Medical skills

Question 1

Bronchodilator

Answer 1

1.Begins oxygen flow at prescribed rate
2 Places delivery device on the patient
3 Auscultates patients lungs to determine adequacy of ventilations
4 Confirms order for metered dose inhaler
5 Informs the patient of the order and inquires as to allergies and other medication use
6 Selects and checks the appropriate medication and shakes container
7 Instructs patient on MDI use
8 Re-checks medication
9 Removes oxygen delivery device, inserts MDI in patients mouth, delivers medication
10 Removes MDI and replaces oxygen delivery device on patient
11 Auscultates patients lungs to determine adequacy of ventilations
12 Confirms order for a bronchodilator via the small volume nebulizer.
13 Informs the patient of the order and reconfirms allergies and medication use
14 Selects and checks the appropriate medication
15 Assembles the nebulizer and fills the chamber with bronchodilator
16 Re-checks medication
17 Begins oxygen flow to nebulizer at prescribed rate
18 Removes oxygen device and places nebulizer in mouth or on patient
19 Removes nebulizer and replaces oxygen device
20 Auscultates patients lungs to determine adequacy of ventilations

Question 2

Epi Pen auto-injector

Answer 2

1 Confirms the order for administration of epinephrine via autoinjector
2 Informs the patient of the order, inquires as to allergies and other medication useage
3 Selects and checks the appropriate medication
4 Selects an appropriate site and cleanses the site
5 Re-checks medication
6 Removes the safety cap
7Places the tip against the injection site, presses to activate syringe and holds in place for 10 seconds
8 Removes syringe and puts pressure on site with gauze pad
9 Verbalizes disposal of syringe in appropriate container
10 Auscultates patients lungs to determine adequacy of ventilations