VENTILATOR, EMERGENCY, MANUAL (RESUSCITATOR)

Description of Event or Problem

THE PT REQUIRED BAGGING DUE CLINICAL PRESENTATION. PATIENT WAS NOT IMPROVING WELL WITH BAGGING, AND WHEN ASSESSING TO MAKE SURE EVERYTHING WAS OK WITH THE AMBU BAG, I NOTICED THAT THE PEEP VALVE ON THE END OF THE BAG WAS JAMMED AND ANGLED AND UNABLE TO BE MANIPULATED. IT WAS UNCLEAR WHETHER THIS WAS A REASON THE PATIENT WAS NOT IMPROVING; HOWEVER, THIS IS A SAFETY HAZARD. WHEN THE AMBU BAG WAS CHANGED, CLINICAL PRESENTATION BEGAN IMPROVING AROUND THE SAME TIME OF CHANGE.