Nebulization Administration

COLLEGE OF NURSING
VISION: A community-centered institution recognized for excellence in academic performance and employability.
MISSION: MCC is committed to continue the legacy of producing holistic professionals in service to the people of the nation and of the world .
CORE VALUES: Competence - Compassion - Discipline
NCM 112: NEBULIZATION ADMINISTRATION

PERFORMANCE EVALUATION TOOL
LEVEL III
1st Sem., SY. 2023-2024
Name: ______________________________________ Level & Sec ______________________________
RATING DESCRIPTION
3 Excellent Efficiently performs skill without supervision
2 Satisfactory Performs skill with moderate supervision
1 Needs Practice Performs skill with maximum supervision
SKILL: ADMINISTERING NEBULIZATION

OVERVIEW
Nebulizers disperse fine particles of liquid medication into the deeper passages of the respiratory
track, where absorption occurs. The treatment continues until all the medication in the nebulizer cup
has been inhaled.
PURPOSES:
1. To liquefy and remove retained thick secretions.
2. To relieve respiratory insufficiency due to Broncho spasm.
3. To correct the underlying respiratory disorders responsible for Broncho spasm.
4. When a person has an acute asthma attack.
5. When a person is in respiratory distress.
EQUIPMENT:
- Stethoscope
- Medication and Medication Card
- Alcohol wipe or soap and water (if necessary)
- Nebulizer tubing or oxygen hookup
- Air compressor or oxygen hookup
- Sterile Saline
- Mask
- Gloves
- Client’s record
BASIC NURSING PROCEDURE 3 2 1 REMARKS
ASSESSMENT
1. Review the client’s record
2. Verify the physician's or qualified

practitioner's order
3. Gather the necessary materials to be used
PLANNING
4. Perform hand hygiene and wear mask
5. Identify yourself, verify the client’s identity by using two identifiers.
6. Explain to the client what you are going to do, why it is necessary ,and
how the client can cooperate.
7. Provide privacy.
8. Hand rub and apply gloves( if required by institutional policy.)
IMPLEMENTATION
1
667 DALUPAN ST. SAMPALOC DISTRICT, BRGY. 404 MANILA CITY PH 1008
+(632) 7114233 +(632) 7355341 TO 45 LOC 281
WWW.MARYCHILESCOLLEGE.EDU.PH FACEBOOK/MARYCHILESCOLLEGE
COLLEGE OF NURSING
1. Remove the nebulizer cup from the device and open it.
a. Place premeasured unit-dose medication in the bottom section
of the cup and add prescribed diluent, if required.
RATIONALE:
To get enough volume to make a fine mist, normal saline may need to
be added to the concentrated medication.
2. Screw the top portion of the nebulizer cup back in place and attach the
cup to the nebulizer.
a. Attach one end of tubing to the stem on the bottom of the
nebulizer cuff and the other end to the air compressor or oxygen
source.
3. Turn on the air compressor or oxygen.

a. Check that a fine medication mist is produced by the opening the
valve.
b. Have patient place mouthpiece into mouth and grasp securely

with teeth and lips.
4. Hold the nebulization in an upright position.
5. Instruct patient to inhale slowly and deeply through the mouth. (5 pts.)
a. A nose clip may be necessary if the patient is breathing through
the nose.
b. Hold each breath for a slight pause, before exhaling.

RATIONALE:
The medication comes in contact with the respiratory tissue and is
absorbed. The longer the breath is held, the more medication can be
absorbed.
6. Continue inhalation until all medication in the nebulizer cup has been
aerosolized (usually about 15 minutes)
a. Once the fine mist decreases in amount, gently flick the sides of
the nebulizer cup.
7. Observe for adverse effects during and after administration.

a. Check the heart rate after the treatment (for patients using
bronchodilator drugs)
8. Encourage the patient to cough after several deep breaths.

a. Reassess lung sounds, oxygenation saturation and respirations
9. Have the patient gargle and rinse with tap water after using the
nebulizer as necessary. (5 pts.)
RATIONALE:
Rinsing is necessary when using inhaled steroids, because oral fungal
infections can occur.
10. Remove gloves and perform hand hygiene.
11. Document properly including the time, date, route of administration,

medication given and patient’s condition before and after administration.
PERSONAL COMPETENCE (5 pts.)
1. Shows preparedness
2. Explains the rationale thoroughly
3. Wears complete uniform
2
+(632) 7114233 +(632) 7355341 TO 45 LOC 281
COLLEGE OF NURSING
4. Observes good grooming
5. Reports on time
POINTS EARNED
TOTAL POINTS / 66
SKILLS DEMO RATING
FORMULA: POINTS EARNED/TOTAL POINTS x 60 + 40 = FINAL RATING
Signature of Student ________________________
Signature of Clinical Instructor ________________________
Date of Return Demo ________________________
REFERENCES:
Curriculum: Effectivity Course Name: Prepared by: Approved by:

Bachelor of Science in NCM 112 -RLE Faculty : Page - 2 -
Nursing School Year SKILLS of 3
CHED MEMORANDUM 2023-2024 Prof. Kristine P. Managuelod, RN, Dean Emily R. Aquino
ORDER NO. 15 MAN
Series of 2017 Prof. Almeida A. Nierves, RN,MAN
3
+(632) 7114233 +(632) 7355341 TO 45 LOC 281

Nebulization Administration

Uploaded by

Copyright:

Available Formats

Nebulization Administration

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Nebulization Administration

Uploaded by

Copyright:

Available Formats

COLLEGE OF NURSING

NCM 112: NEBULIZATION ADMINISTRATION

Name: ______________________________________ Level & Sec ______________________________

SKILL: ADMINISTERING NEBULIZATION

BASIC NURSING PROCEDURE 3 2 1 REMARKS

1. Review the client’s record

2. Verify the physician's or qualified

3. Gather the necessary materials to be used

4. Perform hand hygiene and wear mask

5. Identify yourself, verify the client’s identity by using two identifiers.

8. Hand rub and apply gloves( if required by institutional policy.)

3. Turn on the air compressor or oxygen.

b. Have patient place mouthpiece into mouth and grasp securely

4. Hold the nebulization in an upright position.

b. Hold each breath for a slight pause, before exhaling.

7. Observe for adverse effects during and after administration.

8. Encourage the patient to cough after several deep breaths.

10. Remove gloves and perform hand hygiene.

11. Document properly including the time, date, route of administration,

PERSONAL COMPETENCE (5 pts.)

2. Explains the rationale thoroughly

3. Wears complete uniform

4. Observes good grooming

SKILLS DEMO RATING

FORMULA: POINTS EARNED/TOTAL POINTS x 60 + 40 = FINAL RATING

Signature of Student ________________________

Signature of Clinical Instructor ________________________

Date of Return Demo ________________________

Curriculum: Effectivity Course Name: Prepared by: Approved by:

You might also like

Name: ________ Level & Sec