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INITIATION OF CONTINUOUS BLAND AEROSOL WITH / WITHOUT HEAT

Student Name: __________________________________________  

PROCEDURE

Satisfactory

Unsatisfactory

1.

Verifies physician’s order in the patient’s chart

2.

Assembles equipment and checks its operation

a.

PPE

b.

Oxygen source

c.

Flow meter

d.

Large volume nebulizer

e.

Corrugated tubing

f.

Aerosol adjunct; aerosol mask, t-piece adaptor, face tent, etc.

3.

Introduces self to patient, verifies the patient’s identity, identifies the patient’s learning needs, and explains the procedure in terms the patient/family can understand

4.

Washes hands using the appropriate hand-hygiene procedure and initiates standard and/or transmission based precautions

5.

Attaches flowmeter to gas source, attaches heating element to large volume nebulizer, attaches large volume nebulizer to flowmeter, attaches large bore tubing to nebulizer, attaches patient adjunct to large bore tubing. (For cold aerosol therapy no heater is utilized and the flowmeter is attached directly to the large volume nebulizer.)

6.

Adjusts the flowrate to the appropriate flowrate and adjusts venturi to prescribed FiO2.

7.

Plugs heating element into electrical outlet. (Not required for cold aerosol therapy)

8.

Places adjunct on patient and checks for comfortable fit.

9.

Assures adequate flow from the device to meet patient's inspiratory demands and adjust as needed.

10.

Repositions the patient as comfortable as possible, reassures patient, observes patient's tolerance of therapy, and returns bed rails to an upright position as required before leaving room.

11.

If oxygen is utilized, emphasize the fire hazards of oxygen administration and places a "no smoking" sign in a visible place at eye level.

Note:For FiO2 concentrations ≥.50, it is recommended to use a double nebulizer set up to ensure the patient's inspiratory demand is met and the FiO2 is maintained.

12.

Educates the patient in regards to oxygen therapy and the associated fire hazards

13.

Places the "no smoking" sign in a visible place at eye level.

14.

Correctly removes and disposes of PPE and washes hands

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