The key point of establishing an evidence clinical practice guideline is for patient well-being and complication preventions. Many patients have suffered of respiratory insufficient, in order to keep these patients alive there must be some types of interventions that supposed to be done to save these patients life. In this case, any patient who had a problem with their respiratory system, or who have a blockage into their airway, they have to be intubated and place them into a mechanical ventilator to protect their vital organ from hypoxia. UMH had set up some health care practice guidelines to any patient who has to go under this procedure at its facility to nurses, physician, and respiratory therapists to protect these patients from any uncertain