Printable — Clinical Form
Ventilator Flow Sheet
A single-patient ventilator flow sheet: a banner for patient and current mode, an hourly grid capturing set and measured parameters (FiO₂, PEEP, set/total rate, Vt set/exhaled, peak and plateau pressures, SpO₂, EtCO₂), an ABG row, and a ventilator-bundle safety checklist.
| Time | FiO₂ | PEEP | Rate set / total | Vt set | Vt exh | Ppeak | Pplat | MAP | SpO₂ | EtCO₂ |
|---|---|---|---|---|---|---|---|---|---|---|
| Time | pH | PaCO₂ | PaO₂ | HCO₃⁻ | SaO₂ |
|---|---|---|---|---|---|
Apex Respiratory · apexrespiratory.com — educational template; verify against facility policy. Not part of the medical record.
Educational use only. A bedside worksheet only — the ventilator flow sheet of record is your facility EMR/charting system. This material supports respiratory therapy education and exam review. It is not medical advice and is not a substitute for clinical judgment, institutional protocols, or physician orders. Always follow facility policies and current provider orders, and verify calculations independently before clinical use.