CPT - Chest Physical Therapy

Question 1

verifies physicians order

Answer 1

scans chart for diagnosis & other pertinent data

x-ray, CF, bronchiectasis, etc

Question 2

verifies no relative or absolute contraindications exist

Answer 2

modifies procedure accordingly

Question 3

coordinates therapy before meals/feedings

or 2 hours after feeding

Answer 3

coordinate with pain medication administration if applicable (may cause pt. pain)

Question 4

gathers equipment (percussor if needed)

Answer 4

also suction equipment, NC, NRB, ordered bronchodilator if needed

Question 5

utilizes & maintains standard precaution as required

Answer 5

identifies pt., self, department

Question 6

explains purpose of procedure

Answer 6

assesses vitals before therapy (HR, RR, BS, SpO2, color)

Question 7

inspect chest wall for incisions, monitoring leads, IV tubing, or other possible interfering equipment

Answer 7

DO NOT PERCUSS ON BARE SKIN
use hospital gown, blanket, towel for pt. comfort
DO NOT PERCUSS OVER BONE, INCISIONS, JEWELRY, BUTTONS, OR BELOW RIBS

Question 8

places pt. into proper positions using correct body mechanics

Answer 8

allows pt. to assist in turning, if able

Question 9

utilizes appropriate percussion/vibration methods

Answer 9

maintains pt. safety at all times while turning

Question 10

monitors pt. t/o tx for distress, discomfort, pain, dyspnea, arrythmias, breathing pattern, ICP (if monitored), sputum production, skin color

Answer 10

instructs pt. to sit up & cough with position changes
observe sputum production noting amount, color, consistency
allows periods of rest/recovery time

Question 11

places pt. back into safe & comfortable position

Answer 11

assesses pt.’s tolerance/distress post therapy

HR, RR, BS, SpO2, color

Question 12

thanks pt. & ensures needs

Answer 12

disposes PPE w/g

Question 13

evaluates, recommends alternative procedures as applicable (PEP therapy, check oscillating vest)

Answer 13

documents

how they tolerate where you percussed & post vitals