NAME____________________________



-228600-11430000NAME ____________________________DATE _____/_____/_____SKILL PERFORMANCE EVALUATIONBREATHING EMERGENCYOXYGEN DELIVERYNOTE: THIS SKILL SHOULD NOT BE TAUGHT UNTIL AFTER PATIENT ASSESSMENTPERFORMANCE OBJECTIVESDemonstrate competency in the administration of oxygen by utilizing an oxygen tank and regulator, oxygen masks, nasal cannula, and providing oxygen by blow-by method.EQUIPMENTAdult CPR manikin, O2 connecting tubing, simple O2 mask, non-rebreather mask, nasal cannula (NC), oxygen cylinder, flow regulator, oropharyngeal and nasopharyngeal airways appropriate for manikin, silicone spray, water-soluble lubricant, eye protection, masks, gown, gloves, suction, timing device, airway bag.SCENARIO:_______ ________________________________________________________________________________262890019685PASS00PASS354330019685FAIL00FAILEXAMINER(S):______________________Attempt:1st2nd3rd (final) PREPARATIONPerformance CriteriaYESNOCommentsEstablishes appropriate BSI precautionsAssesses scene safety/scene size-upIntroduces yourself to the patientDetermines the need for oxygen by placing a pulse oximeter on the patientCleans the patient’s finger with an alcohol wipe or normal saline gauzePalpates the radial artery of the patient to determine if it correlates with the LED on the pulse oximetry deviceReads the display SETTING UP OXYGEN CYLINDER AND REGULATORPerformance CriteriaYESNOCommentsConfirms that it is a “medical grade” oxygen cylinderClears dust or debris from openingPlaces a new O-ring (flexible gasket) over the large opening on either the cylinder or regulatorSecures regulator to valve stemAligns pin index into holesInserts the pins of the regulator in the cylinderTightens screw boltOpens valve two (2) full turns Reads pressure gauge (psi reading) on cylinderGUIDELINES FOR OXYGEN DELIVERYPerformance CriteriaYesNoCommentsInitiate O2 therapy for stable patients with mild hypoxia Initiates O2 at 2-6L/min via NCORBasic mask at 8-10L/minScenario dependentIf the patient is unable to tolerate a NC, uses blow-by technique at 15L/minScenario dependentTitrates oxygen flow to a SpO2 of 94-98%.Suspected PneumothoraxPROCEDURE – NASAL CANNULAPerformance CriteriaYESNOCommentsChooses the appropriate size NCScenario dependent. Document the size used.Attaches the NC oxygen tubing to the regulatorSets appropriate liter flow (2-6 Liters/minute)Check for oxygen flow through NC AND checks for leaksPlaces the cannula prongs into the nostrils correctlySecures NC tubing by: and slips tubing around the earsHolds a loop of tubing anterior to the face and neckSlips tubing around the earsAdjusts the tubing under the chin until the NC is secureEvaluates the patient’s comfort PROCEDURE - MEDIUM CONCENTRATION OXYGEN MASK(SIMPLE FACE MASK)Performance CriteriaYESNOCommentsChooses the appropriate size oxygen maskScenario dependent. Document the size used.Attaches oxygen mask tubing to the regulatorSets appropriate liter flow (8-10 Liters/minute)Check for oxygen flow through mask AND checks for leaksPlaces narrow end of mask over the bridge of the patient’s nose. Covers patient’s nose and mouth with maskSlips elastic strap over patient’s head and places above or below the earsSecures mask Adjusts elastic strapsForms metal strip over nasal bridgeEvaluates the patient’s comfort PROCEDURE - HIGH CONCENTRATION OXYGEN MASK(NON-REBREATHER MASK)Performance CriteriaYESNOCommentsChooses the appropriate size non-rebreather maskAttaches non-rebreather tubing to the regulatorUnroll oxygen reservoir bag and attach to mask - if indicatedScenario dependentSets appropriate liter flow (15 Liters/minute)Inflates reservoir bag completely by holding a finger over the valve located insider of the maskCheck for oxygen flow through mask AND checks for leaksPlaces narrow end of mask over bridge of noseCovers patient’s nose and mouth with maskSlips elastic strap over patient’s head and place just below the earsSecures mask Adjusts elastic strapForms metal strip over nasal bridgeEvaluates the patient’s comfort PROCEDURE - BLOW-BY OXYGEN Performance CriteriaYESNOCommentsChooses the appropriate size oxygen face mask to use with blow-by oxygenScenario dependentAttaches the oxygen supply tubing to the regulatorSets appropriate liter flowAdult –15L/minuteInfant/Child - 15L/minuteNeonate – 15L/minuteChecks for oxygen flow through tubingAdministers O2 by appropriate methodUses tubing, mask or cup Holds device 1”-2” away from eyes, nose, mouth CHANGING THE OXYGEN SOURCEPerformance CriteriaYESNOCommentsPrepares the new oxygen delivery systemTurns on the new oxygen cylinder Checks the new oxygen cylinder pressure to ensure it is greater than 500 psiScenario dependentRemoves the tubing from the existing oxygen cylinderAttaches the oxygen delivery tubing immediately to the new cylinderChecks the old pressure gauge to determine how many psi of oxygen remain in the old cylinderTurn off the existing oxygen regulatorTakes the cylinder out of service – if indicatedScenario dependentDISCONTINUING OXYGEN CYLINDER AND REGULATORPerformance CriteriaYESNOCommentsRemoves oxygen delivery device from patient and regulatorCheck pressure gauge for psi remaining in cylinderTurns off valve at top of cylinderOpens flow meter to bleed O2 from systemDetaches regulatorStores cylinder appropriatelyDeveloped: 10/08 Revised 9/2018 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download