Академический Документы
Профессиональный Документы
Культура Документы
Name: Section: Clinical Instructor: PERFORMANCE POINTS I KNOWLEDGE 1 Explain the purposes of dialysis 2 Enumerate the indications of peritoneal dialysis 3 Explain the rationale of each action 4 Enumerate the materials used II SKILLS 1 Warm dialysate solution to body temperature. 2 Apply mask, then prepare dialysis administration set. Have client wear mask during connection & disconnection of administration set. 3 Place drainage bag below client. 4 Connect outflow tubing to drainage bag 5 Connect dialysis infusion lines to the bag/bottles of dialysate, and hang at clients bedside. 6 Place client in supine position when equipment & solution are ready. 7 Prime infusion tubing by allowing solution to fill tube Keeping clamp closed, connect one infusion line to the abdominal catheter 8 Check patency of catheter: 9 Open the clamps on the infusion lines, and infuse the prescribed amount of dialysate over 5 go 10 min allow solution to dwell for prescribed interval Remove and discard gloves, and perform hand hygiene. 10 When dwell time is completed, open the outflow and allow the solution to drain into the collection bag. Client may need to change position, roll from side to side. 11 Repeat the cycles of infusion-dwell-drainage until the prescribed amount of dialysate & the prescribed number of cycle have been achieved. 12 When dialysis treatment is complete, disconnect the inflow line from the catheter, place a sterile cap over the catheter end, the discard gloves. Group: Score Date
III ATTITUDE 1 Answers questions politely 2 Shows effort to improve performance 3 Works harmoniously with clinical instrucor and groupmates 4 Reports in clean uniform, well roomed & neat GRADING COMPUTATION CLINICAL INSTRUCTORS SIGNATURE Toatal score x 75+25= 100
Score
REMARKS
x 75+25=
f Tricuspid Stenosis Place stethoscope on the left 3-5th ICS listen for abnormal murmurs as evidenced while the patient is in inspiration g Tricuspid regurgitation Place stethoscope on the left 3-5th ICS listen for abnormal murmurs as evidenced while the patient is in inspiration III ATTITUDE 1 Answers questions politely 2 Shows effort to improve performance 3 Works harmoniously with clinical instrucor and groupmates 4 Reports in clean uniform, well roomed & neat GRADING COMPUTATION CLINICAL INSTRUCTORS SIGNATURE Toatal score x 75+25= 100
Score
REMARKS
x 75+25=
c Tympanic sounds are hollow, high, drumlike sounds heard over the chest indicate excessive air in the chest, such as may occur with pneumothorax. 8 Ascultate the lungs for abnoramal breath sounds a wheezes when air is forced through airways narrowed b Rales scratchy sounds Very distinct, diffuse c Rhonchi secretions in larger airway d Auscultation over a pleural effusion e Auscultation of patients with severe emphysema f Egophony III ATTITUDE 1 Answers questions politely 2 Shows effort to improve performance 3 Works harmoniously with clinical instrucor and groupmates 4 Reports in clean uniform, well roomed & neat GRADING COMPUTATION CLINICAL INSTRUCTORS SIGNATURE Toatal score x 75+25= 165
Score
REMARKS
x 75+25=