1. patient preparation
- Greetings therapeutic delivered to the client / family friendly upon meeting
- Action plan described to the client / family understand
- Prograrn plan validated again
- The need for tools and materials are identified
- Readiness client be re-examined
2. preparation tool
2.1. Prepared with a complete tool
2.1. Prepared with a complete tool
- Nasal Canula
- Oxygen tubing (hose O)
- Humidifier
- Sterile Water
- Tube O (source O) and flowmeter
- Label "No Smoking"
2.2. The tools are
neatly
2.3. The tools brought to near patient
3. action procedures
2.3. The tools brought to near patient
3. action procedures
- View client for signs of hypoxia and the presence of secretions in the airway
- hand washing
- Lengketkan sign "no smoking" on the door or in the patient's room where it can be seen patients and visitors (paste in a tube O)
- Show Canula nasal to the patient and explain the procedure
- Make sure the humidifier filled with limits specified in sterile water
- Connect the hose O between nasal canule with humidifier
- Set the flow rate - the average O accordance with the instructions of the doctor / min. Feel the flow at the end of Canula
- Place the tip of Canula into the nostril (breathing) patients
- Set up Canula efastis testers actually locked and comfortable and sturdy
- Check Canula every 8 hours
- Keep the humidifier bottle containing all the time
- Observation nostril (lobe, sputum and nasal external) patients and areas above both ears, from the irritation caused by hose Canula, every 6-8 hours
- Check the flow rate doctor's instructions 02 and every 8 hours
- wash your hands
4. documentation
- Documented patient response
- The timing of the nursing assessment
- Documentation note with clear / easy to read
- Documentation signed and the full name and clearly
