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In my own practice, I don't generally clamp the ETT when switching to/from my vent and a hospital vent. I can see a situation where a patient may be extremely PEEP dependent and thereby requiring a clamping but those patient will generally be already well known that they don't tolerate being off a vent/PEEP. In any event, I'll have my vent already set up so I can minimize the time off the vent. I've also never heard of an approved 3-way stopcock device for a vent. I've seen unapproved ways to connect a vent to multiple patients...
And if one uses a Home Depot acquired stopcock/valve on a patient and there's any kind of adverse outcome (or not), guess whose license and practice gets scrutinized? Yep, you guessed it... the one using the device. If I received a patient from the field (in my ED RN role) with such a device in place, I'm going to report it (in detail) to the appropriate authority. That may be an RN board, a state/local EMS agency...
And because this is a 3 year old thread with nothing new to add to the discussion, I'm locking it.
And if one uses a Home Depot acquired stopcock/valve on a patient and there's any kind of adverse outcome (or not), guess whose license and practice gets scrutinized? Yep, you guessed it... the one using the device. If I received a patient from the field (in my ED RN role) with such a device in place, I'm going to report it (in detail) to the appropriate authority. That may be an RN board, a state/local EMS agency...
And because this is a 3 year old thread with nothing new to add to the discussion, I'm locking it.