COVID-19 Awake Proning Policy Update 4.15.2020
The patient has worsening respiratory status and oxygenation and meets criteria for a trial of awake prone positioning.
Patient currently on nasal cannula / simple mask / NRB / Heated high-flow
Patient’s current O2 need prior to proning is: __L/min / __ % FiO2.
Continuing to monitor pulse oximetry, mental status, and patient’s ability to tolerate O2 delivery devices in the prone position. If patient tolerates repositioning for 15 minutes, will reassess oxygenation 2 hours later.
Purpose: Create a guideline for Conscious Proning of COVID-19 positive or PUI. No prior guideline exists. Address the following goals:
- Optimize potential for recovery of O2 delivery after cough, ambulation, or fever.
- Prolong clinical fitness to remain on the floor
- Conserve ICU beds and Ventilator associated medications
- Avoid Delaying necessary intubation
Scope: Inpatient Acute Care, non-ICU COVID-19 units
Reviewed and Approved by: Hospital Medicine Pulmonary/Critical Care Nursing Management and Education Respiratory Therapy