Respiratory Care Patient Assessment ChartingDeveloped by Pawlos Okubagzi
Draft saved locally

Patient / case

Case information

Carries forward

Current entry

Chart entry information

Update each entry
1Chart the first checkEnter the date, time, settings, and measured values.
2Save chart entryA separate time-stamped snapshot is added to the timeline.
3Start a new time entryOrders and case details carry forward; reassess and enter new patient findings.

Instructor-provided case

Patient case scenario

Enter or paste the patient case assigned in Canvas for this lab or Sim session.

Teaching prototype: Use simulated or de-identified information only. This app is not an approved clinical EHR.

Respiratory care orders

Active and new orders

Verify the order before documenting an intervention. New or changed orders remain in the order history.

Add / update order

Save chart entry to show the order in the timeline and print review. If you type an order and tap Save chart entry, it will be added automatically.

Order history

No orders added yet.
Date/timeCategoryOrder / parametersStatusVerification

Equipment check

Ventilator identification and pre-use test

Patient calculation

Height and predicted body weight

Calculated from sex and height for ventilator tidal-volume selection.

Step 1

Select ventilator mode

Only settings used for the selected mode will appear.

No mode selected

Step 2

Ordered ventilator settings

Step 3

Measured ventilator values

Document observed values—not ordered settings.

Mode-specific monitored data

Safety

Ventilator alarms

Record the limits verified at this check.

Show lab alarm-setting reference

Use the scenario order and local policy first. The ranges below reproduce the guidance in the supplied lab sheet.

AlarmLab reference
High pressure10–15 cmH₂O above observed PIP; in PS, keep below the pressure at which the breath is terminated.
Low pressure / disconnect5–10 cmH₂O below observed PIP.
Low / high exhaled VtApproximately 10–15% below / above observed Vt.
Low / high minute ventilationApproximately 2–3 L/min below / above observed Ve.
High RRApproximately 10–15 breaths/min above baseline.
Apnea interval15–20 seconds for the adult lab scenario.
PEEP / CPAPApproximately ±2 cmH₂O around the set level.
FiO₂Approximately ±5% around the prescribed FiO₂.

Ventilator liberation

SBT / Weaning

Use a simple sequence: readiness → trial → tolerance → result and plan.

Oxygen support

O₂ therapy

Record the device, flow or FiO₂, humidification, and patient response.

Airway

Airway device and care

Tube-specific fields appear after the airway is selected.

Airway device

Device details

Patient assessment

Vital signs, gas exchange, and breath sounds

Record the patient response and clinical assessment.

Vital signs

ABG, oxygenation, and EtCO₂

Breath sounds by lung field

Sputum / secretion assessment

Respiratory therapy

Airway Clearance & Therapy

Document airway-clearance therapy, suctioning when performed, tolerance, and clinical response.

Suction / airway care

Therapy performed

Therapy measurements and response

Medication record

Respiratory and critical care medications

Select a medication group, then a subcategory and drug. Record the dose, route, administration or observation, and response according to the Sim case order.

Time-stamped event

Procedures and patient transport

Select one event. Only the corresponding documentation fields will open.

Procedure answers are saved with this time entry and will not carry into the next entry.

Narrative

RT progress note

Summarize assessment, interventions, patient response, and plan. To revise a saved note, open its entry from the charting timeline.

Learning reflection

Hands-on Sim/Lab reflection

Reflect on the activity and save this separately from patient chart entries. You can return to edit your answers before printing.

Not saved yet

Student work on this device

Saved chart entries

Edit or delete a single entry using its row below.

No chart entries saved yet.
Date/timeScenarioCharted sectionsModeFiO₂PEEPRR totalVt exhaled
Ready to chartEach save creates a separate time-stamped entry on this browser.