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    Nebulization

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    PRECIOUS LOVE LAGRIMAS
    This document is a procedure checklist used to evaluate a student nurse's performance of nebulization therapy. It contains 22 criteria assessing the student's ability to properly assess the patient, prepare equipment, implement the procedure, and evaluate the results. The evaluator rates the student's performance on a scale of 0-5 for each criterion and provides a total score, numeric grade, and assessment.

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    Nebulization

    Uploaded by

    PRECIOUS LOVE LAGRIMAS
    64 views2 pages
    This document is a procedure checklist used to evaluate a student nurse's performance of nebulization therapy. It contains 22 criteria assessing the student's ability to properly assess the patient, prepare equipment, implement the procedure, and evaluate the results. The evaluator rates the student's performance on a scale of 0-5 for each criterion and provides a total score, numeric grade, and assessment.

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    RETDEM

    Original Title

    Nebulization (4)

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    This document is a procedure checklist used to evaluate a student nurse's performance of nebulization therapy. It contains 22 criteria assessing the student's ability to properly assess the patient, prepare equipment, implement the procedure, and evaluate the results. The evaluator rates the student's performance on a scale of 0-5 for each criterion and provides a total score, numeric grade, and assessment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    64 views2 pages

    Nebulization

    Uploaded by

    PRECIOUS LOVE LAGRIMAS
    This document is a procedure checklist used to evaluate a student nurse's performance of nebulization therapy. It contains 22 criteria assessing the student's ability to properly assess the patient, prepare equipment, implement the procedure, and evaluate the results. The evaluator rates the student's performance on a scale of 0-5 for each criterion and provides a total score, numeric grade, and assessment.

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    CENTRO ESCOLAR UNIVERSITY

    Manila * Makati * Malolos

    SCHOOL OF NURSING

    PROCEDURE CHECKLIST

    Nebulization Therapy

    Name of Student: Score:

    Year/Section/Group Number:

    Rate the student's performance by checking the appropriate box using the following criteria:

    5 – Excellent (Carries out procedures efficiently, systematically and independently/Personality


    trait is observed at all times)
    4 – Very Satisfactory (Carries out procedures efficiently and systematically but requires
    minimal guidance and supervision/Personality trait is observed at all times)
    3 – Satisfactory (Carries out the procedures efficiently and systematically but requires
    moderate guidance and supervision/Personality trait is observed at all times)
    2 – Fair (Carries out the procedures efficiently and systematically but requires close guidance
    and supervision/Personality trait is observed at all times)
    1 – Poor (Carries out the procedures inefficiently, unsystematically even under close guidance
    and supervision/Personality trait is observed at all times)
    0 – Not done

    Criteria 5 4 3 2 1 0
    ASSESSMENT
    1. Assess respiratory rate, pulse and breath sounds before
    and after treatment. It will be used to establish a baseline
    and determine the effectiveness of the medication.
    2. Assess client’s medical history, allergies and medication
    history.
    3. If ordered, assess patient’s oxygen saturation level
    before medication administration.
    4. Assess the patient’s knowledge and understanding of the
    medication’s purpose and action.
    PLANNING
    5. Prepare the materials needed and assembles the
    following the equipment according to manufacturer’s
    directions
    5.1 Stethoscope
    5.2 Medication
    5.3 Nebulizer tubing and chamber
    5.4 Nebulizer
    5.5 Sterile saline and PPE, as indicated
    IMPLEMENTATION
    6. Perform hand hygiene and put on PPE, if indicated.
    7. Introduce self to client
    8. Verify the client using at least two identifiers (i.e. name
    and birth date or name and identification
    number). Compare identifiers with information on the
    client’s medical record/client’s identification band.
    9. Explain the procedure to the client and encourage to
    participate as appropriate
    10. Close the room door and/or curtains around the bed if
    possible.
    11. Complete necessary assessments before administering
    medications. Check the patient’s allergy bracelet or ask the
    patient about allergies
    12. Position patient semi-fowlers or upright position if
    possible in the bed or in the chair.
    13. Remove the nebulizer cup from the device and open it.
    Place premeasured unit-dose medication in the bottom
    section of the cup or use a dropper to place a
    concentrated dose of medication in the cup. Add
    prescribed diluent, if required
    14. Screw the top portion of the nebulizer cup back in place
    and attach the cup to the nebulizer. Attach one end of the
    tubing to the stem on the bottom of the nebulizer cup.
    15. Turn on the nebulizer. Check that a fine medication mist
    is produced by opening the valve. Place the mouthpiece into
    the mouth and grasp securely with teeth and lips
    16. Instruct the patient to inhale slowly and deeply through
    the mouth. A nose clip may be necessary if the patient is
    also breathing through the nose. Hold each breath for a
    slight pause, before exhaling
    17. Continue this inhalation technique until all medication in
    the nebulizer cup has been aerosolized (usually about 15
    minutes). Once the fine mist decreases in amount, gently
    flick the sides of the nebulizer cup.
    18. Have the patient gargle and rinse with tap water after
    using the nebulizer, as necessary.
    19. Clean the nebulizer according to the manufacturer’s
    directions.
    20. Remove gloves and additional PPE, if used. Perform
    hand hygiene.
    EVALUATION
    21. Evaluate patient’s response to the medication within an
    appropriate time frame. Re-assess for improved lung sounds
    and respiratory effort.
    22. Document the administration of the medication
    immediately after administration, including date, time, dose,
    and route of administration or record using the required
    format

    Total Score: ____________

    Comments/Suggestions:
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________

    Computation: Total Score divided by (number of items) x 20 (factor) = ________________

    *Total points shall be transmuted using the table for 100 pts. Passing cut-off is 65.

    Equivalent Numeric Grade: _______________________

    Interpretation: _______________________

    Evaluator: Conforme:

    Clinical Instructor’s
    Printed Name & Signature Student’s Signature Date

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