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    Liver Biopsy Checklist 2

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    Katelinne Dabucol
    The document provides a procedure checklist for performing a liver biopsy with 3 sections: pre-procedure, during procedure, and post-procedure. It lists the purposes of a liver biopsy, necessary equipment, and steps to take before, during, and after the procedure. The checklist is to be used by a student nurse to self-evaluate their performance of the liver biopsy procedure.

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    Download as PDF, TXT or read online from Scribd

    Liver Biopsy Checklist 2

    Uploaded by

    Katelinne Dabucol
    117 views3 pages
    The document provides a procedure checklist for performing a liver biopsy with 3 sections: pre-procedure, during procedure, and post-procedure. It lists the purposes of a liver biopsy, necessary equipment, and steps to take before, during, and after the procedure. The checklist is to be used by a student nurse to self-evaluate their performance of the liver biopsy procedure.

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    The document provides a procedure checklist for performing a liver biopsy with 3 sections: pre-procedure, during procedure, and post-procedure. It lists the purposes of a liver biopsy, necessary equipment, and steps to take before, during, and after the procedure. The checklist is to be used by a student nurse to self-evaluate their performance of the liver biopsy procedure.

    Copyright:

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

    Liver Biopsy Checklist 2

    Uploaded by

    Katelinne Dabucol
    The document provides a procedure checklist for performing a liver biopsy with 3 sections: pre-procedure, during procedure, and post-procedure. It lists the purposes of a liver biopsy, necessary equipment, and steps to take before, during, and after the procedure. The checklist is to be used by a student nurse to self-evaluate their performance of the liver biopsy procedure.

    Copyright:

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

    Republic of the Philippines

    CAMARINES SUR POLYTECHNIC COLLEGES


    Nabua, Camarines Sur

    Name of Student: ________________________________ Grade: _________________


    Year & Section: _________________________________ Date: __________________

    PROCEDURE CHECKLIST

    LIVER BIOPSY

    Instruction: Below is the grading scale which will be used in rating your performance.
    5 - Excellent - 95-100
    4 - Very Satisfactory - 88-94
    3 - Satisfactory - 82-87
    2 - Fair - 76-81
    1 - Needs Practice - 70-75

    PURPOSES
     Diagnose a liver problem that can't be otherwise identified
     Obtain a sample of tissue from an abnormality found by an imaging study
     Determine the severity of liver disease — a process called staging
     Help develop treatment plans based on the liver's condition
     Determine how well treatment for liver disease is working
     Monitor the liver after a liver transplant
    EQUIPMENT
     Liver biopsy tray (contains needles, scalpel, specimen tubes, etc.)
     Sterile gloves
     Antiseptic solution
     Local anesthetic
     Sterile dressing
     Sphygmomanometer to monitor BP
    IMPLEMENTATION
    Prior to performing the procedure, introduce self and verify the client’s identity using
    agency protocol. Explain to the client what you are going to do, why it is necessary, and how he
    or she can participate. Provide for a means of communication, such as eye blinking or raising a
    finger, to indicate pain or distress. Follow through by carefully observing the client throughout
    the procedure, offering periodic eye contact, caring touch, and verbal reassurance.
    Republic of the Philippines
    CAMARINES SUR POLYTECHNIC COLLEGES
    Nabua, Camarines Sur

    PERFORMANCE

    PRE PROCEDURE 5 4 3 2 1
    1.Ascertain that results of coagulation tests (prothrombin time, partial
    thromboplastin time, and platelet count) are available and that
    compatible donor blood is available.
    2. Check for signed consent; confirm that informed consent has been
    provided.
    3. Measure and record the patient’s pulse, respirations, and blood
    pressure immediately before biopsy.
    4. Describe to the patient in advance: steps of the procedure; sensations
    expected; after-effects anticipated; restrictions of activity and
    monitoring procedures to follow.
    DURING THE PROCEDURE 5 4 3 2 1
    1.Support the patient during the procedure.
    2. Expose the right side of the patient’s upper abdomen (right
    hypochondriac).
    3. Instruct the patient to inhale and exhale deeply several times, finally
    to exhale, and to hold breath at the end of expiration. The physician
    promptly introduces the biopsy needle by way of the transthoracic
    (intercostal) or transabdominal (subcostal) route, penetrates the liver,
    aspirates, and withdraws.
    4. Instruct the patient to resume breathing.
    POST PROCEDURE 5 4 3 2 1
    1. Immediately after the biopsy, assist the patient to turn on to the right
    side; place a pillow under the costal margin, and caution the patient to
    remain in this position, recumbent and immobile, for several hours.
    Instruct the patient to avoid coughing or straining.
    2.Measure and record the patient’s pulse, respiratory rate, and blood
    pressure at 10- to 15-minute intervals for the first hour, then every 30
    minutes for the next 1 to 2 hours or until the patient’s condition
    stabilizes.
    3.If the patient is discharged after the procedure, instruct the patient to
    avoid heavy lifting and strenuous activity for 1 week.

    REMARKS: __________________________________________________________________
    ______________________________________________________________________________

    Date/Time: ______________________________
    Clinical Instructor: ________________________
    Republic of the Philippines
    CAMARINES SUR POLYTECHNIC COLLEGES
    Nabua, Camarines Sur

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