Valley Presbyterian Hospital - ICU Proning Video
V.O. visuals: Camera pans the exterior main entrance to Valley Presbyterian Hospital;
a male doctor in a white coat over a dress shirt is seated in an interior
main hallway. He is introduced with the title "Sanjay Vadgama, MD,
FCCP, Medical Director, Intensive Care Unit, Valley Presybyterian Hospital"
Sanjay Vadgama, MD, FCCP (V.O.): I've been very fortunate to work with a great team in our Intensive
Care Unit, and they have really helped...
V.O. visuals: Vadgama and a nurse in masks talking as they walk toward camera in hallway;
closeup of them discussing a document.
Vadgama (V.O.): ...drive improvement in patient care, especially during this challenging
Visual: A female healthcare professional in scrubs being interviewed, seated in
hallway. She is introduced with the title "Amanda Hester, Registered
Respiratory Therapist, Valley Presbyterian Hospital" in lower-third.
Amanda Hester: Patients with COVID develop fluid and inflammation of the lung...
V.O. visuals: A group of nurses wearing scrubs, masks, and gloves assisting a patient
lying on his back on the bed in a hospital room; they administer the technique
of proning by placing pillows on him and securing them with sheets, then
rolling him over so the pillows are under him as he lays on his stomach.
Hester (V.O.): ...and because of gravity, if they're laying on their back, it's
pulled to the back part of their lungs, and so putting the patient on
their stomach redistributes the fluid to the front and allows the back
part of your lung to expand and better oxygenate.
Visual: Vadgama seated in the main hallway.
Vadgama: Proning is a very important part of our treatment options for patients
with COVID-19 respiratory failure.
Visual: A female healthcare professional in a white coat over scrubs being interviewed,
seated in hallway. She is introduced with the title "Kristina Lawrence,
BSN, RN, CCRN, CVRN-BC, WCC, Clinical Nurse Manager, Intensive Care Unit,
Valley Presbyterian Hospital" in lower-third.
Kristina Lawrence, BSN, RN, CCRN, CVRN-BC, WCC: I would say that having proning as a treatment modality at the hospital
has been a very valuable toolkit in our fight against COVID.
Visual: The female healthcare professional that had been walking with Vadgama is
being interviewed, seated in hallway. She is introduced with the title
"Tracy Dickens, BSN, RN, Interim Educator, Intensive Care Unit, Valley
Presbyterian Hospital" in lower-third.
Tracy Dickens, BSN, RN: Since proning patients, we've seen an increase in oxygen saturation
from mid-to-high 80's up until mid-to low 90's, which makes a
Hester: In our community, in particular, we live in an area with a lot of...
V.O. visuals: Hester walks into hospital room; she adjusts the dials on an oxygen machine
and places an oxygen mask on a male patient sitting up in bed; closeup
of patient looking up at her.
Hester (VO): ... immunocompromised patients in close proximity to each other, and so
COVID-19 has spread pretty rapidly in those areas, so that makes it really
important for our hospital to have proning available.
Vadgama: The main barriers for this procedure...
V.O. visuals: Dickens sitting at a desk; closeup of her hands on computer keyboard and
talking on a phone; Dickens in a hospital room with Lawrence and other
nurses, as they practice how to properly perform proning.
Vadgama (VO): ...were really just a learning curve for us, but the team worked together
and researched the protocol and came together, and developed an education
process for our nurses. From there to actually carrying the process out,
was a very short time period.
Lawrence: The nice thing about working at Valley Presbyterian Hospital is we're
an independent organization...
V.O. visuals: Lawrence uses a thermometer to check the temperature of a female patient
in a hospital room bed; hospital staff perform various tasks in laboratories,
with close ups of equipment and healthcare professionals in masks and gloves.
Lawrence (VO): ...so any time we want to implement a new process, it's very easy
to get it going. Good patient care is a priority of everyone in the organization,
so any time we implement a new process, the patient outcomes and patient
success is really what's important to everyone.
Vadgama: Everybody deserves access to quality healthcare, and Valley Presbyterian
Hospital is really a critical part of that for this community.
Dickens: I am vital because I educate my colleagues.
Lawrence: I am vital because I help create an environment in which nurses and physicians
can succeed in order to produce good patient outcomes.
Vadgama: I am vital because I am part of an incredible team that leads patient
care in our Intensive Care Unit.
Hester: I am vital because I care for my community.
Visual: Final end screen with “Valley Presbyterian Hospital" logo.