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    ML+.01+Tracheostomy+Checklist OSCE+2

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    Edralee Villanueva
    The document is an OSCE (Objective Structured Clinical Examination) checklist for evaluating tracheostomy care skills. It contains 32 checklist items assessing skills for tracheostomy care including assessment, necessary equipment, implementation of the procedure, and evaluation criteria. The skills involve assessing the patient's breathing, preparing equipment, suctioning and cleaning the tracheostomy tube, providing oxygen, and evaluating the patient afterwards. A perfect score is 64 and performance is calculated as a percentage of the total possible score.

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    ML+.01+Tracheostomy+Checklist OSCE+2

    Uploaded by

    Edralee Villanueva
    131 views3 pages
    The document is an OSCE (Objective Structured Clinical Examination) checklist for evaluating tracheostomy care skills. It contains 32 checklist items assessing skills for tracheostomy care including assessment, necessary equipment, implementation of the procedure, and evaluation criteria. The skills involve assessing the patient's breathing, preparing equipment, suctioning and cleaning the tracheostomy tube, providing oxygen, and evaluating the patient afterwards. A perfect score is 64 and performance is calculated as a percentage of the total possible score.

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    The document is an OSCE (Objective Structured Clinical Examination) checklist for evaluating tracheostomy care skills. It contains 32 checklist items assessing skills for tracheostomy care including assessment, necessary equipment, implementation of the procedure, and evaluation criteria. The skills involve assessing the patient's breathing, preparing equipment, suctioning and cleaning the tracheostomy tube, providing oxygen, and evaluating the patient afterwards. A perfect score is 64 and performance is calculated as a percentage of the total possible score.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    131 views3 pages

    ML+.01+Tracheostomy+Checklist OSCE+2

    Uploaded by

    Edralee Villanueva
    The document is an OSCE (Objective Structured Clinical Examination) checklist for evaluating tracheostomy care skills. It contains 32 checklist items assessing skills for tracheostomy care including assessment, necessary equipment, implementation of the procedure, and evaluation criteria. The skills involve assessing the patient's breathing, preparing equipment, suctioning and cleaning the tracheostomy tube, providing oxygen, and evaluating the patient afterwards. A perfect score is 64 and performance is calculated as a percentage of the total possible score.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    General Santos Doctors’ Medical School Foundation, Inc.

    Bulaong Subdivision, Dadiangas West, General Santos City


    Tel No.: (083) 302-3507, Telefax No.: (083) 552-9793

    Objective Structured Clinical Examination checklist


    (OSCE)

    TRACHEOSTOMY CARE

    Name: ______________________________
    Date :______________
    Time Started: ________________________ Time Ended
    ________

    SKILLS Performed Not Remarks


    Properly Performed

    ASSESSMENT/PLANNING 2 0
    1. Assess breathing pattern.
    2. Listen to breath sounds.
    3. Observe for infection.
    4. Observe for hypoxia.
    5. Assess the needs of the patient with a tracheostomy for
    suctioning and cleaning.
    6. Wash your hands.
    7. Obtain the necessary equipment &
    materials needed.
    MATERIALS NEEDED:
     Tracheostomy tube (Shiley)
     Mask
     Sterile gloves
     Self-inflating breathing bag (AMBU bag)
     Sterile water
     Sterile suction catheter
     Sterile syringe
     Normal saline if saline is to be instilled
     Sterile gauze squares
     Eye protection
     Portable suction machine
     Suction trap, if a spectrum specimen is needed
    IMPLEMENTATION
    8. Identify the patient.
    9. Provide Privacy.
    10. Explain the procedure.
    11. Establish a way communicating with tracheostomy
    patient.
    a12. Test the suction apparatus.
    13. Place the patient on supine or in Mid- Fowler’s
    position. Turn the patient’s head slightly toward you.
    Place the unconscious patient in lateral position facing
    you.
    14. Put an eye protection and mask.
    15. Prepare 5ml of sterile saline in a syringe
    (remove needle for safety).
    16. Open the sterile suction set and prepare the
    equipment.
    ü Place the drape from the kit or a clean towel
    over the patient’s chest.
    ü Most kits contain a pocket of solution, sterile
    gloves, the sterile suction catheter and sterile
    gauze squares. If the kit contains all of these
    equipment, first put on gloves
    ü Pour the saline into the basin. Hold the catheter
    in your dominant hand.

    17. Attach the breathing bag to the oxygen source and


    prepare to ventilate the patient.
    18. Attach the breathing bag to the tracheostomy tube
    and provides three deep breaths coordinated with the
    patient’s breathing pattern.
    19. Instill normal saline into the tracheostomy.
    20. Control the suction with your unsterile gloved
    hand, while suctioning with your sterile hand.
    ü Insert the catheter 4 to 5 inches into the
    tracheostomy without occluding the part on the
    suction catheters.
    ü Apply the suction by closing the system. This
    is done placing your thumb over the post or
    side opening at the base of the catheter.
    ü Apply suction for only 10 seconds
    ü Withdraw the catheter rotating it gently while
    you continue suctioning.
    ü Rinse the catheter with sterile water or normal
    saline
    21. Provide ventilation immediately after the
    suction catheter is removed.
    22. Observe the patient for dyspnea after the
    suction catheter is removed.
    23. If hypoxia occurs, immediately provide
    additional deep breaths of oxygen
    24. Turn off the suction and listen for clear
    breath sounds.
    25. If breathing is not clear, repeat suctioning
    method.
    26. If breath sounds are clear, use the breathing
    bag to provide 3 or 4 deep breaths of oxygen
    27. Disconnect the catheter from the suction
    tubing.
    28. Grasp the cuff of the sterile glove and pull
    the glove down over the used catheter.
    29. Discard all disposable equipment.
    30. Wash your hands.
    31. Provide oral hygiene.
    EVALUATION/DOCUMENTTION
    32. Evaluate using the following criteria:
    a. Tracheostomy tube in place.
    b. Respiratory rate and depth normal
    c. Breath sounds clear
    d. Patient resting comfortably

    Total Items : 32
    Highest Score : 64

    Scoring : _______ X 100


    64

    RD Grade : ___________

    Clinical Instructor: ______________________________________

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