Clinical Assessment Preparation

CPNE Study Guide

Suctioning Position Semi- Fowler’s Assess Gloves, gown, glasses O2 sats Set suction pressure Trach kit or oral suction Hyper-oxygenate Insert catheter Suction for NO MORE than 15 seconds each time Deep breathing after suctioning Repeat as needed after 30 seconds Oral care after final suction Reassess lung status Bulb suctioning Insert bulb syringe into mouth or nares and wear gloves

Oxygen Management Skin assessment • Ears • Nares O2 sat/rate O2 delivery device Activity level Position upright Safety-No sparks

Wound Management Gloves Assess (color/drainage) Irrigate Clean wound Topical meds Label (time, date, initials) Dressing Response

Musculoskeletal Manage. Morse Fall Scale Mobility status Strength Abnormalities/appear ance Pain w/movement Heat/cold Apply devices Traction ROM • Ab/Adduct OR • Flex/Extend Activities performed Alignment Call bell Alarms Nonskid socks Response

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