Page 64 - CLINICAL PRACTICE II
P. 64

CikguOnline
   CikguOnline



                                               PROCEDURE CHECKLIST 33
                    Nursing Interventions in Meeting Patient’s Oxygenation: Coughing and Deep
                                                     Breathing Exercise





                NO.                             PROCEDURE                                   REMARKS

                       Check the patient’s chart for the type of surgery and medical
                  1.
                       orders.

                  2.  Gather the necessary equipment and bring to the bedside.


                  3.  Perform hand hygiene and put on PPE, if indicated.

                  4.  Identify the patient.

                       Establish rapport.
                  5.  -     Greet patient & maintain eye contact.
                       -     Introduce yourself.

                  6.  Explain the purpose and provide privacy to patient.


                       Assess level of knowledge on deep breathing exercises,
                  7.
                       coughing, and splinting of the incision.


                       Explain the rationale of performing deep
                  8.
                       breathing exercises, coughing, and splinting of the incision.


                       Assist the patient to sit up (semi- or High-Fowler’s position.
                  9.  Instruct patient to place palms of both hands along the lower
                       anterior rib cage.


                 10.  Instruct the patient to exhale gently up to the maximum.


                       Instruct the patient to breathe in through the nose as deeply
                 11.
                       as possible and hold breath for 3 seconds.












              64 | P a g e
   59   60   61   62   63   64   65   66   67   68   69