Protocol Education
RTs were given 2 months to complete education on the initial HFNC protocol and subsequent changes. Education for the initial protocol was completed between August and October 2017. Education regarding the ability to simultaneously wean continuous albuterol and HFNC was done between January and March 2019; for the change in flow weaning rate between May and July 2020, and for the HFNC holiday between July and September 2021. The education was performed by the RT supervisor and RT clinical specialists in the PICU. Questions were answered and clarifications were provided to team members by electronic communication and daily huddles during the first 2 months of each modification. Additional education was provided for all new RT staff members, PICU physicians, and advanced practice providers as needed. Rotating residents were provided education on the HFNC protocol at the beginning of their service block.