VITAL SIGN SKILL: Assessing Body Temperature EQUIPMENTS: 1. Thermometer 2. Thermometer Sheath or Cover 3.

Water Soluble Lubricant for rectal temperature 4. Disposable Gloves 5. Towel for Axillary temperature 6. Tissue/wipes SKILL: Assessing an Apical Pulse EQUIPMENTS: 1. Watch with second hand or indicator 2. Stethoscope 3. Antiseptic wipes 4. If using DUS, assemble the Transducer probe, the sthethoscope headset, transmission gel, and tissues/wipes. SKILL: Assessing an Apical Radial pulse EQUIPMENTS: 1. Watch with second hand or indicator 2. Stethoscope 3. Antiseptic wipes SKILL: Assessing Respiration EQUIPMENT: 1. Watch with second hand or indicator SKILL: Assessing Blood Pressure EQUIPMENTS: 1. Stethoscope or DUS 2. Blood Pressure cuff of the appropriate size 3. Sphygmomanometer SKILL: Measuring Oxygen Saturation EQUIPMENTS: 1. Nail polish remover, as needed 2. Alcohol wipe 3. Sheet or towel 4. Pulse oximeter

PREPARED BY: ZARLOU LOUIS B. OTAMIAS RN, RM, MAN

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HEALTH ASSESSMENT SKILL: Assessing the Skin EQUIPMENTS: 1. Millimeter ruler 2. Examination gloves 3. Magnifying glass 4. Assessing the Hair 5. Clean gloves 6. Assessing the Eye Structures and Visual Acuity 7. Cotton-tipped applicator 8. Examination gloves 9. Millimeter ruler 10. Penlight 11. Snellens or E Chart 12. Opaque Card SKILL: Assessing the ears and Hearing EQUIPMENTS: 1. Otoscope with several sizes or ear specula 2. Assessing the Nose and Sinuses 3. Nasal Speculum 4. Flashlight/penlight 5. Assessing the mouth and Oropharynx 6. Clean Gloves 7. Tongue Depressor 8. 2x2 gauze pads 9. Penlight SKILL: Assessing The Thorax and Lungs EQUIPMENTS: 1. Stethoscope 2. Skin marker/pencil 3. Centimeter Ruler 4. Assessing the Heart and Central vessels 5. Stethoscope 6. Centimeter Ruler SKILL: Assessing the Breast and Axillae EQUIPMENT: 1. Centimeter Ruler SKILL: Assessing the Abdomen EQUIPMENTS: 2. Examining light 3. Tape measure (metal or unstretchable cloth) 4. Water soluble skin marking pencil
PREPARED BY: ZARLOU LOUIS B. OTAMIAS RN, RM, MAN

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5. Stethoscope SKILL: Assessing the Musculoskeletal System EQUIPMENTS: 1. Goniometer 2. Assessing the Neurological system 3. Sugar, salt, lemon juice, quinine flavors 4. Percussion hammer 5. Tongue depressor 6. Wisp of cotton to assess light touch sensation 7. Test tubes of hot and cold water, for skin temperature assessment 8. Pins or needle for tactile discrimination SKILL: Assessing the Female Genitals and Inguinal Area EQUIPMENTS: 1. Clean gloves 2. Drape 3. Supplemental lighting, if needed 4. Assessing the Male Genitals and Inguinal Area 5. Clean gloves SKILL: Assessing the Rectum and Anus EQUIPMENTS: 1. Clean gloves 2. Water Soluble lubricant ASEPSIS SKILL: Hand Washing EQUIPMENTS: 1. Soap 2. Warm, running water 3. Disposable or sanitized towels 4. Donning and Removing Personal Protective Equipment (PPE) 5. Gown 6. Mask 7. Eyewear 8. Clean gloves SKILL: Establishing and Maintaining a Sterile Field EQUIPMENTS: 1. Package containing a sterile drape 2. Sterile equipment, as needed SKILL: Donning and removing Sterile Gloves (Open Method) EQUIPMENT: 1. Package of sterile Gloves
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SKILL: Donning and removing Sterile Gloves (Closed Method) EQUIPMENTS: 2. Sterile pack containing a sterile gown 3. Sterile Gloves SAFETY SKILL: Using a Bed or Chair Exit Safety Monitoring Device EQUIPMENTS: 1. Alarm and control device 2. Sensor 3. Connection to nurse call system SKILL: Implementing Seizure Precaution EQUIPMENTS: 1. Blankets or other linens to pad side rails 2. Oral Suction equipment 3. Oxygen Equipment SKILL: Applying Restraints EQUIPMENTS: 1. Appropriate type and Size of restraint 2. Belt Restraint 9Safety belt) 3. Jacket Restraint 4. Mitt Restraint 5. Wrist or Ankle Restraint HYGIENE SKILL: Bathing an Adult or Pediatric Client EQUIPMENTS: 1. Basin or sink with warm water 2. Soap and soap dish 3. Linens 4. Bath blanket 5. Two bath towels 6. Wash cloth 7. Clean gown 8. Pajamas or clothes 9. Additional bed linens and towels if required 10. Gloves if appropriate 11. Personal hygiene articles 12. Shaving equipment 13. Table and bathing equipment 14. Laundry hamper
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SKILL: Providing Perineal-Genital Care (It provide in conjuction with the bed bath) EQUIPMENTS: 1. Bath towels 2. Bath blanket 3. Clean Gloves 4. Bath basin with water at 43-46 C (110-115 F) 5. Soap 6. Washcloth

SKILL: Special Perineal-Genital Care: EQUIPMENTS: 1. Bath towels 2. Bath blanket 3. Clean Gloves 4. Cotton balls or swab 5. Solution bottle, pitcher, or container filled with warm water or a prescribed solution 6. Bedpan to receive rinse water 7. Moisture resistant bag or receptacle for used cotton swabs 8. Perineal Pads SKILL: Providing Foot care EQUIPMENTS: 1. Washbasin containing warm water 2. Pillow 3. Moisture-resistant disposable pad 4. Towels 5. Soap 6. Washcloth 7. Toenail-cleaning and trimming equipment, if agency policy permits 8. Lotion or foot powder SKILL: Brushing and Flossing the Teeth EQUIPMENTS: 1. Towel 2. Disposable gloves 3. Curved basin (emesis basin) 4. Toothbrush 5. Cup of Tepid water 6. Dentifrice (toothpaste) 7. Mouthwash 8. Dental floss, at least 20 cm. (8 inches) in length 9. Floss holder (optional)

PREPARED BY: ZARLOU LOUIS B. OTAMIAS RN, RM, MAN

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Cleaning Artificial Denture: EQUIPMENTS: 1. Disposable gloves 2. Tissue or piece of gauze 3. Denture container 4. Clean washcloth 5. Toothbrush or stiff-bristled brush 6. Dentrifrice or denture cleaner 7. Tepid water 8. Container of mouthwash 9. Curved basin (emesis basin) 10. Towel SKILL: Providing Special Oral Care EQUIPMENTS: 1. Towel 2. Curved basin (emesis basin) 3. Disposable clean gloves 4. Bite-block to hold the mouth open and teeth apart (optional) 5. Toothbrush 6. Cup of Tepid water 7. Dentrifrice or denture cleaner 8. Tissue or piece of gauze to remove dentures (optional) 9. Denture container as needed 10. Mouthwash 11. Rubber tipped bulb syringe 12. Suction catheter with suction apparatus, if aspiration is a concern 13. Foam swabs and cleaning solution for cleaning the mucus membranes 14. Water-soluble lip moisturizer SKILL: Providing Hair Care for Client EQUIPMENTS: 1. Clean brush and comb usually is used for black skinned people because finer combs pull the hair into knots and may break the hair. 2. Towel 3. Hair oil preparation, if appropriate SKILL: Shampooing the Hair of a client Confined to Bed EQUIPMENTS: 1. Comb and brush 2. Plastic sheet or pad 3. Two bath towels 4. Shampoo basin 5. Washcloth or pad 6. Bath blanket 7. Receptacle for the shampoo water
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8. Pitcher of water 9. Bath thermometer 10. Liquid or cream shampoo 11. Hair dryer SKILL: Removing, Cleaning, and Inserting a Hearing Aid EQUIPMENTS: 1. Client hearing aid 2. Soap, water, and towels, or a damp cloth 3. Pipe cleaner or toothpick (optional) 4. New battery (if needed) SKILL: Changing an Unoccupied Bed EQUIPMENTS: 1. Two flat sheets, or one fitted and flat sheet 2. Cloth draw sheet (optional) 3. One blanket 4. One bedspread 5. Pillowcase(s) for the head pillow(s) 6. Plastic laundry laundry bag or portable line hamper, if available. SKILL: Changing an Occupied Bed EQUIPMENTS: 1. Two flat sheets, or one fitted and one flat sheet 2. Cloth draw sheet (optional) 3. One blanket 4. One bedspread 5. Waterproof draw sheet or waterproof pads (optional) 6. Pillowcases(s) for the head pillow(s) 7. Plastic laundry bag or portable linen hamper, if available. DIAGNOSTIC TESTING SKILL: Obtaining a Capillary Blood Specimen and Measuring Blood Glucose EQUIPMENTS: 1. Blood glucose meter (glucometer) 2. Blood glucose reagent strip compatible with the meter. 3. 2x2 gauze 4. Warm cloth or other warming device (optional) 5. Antiseptic swab 6. Disposable gloves 7. Sterile lancet 8. Lancet injector SKILL: Collecting a Urine Specimen for Culture and Sensitivity by Clean Catch EQUIPMENTS:
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1. 2. 3. 4. 5. 6. 7. 8.

Clean gloves Antiseptic towelettes Sterile specimen container Specimen identification label In addition, obtain the following: Completed laboratory requisition form Urine receptacle, if the client is not ambulatory. Basin of warm water, soap, washcloth, and towel for the non- ambulatory client. MEDICATION

SKILL: Administering Oral Medication EQUIPMENTS: 1. Dispensing system 2. Disposable medication cups: small paper or plastic cups for tablets and capsules, or waxed or plastic calibrated medication cups for liquids 3. Medication administration record (MAR), or computer print out. 4. Pill crusher/cutter 5. Straws to administer medications that might discolour the teeth, or to facilitate the ingestion of liquid medication for certain clients. 6. Drinking glass and water or juice 7. Applesauce or pudding to use for crushed medication. SKILL: Preparing Medication from Ampule EQUIPMENTS: 1. Ampule of sterile medication 2. File (if ampule is not scored) and small gauze square or plastic ampule opener 3. Antiseptic swabs 4. Syringe 5. Filter needle for drawing medication from the ampule SKILL: Preparing Medication from Vials EQUIPMENTS: 1. Vial of sterile medication 2. Antiseptic swabs 3. Safety needle and syringe 4. Filter needle (check agency policy) 5. Sterile water or normal saline, if drug is in powdered form. SKILL: Mixing Medication Using One Syringe EQUIPMENTS: 1. Two vials of medication; one vial and one ampule; two ampules; or one vial or ampule and one cartridge 2. Antiseptic swabs 3. Sterile syringe and safety needle or insulin syringe and needle (If insulin is being given, use a small-gauge hypodermic needle-e.g., 26 gauge.)
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4. Additional sterile subcutaneous or intramuscular needle (optional) SKILL: Administering an Intradermal Injection for Skin Tests EQUIPMENTS: 1. Vial or ampule of the correct medication 2. Sterile 1-ml syringe calibrated into hundredths of a millimetre (i.e. tuberculin syringe) and a 25-to 27-gauge needle that is -5/8 inch long 3. Alcohol swabs 4. 2x2 sterile gauze square (optional) 5. Clean gloves (according to agency protocol) 6. Band Aid (optional) 7. Epinephrine SKILL: Administering a Subcutaneous Injection EQUIPMENTS: 1. Vial or ampule of the correct sterile medication 2. Syringe and needle 3. Antiseptic swabs 4. Dry, sterile gauze for opening an ampule (optional) 5. Clean gloves SKILL: Administering an Intramuscular Injection EQUIPMENTS: 1. Sterile medication (usually provided in an ampule or vial) 2. Syringe and needle size appropriate for the amount of solution to be administered 3. Antiseptic swabs 4. Clean gloves

SKILL: Adding Medications to Intravenous Fluid Containers EQUIPMENTS: 1. Correct Sterile Medication 2. Diluent for medication in powdered form 3. Correct solution container, if a new one is to be attached 4. Antiseptic swabs 5. Sterile syringe and needle of appropriate size (e.g. ,5 or 10ml) and a 1-1 inch, #20 or #21 gauge sterile safety needle if not using a needleless safety system. 6. IV additive label SKILL: Administering Intravenous Medications Using IV Push EQUIPMENTS: IV Push for an Existing Line: 1. Medication in a vial or ampule 2. Sterile syringe (3-5 ml) (to prepare the medication)

PREPARED BY: ZARLOU LOUIS B. OTAMIAS RN, RM, MAN

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3. Sterile needles 21-25 gauge, 2.5 cm (1 inch) (needle not needed if using a needleless system) 4. Antiseptic Swabs 5. Watch with a digital readout or second hand 6. Clean gloves IV Push for an IV Lock: 1. Medication in a vial or ampule 2. Sterile syringe (3-5 ml) (to prepare the medication) 3. Sterile syringe (3 ml) (for the saline or heparin flush) 4. Vial or normal saline to flush the IV catheter or vial of heparin flush solution or both, depending on agency practice. These maintain the patency of the IV lock. Saline frequency is used for peripheral locks. 5. Sterile needle (21 gauge) or equivalent from a needleless system. 6. Antiseptic swabs 7. Watch with a digital readout or second hand 8. Disposable gloves. SKILL: Administering Ophthalmic Instillations EQUIPMENTS: 1. Clean gloves 2. Sterile, absorbent sponges soaked in sterile normal saline 3. Medication 4. Sterile eye dressing (pad), as needed, and paper eye tape to secure it. For irrigation, add: 1. Irrigating solution (e.g., normal saline) and irrigating syringe or tubing. 2. Dry, sterile absorbent sponges 3. Moisture-resistant towel; and 4. Basin (e.g., emesis basin) SKILL: Administering Otic Instillations EQUIPMENTS: 1. Clean gloves 2. Cotton-tipped applicator 3. Correct medication bottle with dropper 4. Flexible rubber tip (optional) for the end of the dropper, which prevents injury from sudden motion- for example, by a disoriented client. 5. Cotton fluff For irrigation, add: 1. Moisture-resistant towel 2. Basin (e.g., emesis basin) 3. Irrigating solution at the appropriate temperature, about 500ml (16 ounces) or as ordered; 4. Container for the irrigating solution 5. Syringe
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SKILL: Administering Vaginal Instillations EQUIPMENTS: 1. Drape 2. Correct vaginal suppository or cream 3. Applicator for vagina cream 4. Clean Gloves 5. Lubricant for Suppository 6. Disposable Towel 7. Clean perineal pad For irrigation, add: 1. Moisture-proof pad; 2. Vaginal Irrigation set (these are often disposable), containing a nozzle, tubing and a clamp, and a container for the solution; 3. IV pole; and 4. Irrigating solution

SKIN INTEGRITY AND WOUND CARE SKILL: Obtaining a Wound Drainage Specimen for Culture EQUIPMENTS: 1. Personal protective equipment, goggles, and gown 2. Clean gloves 3. Sterile gloves 4. Moisture-proof bag 5. Sterile dressing set 6. Normal saline and irrigating syringe 7. Culture tube with swab and culture medium and/ or sterile syringe with needle for anaerobic culture 8. Completed labels for each container 9. Completed requisition to accompany the specimens to the laboratory. SKILL: Irrigating a Wound EQUIPMENTS: 1. Sterile dressing equipment and dressing materials 2. Sterile irrigation set or individual supplies that include: 3. Sterile syringe with a catheter of appropriate size, or an irrigating-type syringe 4. Sterile graduated container for irrigating solution 5. Sterile basin for the irrigating solution 6. Moisture proof sterile drape 7. Moisture proof bag 8. Basin to receive the irrigation returns 9. Irrigating solution, usually 200ml. (6.5 ounces), warmed to body temperature 10. Goggles, gown and mask
PREPARED BY: ZARLOU LOUIS B. OTAMIAS RN, RM, MAN

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11. Clean gloves 12. Sterile gloves SKILL: Teaching Moving, Leg Exercise, Deep Breathing, and Coughing EQUIPMENTS: 1. Pillow 2. Teaching Materials, if appropriate SKILL: Applying Antiemboli Stockings EQUIPMENTS: 1. Tape Measure 2. Clean antiemboli stockings of the appropriate size and of the type ordered PERIOPERATIVE NURSING SKILL: Managing Gastrointestinal Suction EQUIPMENTS: 1. Initiating Suction: 2. Gastrointestinal tube in place in the client 3. Basin 4. 50 ml syringe with an adapter 5. Stethoscope 6. Suction device for either continues or intermittent suction 7. Connector and connecting tubing 8. Disposable gloves Maintaining Suction: 1. Graduated container to measure gastric drainage 2. Basin of water 3. Cotton-tipped applicators 4. Ointment or lubricant 5. Disposable gloves Irrigation: 1. Clean gloves 2. Stethoscope 3. Disposable irrigating set 4. Sterile normal saline SKILL: Cleaning a Sutured Wound and Applying a Sterile Dressing EQUIPMENTS: 1. Bath blanket (if necessary) 2. Moisture-proof bag 3. Mask (optional) 4. Acetone or another solution (if necessary to loosen adhesive) 5. Clean Gloves
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6. Sterile gloves 7. Sterile dressing set; if none is possible, gather the following sterile items: 8. Drape or towel 9. Gauze squares 10. Container for the cleaning solution 11. Cleaning solution 12. Two pairs of forceps 13. Gauze dressing and surgipads 14. Applicators or tongue blades, to apply ointments 15. Additional supplies required for the particular dressing 16. Tape, tie tapes, or binder ACTIVITY AND EXERCISE SKILLS: Moving a Client Up in Bed, Turning a Client to the Lateral or Prone Position in Bed, Logrolling a Client, and Assisting the Client to Sit on the Side of the Bed (Dangling) EQUIPMENTS: 1. Assistive devices such as; 2. Overhead trapeze 3. Pull and/or turn sheet, 4. Transfer or sliding bar SKILL: Transferring Between Bed and Chair EQUIPMENTS: 1. Robe or appropriate clothing 2. Slippers or shoes with non-skid soles 3. Transfer (walking) belt 4. Chair, commode, wheelchair, stretcher, as appropriate to client need. 5. Sliding Board SKILL: Transferring Between Bed and Stretcher EQUIPMENTS: 1. Stretcher 2. Sliding Board (optional) SKILL: Assisting the Client to Ambulate EQUIPMENTS: 1. Transfer belt, if the client is known to be unsteady 2. Wheelchair for following client or chairs along the route, if the client needs to rest

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NUTRITION SKILL: Inserting a Nasogastric Tube EQUIPMENTS: 1. Large or small bore tube 2. Nonallergic adhesive tape, 2.5 cm (1 inch) wide 3. Clean gloves 4. Water Soluble lubricant 5. Facial Tissues 6. Glass of water and drinking straw 7. 20-50 ml syringe with an adapter 8. Basin 9. pH test strip or meter 10. Bilirubin dipstick 11. Stethoscope 12. Disposable pad or towel 13. Clamp or plug (optional) 14. Suction apparatus, if required 15. Safety pin and elastic band SKILL: Removing a Nasogastric Tube EQUIPMENTS: 1. Disposable pad or towel 2. Tissues 3. Clean gloves 4. 50 ml syringe (optional) 5. Plastic trash bag SKILL: Administering a Tube Feeding EQUIPMENTS: 1. Correct amount of feeding solution 2. 60-ml catheter -tip syringe 3. Emesis basin 4. Clean gloves 5. pH strip or meter 6. Large syringe or calibrated plastic feeding bag with label and tubing 7. Measuring container from which to pour the feeding 8. Water at room temperature (60ml, unless otherwise specified) 9. Feeding pump as required SKILL: Administering a Gastrostomy or Jejunostomy Feeding EQUIPMENTS: 1. Correct amount of feeding solution 2. Graduated container to hold the feeding 3. 60- ml. catheter -tip syringe 4. For Tube remains in place:
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5. Mild soap and water 6. Clean gloves 7. Petrolatum, zinc oxide ointment, or other skin protectant 8. Precut 4x4 gauze squares 9. Uncut 4x4 gauze squares 10. For tube insertion: 11. Clean gloves 12. Moisture-proof bag 13. Water soluble lubricant 14. Feeding tube (if needed) URINARY ELIMINATION SKILL: Applying an External Catheter EQUIPMENTS: 1. Leg drainage bag with tubing or urinary drainage bag with tubing 2. Condom sheath 3. Drape (e.g., sheet or bath blanket) 4. Clean gloves 5. Basin or warm water and soap 6. Washcloth and towel 7. Elastic tape or Velcro strap SKILL: Performing Urethral Urinary Catheterization EQUIPMENTS: 1. Sterile catheter of appropriate size. An extra catheter should also be at hand 2. Catheterization kit or individual sterile items: 3. 1-2 pairs of sterile gloves 4. Waterproof drape(s) 5. Antiseptic solution 6. Cleansing balls 7. Forceps 8. Water soluble lubricant 9. Urine receptacle 10. Specimen container 11. For an indwelling catheter: 12. Syringe prefilled with sterile water in amount specified by the catheters manufacturer 13. Collection bag and tubing 14. 2% Xylocaine gel (if agency permits) 15. Disposable clean gloves 16. Supplies for performing perineal cleansing 17. Bath blanket or sheet for draping the client 18. Adequate lighting-obtain a flashlight or lamp, if necessary.

PREPARED BY: ZARLOU LOUIS B. OTAMIAS RN, RM, MAN

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SKILL: Performing Bladder Irrigation EQUIPMENTS: 1. Clean gloves (two pairs) 2. Retention catheter in place 3. Drainage tubing and bag (if not in place) 4. Drainage tubing clamp 5. Antiseptic swabs 6. Sterile receptacles 7. Sterile irrigating solution, warmed or at room temperature 8. Infusion tubing 9. IV pole SKILL: Open Irrigation Using a Two-Way Indwelling Catheter EQUIPMENTS: 1. Clean gloves 2. Sterile gloves 3. Disposable, water resistant towel 4. Sterile irrigating solution 5. Sterile basin 6. Sterile 30-50 ml Asepto syringe 7. Antiseptic swabs

FECAL ELIMINATION SKILL: Changing a Bowel Diversion Ostomy Appliance EQUIPMENTS: 1. Clean gloves 2. Electric or safety razor 3. Bedpan 4. Solvent 5. Moisture-proof bag 6. Cleaning materials, including tissues, warm water, mild soap (optional), washcloth or cotton balls, and towel 7. Tissue or gauze pad 8. Skin barrier (optional) 9. Stoma measuring guide 10. Pen or pencil and scissors 11. New ostomy appliance, with optional belt 12. Tail closure clamp 13. Deodorant for pouch (optional)

PREPARED BY: ZARLOU LOUIS B. OTAMIAS RN, RM, MAN

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SKILL: Administering an Enema EQUIPMENTS: 1. Disposable linen-saver pad 2. Bath blanket 3. Bedpan or commode 4. Clean gloves 5. Water-soluble lubricant 6. Paper towel Large-volume enema 1. Solution container, with tubing of correct size and tubing clamp 2. Correct solution, amount, and temperature Small-volume enema 1. Prepacked container of enema solution with lubricated tip. OXYGENATION SKILL: Oropharyngeal and Nasopharyngeal and Nasotracheal Suctioning EQUIPMENTS: 2. Towel or moisture-resistant pad 3. Portable or wall suction machine with tubing collection receptacle, and suction pressure gauge 4. Sterile, disposable container for fluids 5. Sterile normal saline or water 6. Sterile gloves 7. Goggles or face shield, if appropriate 8. Moisture-resistant disposable bag 9. Sputum trap, if specimen is to be collected Oral and Oropharyngeal Suctioning 1. Yankauer suction catheter kit 2. Clean gloves Nasopharyngeal and Nasotracheal Suctioning: 1. Sterile gloves 2. Sterile suction catheter kit 3. Water-soluble lubricant (for nasopharyngeal suctioning) 4. Y-connector SKILL: Administering Oxygen by Cannula, Facemask, or Face Tent EQUIPMENTS: 1. Oxygen supply with a flow meter and adapter 2. Humidifier with distilled water or tap water, according to agency protocol 3. Nasal cannula and tubing 4. Tape
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5. Padding for the elastic band Facemask 1. Oxygen supply with a flow meter and adapter 2. Humidifier with distilled water or tap water, according to agency protocol 3. Prescribed face mask of the appropriate size 4. Padding for the elastic band Face Tent 1. Oxygen supply with a flow meter and adapter 2. Humidifier with distilled water or tap water according to agency protocol 3. Face tent of the appropriate size SKILL: Suctioning a Tracheostomy or Endotracheal Tube EQUIPMENTS: 1. Resuscitation bag connected to 100 % oxygen 2. Sterile towel (optional) 3. Equipment for suctioning 4. Goggles and mask, if necessary 5. Gown (if necessary) 6. Sterile gloves 7. Moisture-resistant bag SKILL: Providing Tracheostomy Care EQUIPMENTS: 1. Sterile disposable tracheostomy cleaning kit or supplies 2. Towel or drape to protect bed linens 3. Sterile suction catheter kit 4. Sterile normal saline 5. Sterile gloves 2 pairs 6. Clean gloves 7. Moisture-proof bag 8. Commercially prepared sterile tracheostomy dressing or sterile 4x4 gauze dressing 9. Cotton twill ties 10. Clean Scissors SKILL: Sequential Compression Devices EQUIPMENTS: 1. Measuring Tape 2. Sequential compression device (SCD), including disposable sleeves, air pump, and tubing SKILL: Changing an Intavenous Catheter to an Intermittent Infusion Lock EQUIPMENTS: 1. Intermittent infusion cap or device 2. Clean gloves 3. Sterile 2X2 or 4X4 gauze
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4. Sterile saline for injection (without preservative) or heparin flush solution (10 units/ml or 100 units/ml) in a prefilled syringe, or a 3ml syringe with a needleless infusion device 5. Isopropyl alcohol wipe 6. Tape 7. Clean emesis basin SKILL: Changing an Intravenous Container, Tubing, and Dressing EQUIPMENTS: 1. Administration set, including sterile tubing and drip chamber 2. Timing label 3. Sterile gauze square for positioning the needle For the Dressing: 1. Clean, disposable gloves 2. Sterile 2X2 or 4X4 gauze or transparent dressing 3. Adhesive remover 4. Chlorhexidine swabs 5. Alcohol swabs 6. Tape 7. Towel SKILL: Discontinue an Intravenous Infusion EQUIPMENTS: 1. Clean gloves 2. Dry or antiseptic-soaked swabs, according to agency practice 3. Small sterile dressing and tape SKILL: Initiating, Maintaining, and Terminating a Blood Transfusion Using a Y-Set EQUIPMENTS: 1. Blood product 2. Blood administration set 3. 250 ml normal saline for infusion 4. IV pole 5. Venipuncture set containing a #18 or #19 gauge needle or catheter (if one is not already in place) or, if blood is to be administered quickly, a #15 gauge needle or a larger catheter (e.gm, #14) 6. Chlorhexidine solution 7. Alcohol swabs 8. Tape 9. Clean gloves SKILL: Starting an Intravenous Infusion EQUIPMENTS: 1. Infusion set 2. Container of sterile parenteral solution 3. IV pole
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4. 5. 6. 7. 8. 9.

Adhesive or nonallergic tape Clean gloves Tourniquet Antiseptic swabs Antiseptic ointment (Check agency policy) Intravenous catheter; see Variation at the end of this procedure for use of a butterfly (winged-tip) needle 10. Sterile gauze dressing or transparent occlusive dressing 11. Arm splint, if required 12. Towel or pad 13. Electronic infusion device or pump

REFERENCE Kozier et. al. (2008) Kozier & Erbs Fundamental of Nursing Checklist (3rd ed.). Pearson Education South Asia Pte Ltd.

PREPARED BY: ZARLOU LOUIS B. OTAMIAS RN, RM, MAN

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