe hole on inspiratory line side of Y piece. Long tubing with humidification Red cable in line. Humidifier (Fischer Paykel) base.
- Expiratory line - short tubing. Water trap (2 pieces), base and top. Short tubing. Expiratory plastic connector. Grey silicone valve. Flow transducer. Plastic elbow angled connector. Short tubing. Straight plastic connector.

BIRD 6400 CIRCUIT ASSEMBLY:

Setup: - Connect Bodai to corrugated tube. Y connector with high pressure hose and small connector on expiratory side, temperature adaptor hole on inspiratory side.
- Inspiratory side - long tubing with inspiratory humidification red cable in line. Humidifier (Fischer Paykel) box.
- Expiratory Line - short tubing. Water trap (2 pieces), base and top. Expiratory (6400 plastic) valve. Red expiratory silicone valve. Plastic elbow angled connector. Short tubing. Straight plastic connector.

PURITAN BENNETT CIRCUIT SETUP/ASSEMBLY

Setup: - Connect Bodai to corrugated tube. Y piece.
- Inspiratory line - silicone temperature connector plastic connector. Long tubing (silicone) with humidification white cable in line. Humidification (Fischer Paykel) box.
- Expiratory line - long tubing (silicone) with angled end. Plastic connector. Silicone three-way connector. Water trap in bottom of 3-way connector. NB: Top hole connects to ventilator filter.

(Diagram A)




- Short-angle ended silicone tubing. Straight plastic connector. Puritan Bennett filters x 2. NB: Top ventilator filter only changed between patient use of ventilator. Bottom filter changed with circuit on Thursdays and Sundays. Grey cables temperature probes added to circuit between.

CPAP/AUSPAP CIRCUIT :

Setup: - Connect facemask/bodai to Y piece.
- Inspiratory line - silicone connector. Plastic connector. Temperature adaptor. Long tubing with red humidification cable line. Straight plastic connector. Short tubing.
- Expiratory line - short tubing. Water trap (2 pieces) base and top - filter/bacteria barrier (Fischer Paykel) humidification base.

Blowover Circuit Assembly
Bodai - corrugated tube - plastic connector - t-piece. Inspiratory line - temperature adaptor - long tubing with humidification cable (red) in line - plastic connector - medium tubing - bacterial filter - humidifier base (Fischer Paykel). Expiratory line - medium length tubing on other side of t-piece.

SPECIAL
CONSIDERATIONS : - All circuits are to be changed routinely every Sunday and Thursday. Nebulisers and spacers changed weekly on Sunday. (Discard spacers and used nebulisers - not to be sent for cleaning).
- All assembly and ventilator setups are to be done only by Registered Nurses familiar with the procedure, or have been instructed in setups.
- All circuit setups to be checked as correct and signed as such by 2 x Registered Nurses.
- Grey temperature probes are to be wiped with an environmental wipe and then set to Endoscopy department for cleaning. NB: Send in plain brown paper bag.
- Equipment returned from CSSD, after cleaning, will be assembled only in clean Respiratory Room.
- Dirty dismantled circuits are to be rinsed in soapy water then placed in secure plastic bag for dispatch to CSSD in CSSD bins.
- Clean ventilators and circuits to be stored with plastic bag dust covers.

Oxylog Circuit Setup/Assembly
POLICY: - All Registered Nurses working in ICU/CCU orientated to changing or assembling oxylog circuits can assemble and change oxylog circuits. Note: Assembled unit to be checked by 2 x accredited nurses after assembly.
- Parameters and airmix/no airmix to be ordered by M.O.
- Standards, Outcomes and Procedure as per ventilator circuit setup and assembly guidelines (see Policy).

Setup and Parts:

- Bodai - connect to Engstrom (HME) - oxylog valve/head with divertor expiratory valve - PEEP valve (white adaptor) - PEEP valve (4 pieces) - in oxylog head - Yellow one-way valve with Red rubber phlange. NB! Ensure Yellow and Red valve allow air or oxygen mix to flow towards patient (as per arrow's direction on plastic casing). Inspiration/valve head - silicone corrugated tubing - barrier bacterial filter to protect oxylog.

SPECIAL
CONSIDERATIONS: As per ventilator circuit setup and assembly policy, special considerations.