Oxygenation - Administering Oxygen by Nasal Cannula and Mask

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Name Date

Group Year Level

Instructor/Evaluator: Grade

SKILL 14-3
Needs Practice Administering Oxygen by Nasal Cannula
Satisfactory
Excellent

Goal:The patient exhibits an oxygen saturation level within


acceptable parameters. Comments

1. Bring necessary equipment to the bedside stand or overbed


table.
2. Perform hand hygiene and put on PPE, if indicated.
3. Identify the patient.
4. Close curtains around bed and close the door to the room,
if possible.
5. Explain what you are going to do and the reason for doing
it to the patient. Review safety precautions necessary when
oxygen is in use. Place “No Smoking” signs in appropriate
areas.
6. Connect nasal cannula to oxygen setup with humidification,
if one is in use. Adjust flow rate as ordered. Check that oxy-
gen is flowing out of prongs.
7. Place prongs in patient’s nostrils. Place tubing over and
behind each ear with adjuster comfortably under chin.
Alternately, the tubing may be placed around the patient’s
head, with the adjuster at the back or base of the head.
Place gauze pads at ear beneath the tubing, as necessary.
8. Adjust the fit of the cannula, as necessary. Tubing should
be snug but not tight against the skin.
9. Encourage patient to breathe through the nose, with the
mouth closed.
10. Reassess patient’s respiratory status, including respiratory
rate, effort, and lung sounds. Note any signs of respiratory
distress, such as tachypnea, nasal flaring, use of accessory
muscles, or dyspnea.
11. Remove PPE, if used. Perform hand hygiene.
12. Put on clean gloves. Remove and clean the cannula and
assess nares at least every 8 hours, or according to agency
recommendations. Check nares for evidence of irritation or
bleeding.
Name Date

Group Year Level

Instructor/Evaluator: Grade

SKILL 14-4
Administering Oxygen by Mask
Needs Practice
Satisfactory
Excellent

Goal:The patient exhibits an oxygen saturation level within


acceptable parameters. Comments

1. Bring necessary equipment to the bedside stand or overbed


table.
2. Perform hand hygiene and put on PPE, if indicated.
3. Identify the patient.
4. Close curtains around bed and close the door to the room,
if possible.
5. Explain what you are going to do and the reason for doing
it to the patient. Review safety precautions necessary when
oxygen is in use. Place “No Smoking” signs in appropriate
areas.
6. Attach face mask to oxygen source (with humidification, if
appropriate, for the specific mask). Start the flow of oxygen
at the specified rate. For a mask with a reservoir, be sure to
allow oxygen to fill the bag before proceeding to the next
step.
7. Position face mask over the patient’s nose and mouth.
Adjust the elastic strap so that the mask fits snugly but
comfortably on the face. Adjust the flow rate to the
prescribed rate.
8. If the patient reports irritation or redness is noted, use
gauze pads under the elastic strap at pressure points to
reduce irritation to ears and scalp.
9. Reassess patient’s respiratory status, including respiratory
rate, effort, and lung sounds. Note any signs of respiratory
distress, such as tachypnea, nasal flaring, use of accessory
muscles, or dyspnea.
10. Remove PPE, if used. Perform hand hygiene.
11.Remove the mask and dry the skin every 2 to 3 hours if
the oxygen is running continuously. Do not use powder
around the mask.

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