Control Comp #5 (Standard Precautions-PPE, Incentive Spirometry, Trach Care)

Question 1

Standard Precaution (8 Steps)

Answer 1

PROCEDURE STEPS
1. Verifies type and purpose of isolation
2. Applies appropriate PPE
3. Enters room, identifies patient, introduces self and department, and performs necessary task
4. Discards contaminated supplies appropriately
5. Removes PPE and follows universal precautions
6. Washes/gel hands
7. Re-gloves to clean or transport equipment to contaminated area
8. Discards gloves and re-washes/gel hands

Question 2

Standard Precaution (Steps 1 - 4)

Answer 2

PROCEDURE STEPS
1. Verifies type and purpose of isolation
2. Applies appropriate PPE
3. Enters room, identifies patient, introduces self and department, and performs necessary task
4. Discards contaminated supplies appropriately

Question 3

Standard Precaution (Steps 5 - 8)

Answer 3

5. Removes PPE and follows universal precautions
6. Washes/gel hands
7. Re-gloves to clean or transport equipment to contaminated area
8. Discards gloves and re-washes/gel hands

Question 4

Standard Precautions
Order to put on PPE (6 Steps)

Answer 4

1. Bonnett & Glasses (if required)
2. Surgical or N95 Mask
3. Booty’s (Shoe Covers)
4. Hand Hygiene
5. Gown w/thumb hole
6. Gloves over gown sleeve

Question 5

Standard Precautions
Order to take off PPE (10 Steps)

Answer 5

1. Bonnett & Glasses
2. Booty’s
3. Gown
4. Gloves
5. Mask
6. Hand Hygiene
7. Gloves on
8. Clean Equipment
9. Gloves off
10. Hand Hygiene

Question 6

Incentive Spirometry (14 Steps)

Answer 6

PROCEDURE STEPS
1. Verifies physician’s order / facility protocols
2. Scans chart for appropriateness of therapy
3. Utilizes and maintains standard precautions as required
4. Gathers and assembles equipment
5. Identifies patient, introduces self and department
6. Assesses patient before therapy and places in proper position
7. Explains / instructs procedure to the patient and confirms patient’s understanding
8. Monitors patient throughout therapy for side effects
9. Instructs the patient to cough
10. Assesses the patient post procedure
11. Leaves the device within the patients reach and encourages to do on own
12. Thanks patient and ensure safe and needs are met
13. Disposes of PPE; washes / gel hands
14. Documents

Question 7

IS Instructions (Directed Cough)

Answer 7

Question 8

Incentive Spirometry (Steps 1 - 7)

Answer 8

PROCEDURE STEPS
1. Verifies physician’s order / facility protocols
2. Scans chart for appropriateness of therapy
3. Utilizes and maintains standard precautions as required
4. Gathers and assembles equipment
5. Identifies patient, introduces self and department
6. Assesses patient before therapy and places in proper position
7. Explains / instructs procedure to the patient and confirms patient’s understanding

Question 9

Incentive Spirometry (Steps 8 - 11)

Answer 9

8. Monitors patient throughout therapy for side effects
9. Instructs the patient to cough
10. Assesses the patient post procedure
11. Leaves the device within the patients reach and encourages to do on own

Question 10

Incentive Spirometry (Steps 12 - 14)

Answer 10

12. Thanks patient and ensure safe and needs are met
13. Disposes of PPE; washes / gel hands
14. Documents

Question 11

Incentive Spirometry
Procedure Explanation & Freq

Answer 11

1. Patient Sit-up
2. Take in breath and exhale completely
3. Put mouth around mouthpiece and ensure tight seal once breath is all out
4. Take in a slow deep breath (Keep indicator between two lines) until lungs are filled
5. Hold breath for 5-10 seconds
6. Exhale completely all air in lungs

*Freq: 1. 10 Breaths Q H while awake (10 breaths “every hour” while awake)
2. QID (4 times a day)

Question 12

Directed Cough Techniques: This check-off is to be combined with the therapy/treatment check-off
(12 Steps)

Answer 12

PROCEDURE STEPS - Patient Preparation
1. Explains purpose of procedure
2. Places patient in appropriate position
3. instructs patient on incisional support (if applicable)
4. Encourages a deep inspiration and hold
5. Instructs the patient in serial coughing techniques
6. Instructs patient on forced expiratory technique (FET), or huffing
7. State / Discuss purpose and technique of Quad Cough. If applicable, perform
8. Reassesses patient and reinstruct any of above as needed
9. Collects and examines sputum (if applicable)
10. Thanks patient, ensures patient comfort, safety, and needs
11. Disposes of PPE; washes/gel hands
12. Document with therapy / treatment

Question 13

Directed Cough Techniques (Steps 1 - 4)

Answer 13

PROCEDURE STEPS - Patient Preparation
1. Explains purpose of procedure
2. Places patient in appropriate position
3. instructs patient on incisional support (if applicable)
4. Encourages a deep inspiration and hold

Question 14

Directed Cough Techniques (Steps 5 - 9)

Answer 14

5. Instructs the patient in serial coughing techniques
6. Instructs patient on forced expiratory technique (FET), or huffing
7. State / Discuss purpose and technique of Quad Cough. If applicable, perform
8. Reassesses patient and reinstruct any of above as needed
9. Collects and examines sputum (if applicable)

Question 15

Directed Cough Techniques (Steps 10 - 12)

Answer 15

10. Thanks patient, ensures patient comfort, safety, and needs
11. Disposes of PPE; washes/gel hands
12. Document with therapy / treatment

Question 16

Tracheostomy Care (21 Steps)

Answer 16

PROCEDURAL STEPS: Equip & Pt. Preparation
1. Verifies physician’s order/facilities protocols
2. Scans chart for any other pertinent data and notes
3. Gathers equipment
4. Utilizes and maintains standard precautions as required
5. Identifies patient, introduces self and department
6. Explains procedure to the patient
7. Assesses patient before and after the procedure
8. assures patient is properly oxygenated before and t/o procedure
9. Suctions the patient
10. Removes old dressing
11. Prepares sterile field
12. Remove the inner cannula and place it in the solution to soak
13. Sterilely performs stoma care while maintaining patient safety and comfort
14. Aseptically cleans neck plate of trach tube
15. Clean and replace the inner cannula
16. Applies new dressing and trach holder if applicable
17. Reassess pt. and O2
18. Correctly cares for equipment following the procedure
19.Thanks patient, assures patient’s safety and needs
20. Disposes of PPE; Washes/gel hands
21. Documents appropriately

Question 17

Tracheostomy Care (Steps 1 - 7)

Answer 17

PROCEDURAL STEPS: Equip & Pt. Preparation
1. Verifies physician’s order/facilities protocols
2. Scans chart for any other pertinent data and notes
3. Gathers equipment
4. Utilizes and maintains standard precautions as required
5. Identifies patient, introduces self and department
6. Explains procedure to the patient
7. Assesses patient before and after the procedure

Question 18

Tracheostomy Care (Steps 8 - 16)

Answer 18

8. assures patient is properly oxygenated before and t/o procedure
9. Suctions the patient
10. Removes old dressing
11. Prepares sterile field
12. Remove the inner cannula and place it in the solution to soak
13. Sterilely performs stoma care while maintaining patient safety and comfort
14. Aseptically cleans neck plate of trach tube
15. Clean and replace the inner cannula
16. Applies new dressing and trach holder if applicable

Question 19

Tracheostomy Care (Steps 17 - 21)

Answer 19

17. Reassess pt. and O2
18. Correctly cares for equipment following the procedure
    19.Thanks patient, assures patient’s safety and needs
19. Disposes of PPE; Washes/gel hands
20. Documents appropriately