Description of Event or Problem · 0
S [SITUATION]: CALLED TO DR [DELIVERY ROOM] FOR "ASSISTANCE NEEDED" FOR FULL TERM BABY WITH A SLOW START. B [BACKGROUND]: FULL TERM BABY WITH POOR RESPIRATORY EFFORT REQUIRING PPV [POSITIVE PRESSURE VENTILATION], CPAP [CONTINUOUS POSITIVE AIRWAY PRESSURE] AND OXYGEN A [ASSESSMENT]: PATIENT RESUSCITATED INITIALLY WITH PPV VIA MASK AND T-PIECE RESUSCITATOR USING 60-100% OXYGEN TO ACHIEVE TARGET SATS. ONCE THE PATIENT BEGAN BREATHING PROVIDER SWITCHED TO CPAP VIA MASK AND TPR [TEMPERATURE, PULSE, AND RESPIRATION]. AT THIS TIME PATIENT REQUIRED 100% OXYGEN TO MAINTAIN TARGET SAT. I CONVERTED PATIENT TO TRANSPORT VENT (TV100 #7, ENGINEERING # [REDACTED]) WITH SETTINGS OF CPAP 7 100% O2 VIA NASAL MASK. PATIENT DESATURATED TO 59% ON THE TRANSPORT VENT. PATIENT HAD FAIR AIR ENTRY BILAT AND THE MASK HAD A GOOD SEAL. WHEN I WENT TO TROUBLESHOOT THE VENTILATOR, I FOUND THAT ALTHOUGH THE VENT WAS SET TO DELIVER 100% THE INHALED GAS WAS ANALYZED AT 21%. WE IMMEDIATELY REMOVED THE PATIENT FROM THE TRANSPORT VENT AND PLACED THEM BACK ON THE TPR WITH RETURN OF OXYGEN SATURATION TO 96%. R: TV 100 VENTILATOR PULLED FROM SERVICE AND IS IN THE RESPIRATORY CARE OFFICE FOR FURTHER EVALUATION. MANUFACTURER RESPONSE FOR TRANSPORT VENTILATOR, TV100 (PER SITE REPORTER).