Aerosolized Ribavirin
Administration
John Dobrozsi R.R.T
Clinical Specialist
Respiratory Care Services
UWMC
Aerosolized Ribavirin
Administration
Aerosolized Ribavirin
Administration
Aerosolized Ribavirin
Administration
Aerosolized Ribavirin
Administration
Aerosolized Ribavirin Administration
Initial Treatment
RN: Completes
Ribavirin Initiation
Sheet found in
“Ribavirin Packet”
Aerosolized Ribavirin Administration
Room Preparation
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RN and RT:
Remove non-essential items from room
Ask patient to void
Patient removes contact lenses if worn
Patient dons cloth gown. Hair cover is
provided if patient has hair
Aerosolized Ribavirin Administration
Room Preparation
Aerosolized Ribavirin Administration
Room Preparation
 RN and RT:
 Drape patient and bed
Aerosolized Ribavirin Administration
Room Preparation
Aerosolized Ribavirin Administration
Room Preparation
Aerosolized Ribavirin Administration
Room Preparation
Aerosolized Ribavirin Administration
Room Preparation
 RN and RT:
 Drape patient and bed
 Drape horizontal surfaces in room
Aerosolized Ribavirin Administration
Room Preparation
Aerosolized Ribavirin Administration
Room Preparation
Aerosolized Ribavirin Administration
Room Preparation
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RN and RT:
Drape patient and bed
Drape horizontal surfaces in room
Review SPAG ON/OFF procedure
Aerosolized Ribavirin Administration
Room Preparation
Aerosolized Ribavirin Administration
Room Preparation
Aerosolized Ribavirin Administration
Room Preparation

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RN and RT:
Drape patient and bed
Drape horizontal surfaces in room
Review SPAG ON/OFF procedure
 RN:
 Call Environmental services of treatment
end time
Aerosolized Ribavirin Administration
Treatment Initiation
RN and RT:
Complete
Treatment Check
List Before Each
Treatment
Aerosolized Ribavirin Administration
Treatment Initiation
 RT:
 Set up DeMistifier tent and tuck in around
mattress
 Tape front opening together on tent
Aerosolized Ribavirin Administration
Treatment Initiation
Aerosolized Ribavirin Administration
Treatment Initiation
Aerosolized Ribavirin Administration
Treatment Initiation
Aerosolized Ribavirin Administration
Treatment Initiation
 RT:
 Set up DeMistifier tent and tuck in around
mattress
 Tape front opening together on tent
 Place aerosol mask on patients face
 Turn on Demistifier tent and assure concave
appearance of tent
 Check for warning lights on Demistifier control
panel
Aerosolized Ribavirin Administration
Treatment Initiation
Aerosolized Ribavirin Administration
Treatment Initiation
Aerosolized Ribavirin Administration
Treatment Initiation
 Turn on SPAG nebulizer
 Observe patient for adverse reactions
(Wear PAPR if inside room)
Aerosolized Ribavirin Administration
Treatment Initiation
Aerosolized Ribavirin Administration
Treatment Initiation
Aerosolized Ribavirin Administration
During Therapy
 Wear full PPE when entering room.
 SPAG may be turned off if patient care
requires entering tent.
 Leave scavenger tent fan running at all
times during treatment.
Aerosolized Ribavirin Administration
During Therapy
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Treatments begin and end at:
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22:00 – 00:00
06:00 – 08:00
14:00 – 16:00
New therapy orders will be started at
the soonest treatment time following
arrival of the drug.
Aerosolized Ribavirin Administration
Completing Therapy
 RT
 Following the 2 hour treatment, the RT
will turn off the SPAG unit.
 The scavenger tent will continue running
until the room is undraped.
 Drapes on room and patient are folded
“inward” upon themselves and placed in
linen hamper.
Aerosolized Ribavirin Administration
Completing Therapy
Aerosolized Ribavirin Administration
Completing Therapy
Aerosolized Ribavirin Administration
Completing Therapy
 The scavenger tent is folded in upon
itself with the fan running.
 The tent remains folded behind the bed
until the next treatment.
Aerosolized Ribavirin Administration
Completing Therapy
Aerosolized Ribavirin Administration
Completing Therapy
 RN calls Environmental Services to alert
them of the need for room cleaning.
 RN and RT sign the back of the Ribavirin
treatment check list.
 Full PPE must be worn until
Environmental Services had cleaned the
room.
Aerosolized Ribavirin Administration
Completing Therapy
 The procedure for ventilated patients is
the same except that a scavenger tent is
not used and patient/room draping is
unnecessary.
 The ventilator/SPAG circuit is a closed
system.
Aerosolized Ribavirin Administration
Completing Therapy
 At the end of each cycle of therapy, the
tent and SPAG parts are disposed of.