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Ventilator Observation

Observe patients on ventilators. For each category, record the observation. Sum all categories for overall performance.

Use this mobile form to document the evaluation of a mechanical ventilator and the patient’s response to the ventilatory support. To ensure the ventilator is properly functioning and connected to the patient, complete the observation record for each category - the total number of “Yes” and the total number of observations (“Yes” + “No”). Then sum all categories for overall performance. This ventilator observation form can be used as-is or modified easily using Fulcrum’s drag-and-drop app designer tool.