Choking

Question 1

List the steps of the Choking procedure

Answer 1

1. Call for the nurse and stay with the resident.
2. Ask if the resident can speak or cough.
3. If not able to speak or cough, move behind resident and slide arms under resident’s armpits.
4. Place your fist with thumb side against abdomen midway between waist and ribcage.
5. Grasp you fist with your other hand.
6. Press your fist into the abdomen with quick inward and upward thrust.
7. Repeat until object is expelled.
8. Assist with documentation.

Question 2

What is the rationale for the step “1. Call for the nurse and stay with the resident.”?

Answer 2

Allows you to get help, yet continuously provide for resident’s safety and comfort.

Question 3

What is the rationale for the step “2. Ask if the resident can speak or cough.”?

Answer 3

Identifies sign of blocked airway (not being able to speak or cough).

Question 4

What is the rationale for the step “3. If not able to speak or cough, move behind resident and slide arms under resident’s armpits.”?

Answer 4

Puts you in correct position to perform procedure.

Question 5

What is the rationale for the step “4. Place your fist with thumb side against abdomen midway between waist and ribcage.”?

Answer 5

Positions fist for maximum pressure with least chance of injury to the resident.

Question 6

What is the rationale for the step “5. Grasp you fist with your other hand.”?

Answer 6

Allows you to stabilize the resident and apply balanced pressure.

Question 7

What is the rationale for the step “6. Press your fist into the abdomen with quick inward and upward thrust.”?

Answer 7

Forces air from lungs to dislodge object.