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Procedures |
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The following are sample
instructions for procedures to be followed related to aerosol applications:
Procedure
for Aerosol Medication Delivery
The following procedure
is provided for use when delivering medications by means of an aerosol
generator:
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A. Check Order. Verify the
physician's order as follows:
- Compare the requisition
with the physicians order to ensure that no discrepancies exist
- Review the order to ensure
that the following are prescribed:
- FI02
- Medication to be used
- Frequency of therapy
- Duration of therapy
- If any part of the order
is unfamiliar, question its accuracy.
B. Review Chart. Use the
following procedure to review the patient's chart:
- On the patient's chart,
identify all pertinent data in the following areas:
- History and physical
- Admitting diagnosis
- Progress notes
- Blood gas analysis
- Chest x-rays
- Based on the patient data,
identify the following:
- Conditions that indicate
the need for aerosol medication delivery
- Potential hazards of
aerosol medication delivery for the patient
C. Maintain Asepsis. While
performing the remainder of this procedure, you are expected to maintain
aseptic conditions. This includes following universal precautions and
washing your hands:
- Before obtaining equipment
- Following performance
of step K. Conclude Procedure
- Anytime during the procedure
that contamination is suspected
D. Obtain Equipment Collect
the following equipment and supplies:
- Flowmeter or air compressor
- Miniature nebulizer
- Supply tubing
- Prescribed medication
- Stethoscope
E. Assemble Equipment. Prepare
the equipment for use as follows:
- Connect the supply tubing
to the nebulizer.
- Attach the other end
of the supply tubing to the flowmeter.
- Insert the prescribed
medication into the nebulizer.
F. Test Equipment. Test the
aerosol medication delivery equipment as follows:
- Connect the flowmeter
to the correct gas source.
- Turn on the flowmeter.
- If a fine mist is absent,
tighten all connections and adjust the jets, if applicable.
- If a fine mist is still
absent:
- Label the nebulizer
as defective and replace it
- Reassemble and retest
the new equipment
G. Confirm Patient. Ensure
that the procedure is performed with the correct patient as follows:
- Match the information
on the order with the following:
- Room number
- Name on the door or
bed
- Name on the wristband
- Greet the patient
by name (in a questioning manner if unknown).
- Resolve any discrepancies
in the patient identification information by conferring with the
nursing staff.
H. Inform Patient Interact with
the patient as follows:
- Introduce yourself by
name and department (if not already acquainted).
- Tell the patient what
procedure is to be performed.
- Explain the procedure
by describing:
- Why it is to be performed
- How it will be performed
- What the patient is
expected to do
- What you will be doing
- How frequently it
will be performed
I. Implement Procedure. Perform
the following tasks:
- Position the patient
in an upright position (45 to 9O° angle).
- Administer the aerosol
medication as follows:
- a. Turn on the
flow meter.
- b. Attach the aerosol
medication delivery device to the patient
- c. Ensure that the
delivery device fits comfortably.
- Coach the patient to
breathe in the following manner:
- Diaphragmatically
- Through the mouth
- Slowly and deeply
- Pause at end-inspiration,
maintaining an I:E ratio of at least 1:2
J. Monitor Patient. Determine
the patient's response to therapy as follows:
- Determine the pulse
rate. (Count for at least one minute.)
- Determine the respiratory
rate. (Count for at least one minute.)
- Observe respiration
to identify any abnormalities in the breathing pattern.
- Auscultate the patient's
chest
- Note any abnormalities
in the patient's appearance or behavior.
K. Conclude Procedure. Complete
the following tasks:
- Place the patient in
a comfortable position.
- Assure that the call
bell and bedside table are within the patient's reach.
- Ask if the patient has
any needs.
- Answer any questions
as effectively as possible.
- Unplug and cover all
equipment and move it away from the patient's bed (or remove it from
the room).
L. Record Results. Document
the therapy as follows:
- Record the following
data on the patient's chart:
- Aerosol medication
administered
- Pulse rate
- Respiratory rate
- Volume, color, and
consistency of sputum
- Abnormal patient characteristics
- Therapy-related patient
complaints
- Sign the patient's chart
(first initial and full last name).
M. Report Observations. Report
the following information:
- Report any significant
adverse changes in the patients condition to the nurse or physician
whenever observed.
- Following the procedure,
inform the appropriate personnel of:
- Patient requests
- Patient complaints
- Unexpressed patient
needs
- Following the procedure,
report to the nurse or physician:
- Any non-critical adverse
reactions to the therapy
- Other pertinent observations
of the patients condition
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