Medical Surgical Nursing Laboratory · PDF filePreparing nursing graduates qualified in the care of the adult ... x Nebulization x Sterile technique ... Group Time Lab Procedure Examiners
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College of Nursing
Fundamentals of Nursing Department
Edited By
Dr. Mervat A. Ghaleb
Medical Surgical Nursing Courses’ Coordinator
2015
Medical Surgical Nursing Laboratory
2
S. # Items Page
1 Aim, mission & Objectives 3
2 Learning Outcomes 5
3 Occupancy of Medical Surgical Nursing Laboratory
7
4 Medical Surgical Nursing Laboratory Schedules
9
5 List of Procedures 21
6 Schedules for Screening 25
7 Checklists & Assessment Tools 28
8 Rules to be strictly adhered in the clinical skills & simulation laboratories
64
9 safety policies and guidelines of clinical skills laboratory
66
10 MSN Lab. Inventory 69
11 List of Equipment Requiring Maintenance
79
12 List of Equipment Needed for Training per Semester
81
3
4
Aim The medical/ surgical lab aims at teaching and training students the nursing skills necessary to provide comprehensive care for adult patients suffering from a variety of medical or surgical disorders. Mission Preparing nursing graduates qualified in the care of the adult patient according to the highest standards of nursing care Objectives
x Providing students with basic and advanced nursing skills necessary for adult nursing care.
x Developing students’ skills for dealing with advanced technology and equipment.
x Facilitating transition to actual clinical settings. x Enhancing students understanding of the clinical skills
necessary for providing comprehensive nursing care for the adult patients.
x Enhancing teamwork and communication skills. x Provide hands-on learning experiences specific to course
objectives as directed by the nursing curriculum. x Developing clinical judgment through scientific inquisition
and critical thinking and problem solving x Disseminate a culture of safe nursing practice by enhancing
the universal standards precautions and rules of safety in practicing clinical nursing and reinforcing it’s role as an indicator of quality in healthcare and the continuing development in evidence- based nursing practice.
5
6
By the end of MSN I course the students should be able to: Psychomotor Skills:
1. Demonstrate mastery of the following skills: A: Basic & Advanced Skills
x IV Cannulation x Starting IV Infusion x Blood draws x Blood Glucose Testing x Blood Transfusion x O2 Administration x Insertion of oropharyngeal airway x Nebulization x Sterile technique x Wound dressing x IV Medication administration x NGT Insertion, feeding, irrigation & removal x Tracheostomy care x Colostomy care
B. Skills in dealing with different equipment Communication Skills:
2. Develop therapeutic communication Skills Knowledge & Cognitive Skills:
3. Integrate the knowledge gained from lectures in practice through critical thinking.
4. Develop critical thinking skills through asking the reason behind the skill.
Interpersonal Skills and Responsibilities 5. Develop team work skills 6. Show an ability to accept responsibility 7. Demonstrate capacity in acquire good language skills.
7
8
Occupancy of the Medical Surgical Laboratory:
Day Duration Courses
Saturday & Sunday
First & Second
Semester
Medical Surgical Nursing I & II
courses Tuesday & Wednesday
First Semester
Fundamentals of Nursing I
Course
Wednesday & Thursday Second Semester
Fundamentals of Nursing II Course
9
10
Kingdom
of Saudi Arabia
University of D
amm
am
College of N
ursing
Clinical Skills &
Simulation Lab Schedule AY:2015-2016 – First Sem
ester N
ursing Labs SU
N
MO
N
TUES
WED
TH
UR
S M
edical & Surgical
Nursing Lab
Medical-Surgical N
ursing M
edical-Surgical Nursing
Fundamentals of N
ursing Fundam
entals of Nursing
Maintenance
Health A
ssessment B
ridging Fundam
entals of N
ursing Lab M
edical-Surgical Nursing
Medical-Surgical N
ursing Fundam
entals of Nursing
Fundamentals of N
ursing M
aintenance H
ealth Assessm
ent Bridging
Obstetric &
Gyne
Nursing Lab
Medical-Surgical N
ursing M
edical-Surgical Nursing
Fundamentals of N
ursing Fundam
entals of Nursing
Maintenance
OB
/GY
NE N
ursing Bridging
Health A
ssessment B
ridging Pediatric N
ursing Lab M
edical-Surgical Nursing
Medical-Surgical N
ursing M
aintenance Pediatric N
ursing Pediatric N
ursing H
ealth Assessm
ent Bridging
New
Born N
ursing Lab Fatat A
l Khaleej Program
Fatat A
l Khaleej Program
M
aintenance Pediatric N
ursing Pediatric N
ursing H
ealth Assessm
ent Bridging
Critical C
are Nursing
Lab1 Post G
raduate M
edical-Surgical Nursing
Post Graduate
Medical-Surgical N
ursing Post G
raduate M
edical-Surgical Nursing
Manintenance
Post Graduate
Medical-Surgical N
ursing Post G
raduate Medical
Surgical Nursing
Critical C
are Nursing
Lab 2 M
edical-Surgical Nursing
Medical-Surgical N
ursing M
aintenance Pediatric N
ursing Pediatric N
ursing
Operating R
oom Lab
Medical-Surgical N
ursing M
edical-Surgical Nursing
Fundamentals of N
ursing Fundam
entals of Nursing
Maintenance
Emergency R
oom Lab
Medical-Surgical N
ursing M
edical-Surgical Nursing
Fundamentals of N
ursing Fundam
entals of Nursing
Maintenance
Hom
e Care N
ursing Lab N
ursing Managem
ent
Nursing M
anagement
Maintenance
Fatat Al K
haleej Program
Fatat Al K
haleej Program
Fatat Al K
haleej Program
Com
puter Lab (Big)
Nursing M
anagement
N
ursing Managem
ent M
aintenance
Com
puter Lab (Small)
Maintenance
C
linical Skills & Sim
ulation Lab Coordinator
Dean C
ollege of Nursing
Dr. R
adwa B
akr
Dr. Elham
Al A
teeq
11
Fundam
entals of Nursing D
epartment
Medical-Surgical N
ursing 1 (1610-311) First Sem
ester – A.Y. 2015-2016
Schedule of the First Week
1
st Week
Sunday 23/8/2015
Time
Topic
Lecturer Venue
8 am – 9 am
R
egistration -
- 9 am
– 10 am
Introduction to the course D
r. Mervat G
haleb B
uilding C3/B
lue Hall
10 am – 12 pm
W
ound Managem
ent D
r. Mervat G
haleb B
uilding C3/B
lue Hall
1pm – 3 pm
M
edication Calculation
Ms. Zainab A
l-Saba’a B
uilding C3/B
lue Hall
M
onday 24/8/2015
8 am – 10 am
M
anagement of Patients w
ith Diabetes
Mellitus
Dr. M
ervat Ghaleb
Building C
3/Blue H
all
10am – 12pm
C
omplications of D
iabetes Mellitus
Dr. A
beer Ali
Building C
3/Blue H
all 1 pm
– 3 pm
Wound A
ssessment, D
ressing Materials &
Solutions U
sed in Dressing
M
rs. Riza
Building C
3/Blue H
all
Prepared by
Planned by C
ourse Co-C
oordinator
Course C
oordinator D
r. Abeer A
li
Dr. M
ervat Ghaleb
12
Fundam
entals of Nursing D
epartment
Medical-Surgical N
ursing 1 (1610-311) First Sem
ester – A.Y. 2015-2016
Laboratory Rotation Schedule
W
eek/Day
Date
G
roup
Time
Procedure
Clinical
Instructor
Venue
2nd w
eek
Sunday 30/8/2015
G1
G1(A
) 8-11am
Respiratory A
ssessment
Mrs. B
adriah M
rs. Maram
Funda Lab
G
1(B)
11-12 & 1-3pm
G
1(B)
8-11am
Wound A
ssessment &
Wound D
ressing D
onning Sterile Gloves
Mrs. M
ona M
rs. Maram
Funda Lab
G1(A
) 11-12 &
1-3pm
G2
G2(A
) 8-11am
IV
Infusion and IV M
edication C
rash Cart
M
rs. Riza
M
SN Lab
G2(B
) 11-12 &
1-3pm
G2(B
) 8-11am
NG
T Insertion, feeding, irrigation and removal
M
rs. Elizabeth
MSN
Lab G
2(A)
11-12 & 1-3pm
G3
G3(A
) 8-11am
Suctioning and Insertion of Oropharyngeal A
irway
M
rs. Suzette
CC
2 Lab G
3(B)
11-12 & 1-3pm
G
3(B)
8-11am
O
xygen Therapy & N
ebulization
Mrs. M
ay
CC
2 Lab G
3(A)
11-12 & 1-3pm
G4
G4(A
) 8-11am
Blood Extraction (via vacutainer, syringes and butterfly)
M
rs. Buthaina
O
R Lab
G4(B
) 11-12 &
1-3pm
G4(B
) 8-11am
IV C
annulation and 3 ways insertion
Mrs. Safaa
Mrs. Fedaa
ER
Lab G
4(A)
11-12 & 1-3pm
G5
G5(A
) 8-11am
Abdom
inal Assessm
ent
Mrs. R
eshmi
O
b/gyne Lab G
5(B)
11-12 & 1-3pm
G
5(B)
8-11am
C
ardiovascular Assessm
ent D
r. Abeer
Ms. Zainab
Pedia Lab
G5(A
) 11-12 &
1-3pm
13
Week/D
ay D
ate
Group
Tim
e
Procedure C
linical Instructor
Venue
2
nd week
Sunday
31/8/2015
G2
G2(A
) 8-11am
Respiratory A
ssessment
Mrs. B
adriah
Funda Lab
G2(B
) 11-12 &
1-3pm
G2(B
) 8-11am
W
ound Assessm
ent & W
ound Dressing
Donning Sterile G
loves M
rs. Mona
Funda Lab
G2(A
) 11-12 &
1-3pm
G3
G3(A
) 8-11am
IV
Infusion and IV M
edication C
rash Cart
Mrs. R
iza M
s. Maram
MSN
Lab G
3(B)
11-12 & 1-3pm
G
3(B)
8-11am
N
GT Insertion, feeding, irrigation and rem
oval M
rs. Elizabeth M
s. Maram
MSN
Lab G
3(A)
11-12 & 1-3pm
G4
G4(A
) 8-11am
Suctioning and Insertion of Oropharyngeal A
irway
M
rs. Suzette
CC
2 Lab G
4(B)
11-12 & 1-3pm
G
4(B)
8-11am
O
xygen Therapy & N
ebulization
Mrs. M
ay
CC
2 Lab G
4(A)
11-12 & 1-3pm
G5
G5(A
) 8-11am
Blood Extraction (via vacutainer, syringes and butterfly)
M
rs. Buthaina
O
R Lab
G5(B
) 11-12 &
1-3pm
G5(B
) 8-11am
IV C
annulation and 3 ways insertion
Mrs. Safaa
Mrs. Fedaa
ER
Lab G
5(A)
11-12 & 1-3pm
G1
G1(A
) 8-11am
Abdom
inal Assessm
ent
Mrs. R
eshmi
O
b/gyne Lab G
1(B)
11-12 & 1-3pm
G
1(B)
8-11am
C
ardiovascular Assessm
ent D
r. Abeer
Ms. Zainab
Pedia Lab
G1(A
) 11-12 &
1-3pm
W
eek/Day
Date
G
roup
Time
Procedure
Clinical
Instructor
Venue
3rd w
eek
Sunday 6/9/2015
G3
G3(A
) 8-11am
Respiratory A
ssessment
Mrs. B
adriah
Funda Lab
G3(B
) 11-12 &
1-3pm
G3(B
) 8-11am
W
ound Assessm
ent & W
ound Dressing
Donning Sterile G
loves M
rs. Mona
Funda Lab
G3(A
) 11-12 &
1-3pm
G4
G4(A
) 8-11am
IV
Infusion and IV M
edication C
rash Cart
Mrs. R
iza
M
SN Lab
G4(B
) 11-12 &
1-3pm
G4(B
) 8-11am
NG
T Insertion, feeding, irrigation and removal
Mrs. Elizabeth
MSN
Lab G
4(A)
11-12 & 1-3pm
G5
G5(A
) 8-11am
Suctioning and Insertion of Oropharyngeal A
irway
Mrs. Suzette
Ms. M
aram
C
C2 Lab
G5(B
) 11-12 &
1-3pm
G5(B
) 8-11am
Oxygen Therapy &
Nebulization
Mrs. M
ay M
s. Maram
CC
2 Lab G
5(A)
11-12 & 1-3pm
G1
G1(A
) 8-11am
Blood Extraction (via vacutainer, syringes and butterfly)
M
rs. Buthaina
O
R Lab
G1(B
) 11-12 &
1-3pm
G1(B
) 8-11am
IV C
annulation and 3 ways insertion
Mrs. Safaa
Mrs. Fedaa
ER
Lab G
1(A)
11-12 & 1-3pm
14
G2
G2(A
) 8-11am
Abdom
inal Assessm
ent
Mrs. R
eshmi
O
b/gyne Lab G
2(B)
11-12 & 1-3pm
G
2(B)
8-11am
C
ardiovascular Assessm
ent D
r. Abeer
Ms. Zainab
Pedia Lab
G2(A
) 11-12 &
1-3pm
W
eek/Day
Date
G
roup
Time
Procedure
Clinical
Instructor
Venue
3rd w
eek
Sunday 7/9/2015
G4
G4(A
) 8-11am
Respiratory A
ssessment
Mrs. B
adriah
Funda Lab
G4(B
) 11-12 &
1-3pm
G4(B
) 8-11am
W
ound Assessm
ent & W
ound Dressing
Donning Sterile G
loves M
rs. Mona
Funda Lab
G4(A
) 11-12 &
1-3pm
G5
G5(A
) 8-11am
IV
Infusion and IV M
edication C
rash Cart
Mrs. R
iza
M
SN Lab
G5(B
) 11-12 &
1-3pm
G5(B
) 8-11am
NG
T Insertion, feeding, irrigation and removal
Mrs. Elizabeth
MSN
Lab G
5(A)
11-12 & 1-3pm
G1
G1(A
) 8-11am
Suctioning and Insertion of Oropharyngeal A
irway
Mrs. Suzette
CC
2 Lab G
1(B)
11-12 & 1-3pm
G
1(B)
8-11am
O
xygen Therapy & N
ebulization M
rs. May
CC
2 Lab G
1(A)
11-12 & 1-3pm
G2
G2(A
) 8-11am
Blood Extraction (via vacutainer, syringes and butterfly)
Mrs. B
uthaina M
s. Maram
OR
Lab G
2(B)
11-12 & 1-3pm
G
2(B)
8-11am
IV
Cannulation and 3 w
ays insertion M
rs. Safaa M
s. Maram
ER Lab
G2(A
) 11-12 &
1-3pm
G3
G3(A
) 8-11am
Abdom
inal Assessm
ent
Mrs. R
eshmi
O
b/gyne Lab G
3(B)
11-12 & 1-3pm
G
3(B)
8-11am
C
ardiovascular Assessm
ent D
r. Abeer
Ms. Zainab
Pedia Lab
G3(A
) 11-12 &
1-3pm
W
eek/Day
Date
G
roup
Time
Procedure
Clinical
Instructor
Venue
15
4
th week
Sunday
13/9/2015
G5
G5(A
) 8-11am
Respiratory A
ssessment
Mrs. B
adriah
Funda Lab
G5(B
) 11-12 &
1-3pm
G5(B
) 8-11am
W
ound Assessm
ent & W
ound Dressing
Donning Sterile G
loves M
rs. Mona
Funda Lab
G5(A
) 11-12 &
1-3pm
G1
G1(A
) 8-11am
IV
Infusion and IV M
edication C
rash Cart
Mrs. R
iza
M
SN Lab
G1(B
) 11-12 &
1-3pm
G1(B
) 8-11am
NG
T Insertion, feeding, irrigation and removal
Mrs. Elizabeth
MSN
Lab G
1(A)
11-12 & 1-3pm
G2
G2(A
) 8-11am
Suctioning and Insertion of Oropharyngeal A
irway
Mrs. Suzette
CC
2 Lab G
2(B)
11-12 & 1-3pm
G
2(B)
8-11am
O
xygen Therapy & N
ebulization M
rs. May
CC
2 Lab G
2(A)
11-12 & 1-3pm
G3
G3(A
) 8-11am
Blood Extraction (via vacutainer, syringes and butterfly)
Mrs. B
uthaina
O
R Lab
G3(B
) 11-12 &
1-3pm
G3(B
) 8-11am
IV C
annulation and 3 ways insertion
Mrs. Safaa
ER Lab
G3(A
) 11-12 &
1-3pm
G4
G4(A
) 8-11am
Abdom
inal Assessm
ent M
rs. Reshm
i M
s. Maram
Ob/gyne Lab
G4(B
) 11-12 &
1-3pm
G4(B
) 8-11am
Cardiovascular A
ssessment
Dr. A
beer M
s. Zainab M
s. Maram
Pedia Lab
G4(A
) 11-12 &
1-3pm
16
C
ollege of Nursing
Fundam
entals of Nursing D
epartment
Fundamentals of N
ursing I (NU
RS 241)
1st Sem
ester Academ
ic Year 1436-1437(2015-2016) LABO
RATO
RY SCHEDULE W
eek 3
Group N
o G
1 G
2 G
3 G
4 G
5 *Tuesday (1.00:3.00pm
)
Hand W
ashing M
rs. Zeinab Elsabah M
rs. Fedaa (O
R Lab)
Hand W
ashing M
rs. Heba
Mrs M
ay (M
SN Lab)
Hand W
ashing M
rs. Heba
Mrs M
ay (M
SN Lab)
Hand W
ashing M
rs. Heba
Mrs M
ay (M
SN Lab)
Hand W
ashing M
rs. Heba
Mrs M
ay (M
SN Lab)
**Wednesday(8.00:3.00)pm
8-9 Sept.2015
Body M
echanics M
rs. Zeinab Elsabah M
rs. Fedaa (O
R Lab)
Body M
echanics M
rs. Heba
Mrs M
ay (M
SN Lab)
Body M
echanics M
rs Badria
Mrs B
uthina (Funda Lab)
Body M
echanics M
rs Zanib Shahin
Mrs.R
eshmi
& M
iss Maram
(OB/G
YN
E Lab)
Body M
echanics M
rs Mona M
rs S
afaa
Mrs.S
uzi (ER
1Lab) W
eek 4
*Tuesday (1.00:3.00pm)
**Wednesday(8.00:3.00)pm
15-16 Sept.2015
Measuring B
lood P
ressure M
s. Zeinab Elsabah M
rs. Fedaa (O
R Lab)
Measuring R
adial ,A
pical pulse& R
espiration O
xygen Therapy M
rs. Heba
Mrs M
ay (M
SN Lab)
Measuring B
ody tem
perature M
rs Badria
Mrs B
uthina (O
B/GY
NE Lab)
-Moving &
transferring M
rs.Reshm
i &
Miss M
aram
-P
ositioning M
rs Safaa
Mrs Zanib S
hahin (Funda Lab)
Bandages, B
inders, S
ling & E
lastic Stockings M
rs Mona
Mrs.S
uzi
(ER1Lab)
Week5
17-28/9/20150Eid Eladah Vacation
17
Week 6
*Tuesday (1.00:3.00pm
) **W
ednesday(8.00:3.00)pm
29-30 Sept.2015
Measuring R
adial ,A
pical pulse& R
espiration M
rs. Heba
Oxygen Therapy
Mrs M
ay (M
SN Lab
Measuring B
ody tem
perature M
rs Badria
Mrs B
uthina (O
B/GY
NE Lab)
-Moving &
transferring M
rs.Reshm
i &
Miss M
aram
-P
ositioning M
rs Safaa
Mrs Zanib S
hahin (Funda Lab)
Bandages, B
inders, S
ling & E
lastic Stockings M
rs Mona
Mrs.S
uzi (ER
1Lab)
Measuring B
lood P
ressure M
s. Zeinab Elsabah M
rs. Fedaa (O
R Lab)
Week7
*Tuesday (1.00:3.00pm
) **W
ednesday(8.00:3.00)pm
6-7 Oct 2015
Measuring B
ody tem
perature M
rs Badria
Mrs B
uthina (O
B/GY
NE Lab)
-Moving &
transferring M
rs.Reshm
i &
Miss M
aram
-P
ositioning M
rs Safaa
Mrs Zanib S
hahin (Funda Lab)
Bandages, B
inders, S
ling & E
lastic Stockings M
rs Mona
Mrs.S
uzi (ER
1Lab
Measuring B
lood P
ressure M
s. Zeinab Elsabah M
rs. Fedaa (O
R Lab)
Measuring R
adial ,A
pical pulse& R
espiration O
xygen Therapy M
rs. Heba
Mrs M
ay (M
SN Lab
Week8
13-14 O
ct 2015 *Tuesday (1.00:3.00pm
) **W
ednesday(8.00:3.00)pm
-Moving &
transferring M
rs.Reshm
i &
Miss M
aram
-P
ositioning M
rs Safaa
Mrs Zanib S
hahin (Funda Lab )
Bandages, B
inders, S
ling & E
lastic Stockings M
rs Mona
Mrs.S
uzi (ER
1Lab
Measuring B
lood P
ressure M
s. Zeinab Elsabah M
rs. Fedaa (O
R Lab)
Measuring R
adial ,A
pical pulse& R
espiration M
rs. Heba
Oxygen Therapy
Mrs M
ay (M
SN Lab)
Measuring B
ody tem
perature M
rs Badria
Mrs B
uthina (O
B/GY
NE Lab)
18
Week9
20-21 O
ct 2015 *Tuesday (1.00:3.00pm
) **W
ednesday(8.00:3.00)pm
Bandages, B
inders, S
ling & E
lastic Stockings M
rs Mona
Mrs.S
uzi (ER
1Lab
Measuring B
lood P
ressure M
s. Zeinab Elsabah M
rs. Fedaa (O
R Lab)
Measuring R
adial ,A
pical pulse& R
espiration M
rs. Heba
Mrs M
ay O
xygen Therapy (M
SN Lab
Measuring B
ody tem
perature M
rs Badria
Mrs B
uthina (O
B/GY
NE Lab)
-Moving &
transferring M
rs.Reshm
i &
Miss M
aram
-P
ositioning M
rs Safaa
Mrs Zanib S
hahin (Funda Lab)
Week10
27-28Oct 2015
*Tuesday (1.00:3.00pm)
**Wednesday(8.00:3.00)pm
Measuring B
lood P
ressure M
s. Zeinab Elsabah M
rs. Fedaa (O
R Lab)
Revision
Measuring R
adial ,A
pical pulse& R
espiration O
xygen Therapy M
rs. Heba
Mrs M
ay (M
SN Lab)
Revision
Measuring B
ody tem
perature M
rs Badria
Mrs B
uthina (O
B/GY
NE Lab)
Revision
-Moving &
transferring M
rs.Reshm
i &
Miss M
aram
-P
ositioning M
rs Safaa
Mrs Zanib S
hahin (Funda Lab)
Revision
Bandages, B
inders, S
ling & E
lastic Stockings M
rs Mona
Mrs.S
uzi (ER
1Lab) R
evision
Week11
3-4 Nov 2015*Tuesday
(1.00:3.00pm)
**Wednesday(8.00:3.00)pm
Screening
Week12
10-110N
ov 2015 *Tuesday (1.00:3.00pm
) **W
ednesday(8.00:3.00)pm
Unoccupied Bed&
O
ccupied bed M
rs Suzui
Mrs H
eba (Funda Lab)
-Heat &
cold application
-Enem
a M
rs Zinab Shahin,
Mrs M
rs. Buthina
(MSN
Lab)
CP
R
Ms. Zeinab
Mrs. B
adria M
rs. Fedaa
(OR Lab)
Bed bath &
Back
Massage
Mrs M
ay , Mrs
Mona M
iss Marram
(O
B/GY
NE Lab)
Hair S
hampoo
Mrs S
afaa , Mrs
Rashm
i (ER
Lab.)
19
Week 13
17-18 N
ov 2015 *Tuesday (1.00:3.00pm
) **W
ednesday(8.00:3.00)pm
-Heat &
cold application
-Enem
a M
rs Zinab Shahin,
Mrs. B
uthina (M
SN Lab)
First Aid
Ms. Zeinab
Mrs. B
adria M
rs. Fedaa (O
R Lab)
Bed bath &
Back
Massage
Mrs M
ay , Mrs
Mona M
iss Marram
(O
B/GY
NE Lab)
Hair S
hampoo
Mrs S
afaa , Mrs
Rashm
i (ER
Lab.)
UnoccupiedBed
Occupied bed M
rs Suzui
Mrs H
eba (Funda Lab
Week14
24-25 N
ov 2015 *Tuesday (1.00:3.00pm
) **W
ednesday(8.00:3.00)pm
First Aid
Ms. Zeinab
Mrs. B
adria Fedaa
(OR Lab)
Bed bath &
Back
Massage
Mrs M
ay , Mrs
Mona M
iss Marram
(O
B/GY
NE Lab)
Hair S
hampoo
Mrs S
afaa , Mrs
Rashm
i (ER
Lab.)
Unoccupied Bed
&
Occupied bed M
rs Suzui
Mrs H
eba (Funda Lab)
-Heat &
cold application
-Enem
a M
rs Zinab Shahin,
Mrs. B
uthina (M
SN Lab)
Week15
1-2 D
ec2015 *Tuesday (1.00:3.00pm
) **W
ednesday(8.00:3.00)pm
-Bed bath &
Back M
assage M
rs May , M
rs M
ona Miss M
arram
(OB/G
YN
E Lab)
-Hair S
hampoo
Mrs S
afaa , Mrs
Rashm
i (ER
Lab.)
-Unoccupied Bed
& O
ccupied bed M
rs Suzui
Mrs H
eba (Funda Lab)
-Heat &
cold application
-Enem
a M
rs Zinab Shahin,
Mrs B
uthina (MSN
Lab)
-First Aid
Ms. Zeinab
Mrs. B
adria M
rs. Fedaa (O
R Lab)
Week16
8-9 D
ec2015 *Tuesday (1.00:3.00pm
) **W
ednesday(8.00:3.00)pm
-Hair sham
poo , M
rs Reshm
i M
rs Safaa
(ER lab)
-Unoccupied Bed&
O
ccupied bed M
rs Suzui
Mrs H
eba (Funda Lab
-Heat &
cold application
-Enem
a M
rs Zinab Shahin,
Mrs B
uthina (M
SN Lab)
-First Aid
Ms. Zeinab
Mrs. B
adria M
rs. Fedaa (O
R Lab)
-Bed bath &
Back M
assage M
rs May , M
rs M
ona Miss M
arram
(OB/G
YN
E Lab)
Week17
15-16 Dec 2015
*Tuesday (1.00:3.00pm)
**Wednesday(8.00:3.00)pm
Screening
20
N.B: If there are not non academ
ics activities *on Tuesday the clinical will be started from
10.00A.m
:2.00p.m
** on Wednesday the clinical w
ill be started from 8.00A
.m :2.00p.m
A
pproved By: _____________________
D
ate: ___________
D
r.Hend el shnaw
ie
C
ourse Coordinator
Staff Mem
ber: Supervision: -D
r. Hend;(Funda, M
SN labs)
-Dr. Sahar:( H
ome care, O
R,ER
labs)
21
22
MEDICAL-SURGICAL NURSING I PROCEDURES
I. Administration of Intravenous Medications.
▪ Adding Bolus Medication to an Existing IV.
▪ Adding Medication to an IV Solution Container.
▪ Introducing drugs through a Heparin or IV Lock Using Saline Flush.
▪ Administering Intravenous Medications by Piggy Back, Volume control Administration, Set or Mini-Infusion Pump.
II. Intravenous Therapy
▪ IV. Cannulation
▪ Starting an Intravenous Infusion.
▪ Regulating Intravenous Infusion Rate.
▪ Changing Intravenous Solutions and Tubings.
▪ Changing a Peripheral IV Dressing.
▪ Discontinuing an Intravenous Infusion.
▪ Administering Blood Transfusion.
III. Drawing Blood from the Vein (Phlebotomy).
IV. Capillary Blood Testing for Glucose.
V. Oxygen Administration.
▪ Administering O2 by Nasal Cannula.
▪ Administering O2 by Nasal Catheter.
▪ Administering O2 by Mask.
▪ Administering O2 by Tent.
VII. Nebulization.
VIII. Maintaining the Airway – Suctioning Techniques.
A. Oropharyngeal and nasopharyngeal suctioning.
B. Orotracheal and nasotracheal suctioning.
C. Suctioning of an artificial airway.
IX. Inserting an Oropharyngeal Airway.
X. Postural Drainage.
XI. Deep Breathing Exercises.
XII. Incentive Spirometry.
XIII. Inserting and Maintaining a Nasogastric Tube.
23
▪ Feeding by Gastric Gavage.
▪ Irrigating a Nasogastric Tube.
▪ Removing a Nasogastric Tube.
XIV. Wound Care management
▪ Donning Surgical Gloves
▪ Wound Dressing:
x Wet to dry Dressing
x Dry Sterile dressing
▪ Wound Assessment Sheet
▪ Solutions used in wound care
24
University of Dammam Nursing College
Fundamentals of Nursing I & II
List of Procedures
1. Hand wash
2. Hygienic care skills
3. Body mechanics
4. Bed Making
5. Physical Examination
6. Nutritional Assessment
7. Vital signs
8. Range of Motion Exercise
9. Heat & Cold Application
10. Positioning and Transferring and Moving patient in Bed
11. Specimen Collection
12. Back Massage
13. Bandage & Binder
14. Basic CPR
15. Breathing and Coughing Exercise
16. Enema and Offering bed pan
17. First Aid Management
25
26
Fundamentals of Nursing Department Medical-Surgical Nursing 1 (1610-311)
First Semester – A.Y. 2015-2016 Screening Schedule
Date: Monday, Sept. 14, 2015 Group Time Lab Procedure Examiners
Group 1
8 – 9 am CC2 Lab IV Cannulation and 3 ways insertion
Mrs. Safaa Mrs. Fedaa
9-10am OB/Gyn Lab Blood Extraction (via vacutainer, syringes & butterfly)
Mrs. Buthina Mrs. May
10-11 am Pedia Lab IV Infusion and IV medication Mrs. Raiza Ms. Zainab
11-12 am MSN Lab NGT Insertion, feeding, irrigation and removal
Mrs. Elizabeth
Mrs. Suzette 12-1pm Break 1-2 pm Funda Lab Wound dressing/Donning sterile
gloves Mrs. Mona
Mrs. Reshmi
Group 2
8 – 9 am OB/Gyn Lab Blood Extraction (via vacutainer, syringes & butterfly)
Mrs. Buthina Mrs. May
9-10am Pedia Lab IV Infusion and IV medication Mrs. Raiza Ms. Zainab
10-11 am MSN Lab NGT Insertion, feeding, irrigation and removal
Mrs. Elizabeth
Mrs. Suzette 11-12 am Funda Lab Wound dressing/Donning sterile
gloves Mrs. Mona
Mrs. Reshmi 12-1pm Break 1-2 pm CC2 Lab IV Cannulation and 3 ways
insertion Mrs. Safaa Mrs. Fedaa
Group 3
8 – 9 am Pedia Lab IV Infusion and IV medication Mrs. Raiza Ms. Zainab
9-10am MSN Lab NGT Insertion, feeding, irrigation and removal
Mrs. Elizabeth
Mrs. Suzette 10-11 am Funda Lab Wound dressing/Donning sterile
gloves
Mrs. Mona Mrs. Reshmi
11-12 am CC2 Lab IV Cannulation and 3 ways insertion
Mrs. Safaa Mrs. Fedaa
12-1pm Break 1-2 pm OB/Gyn Lab Blood Extraction (via vacutainer,
syringes & butterfly) Mrs. Buthina
Mrs. May
8 – 9 am MSN Lab NGT Insertion, feeding, irrigation and removal
Mrs. Elizabeth
27
Group 4
Mrs. Suzette 9-10am Funda Lab Wound dressing/Donning sterile
gloves
Mrs. Mona Mrs. Reshmi
10-11 am CC2 Lab IV Cannulation and 3 ways insertion
Mrs. Safaa Mrs. Fedaa
11-12 am OB/Gyn Lab Blood Extraction (via vacutainer, syringes & butterfly)
Mrs. Buthina Mrs. May
12-1pm Break 1-2 pm Pedia Lab IV Infusion and IV medication Mrs. Raiza
Ms. Zainab
Group 5
8 – 9 am Funda Lab Wound dressing/Donning sterile gloves
Mrs. Mona Mrs. Reshmi
9-10am CC2 Lab IV Cannulation and 3 ways insertion
Mrs. Safaa Mrs. Fedaa
10-11 am OB/Gyn Lab Blood Extraction (via vacutainer, syringes & butterfly)
Mrs. Buthina Mrs. May
11-12 am Pedia Lab IV Infusion and IV medication Mrs. Raiza Ms. Zainab
12-1pm Break 1-2 pm MSN Lab NGT Insertion, feeding, irrigation
and removal Mrs.
Elizabeth Mrs. Suzette
Organizers: Mrs. Badriah al Taleb: MSN, Funda, Pedia, Ob/Gyne Labs Ms. Maram Al Wadale: CC2 Lab
Course Coordinator:
Dr. Mervat Ghaleb
28
29
Fundamentals of Nursing Department University of Dammam
College of Nursing
Medical Surgical Nursing I
Procedure Checklists
1. Changing Intravenous Solution & Tubing Procedure Checklist
2. Monitoring an Intravenous Infusion Procedure Checklist
3. Administering Intravenous Medication Procedure Checklist
4. Administering Intravenous Medication Diluted in Small Amount of Infusion (Piggyback) Procedure
Checklist
5. Venous Blood Extraction Procedure Checklist
6. IV Cannulation Procedure Checklist
7. Deep Breathing Exercises & Incentive Spirometry Procedure Checklist
8. Nebulization Procedure Checklist
9. Postural Drainage Procedure Checklist
10. Oxygen administration Procedure Checklist
11. Maintaining a patent airway Procedure Checklist & Insertion of Oropharyngeal Airway Procedure
Checklist
12. Suctioning the airway Procedure Checklist
13. Inserting a Nasogastric Tube Procedure Checklist
14. Nasogastric Feeding Procedure Checklist
15. Parenteral medication (I.M) Procedure Checklist
16. Parenteral medication (S.C) Procedure Checklist
17. Parenteral medication(I.D)Procedure Checklist
18. Dressing: Applying dry and wet to dry sterile dressing
30
Changing Intravenous Solution and Tubing Procedure Checklist
Student's Name: ------------------------- ID: --------------------------- Group No: -------------------------------- Rotation: ---------------------
Instructor's Name------------------------
Equipment
� Sterile container of ordered amount and type of solution � Appropriate sterile tubing administration set � Adhesive tape or premarked strips for labeling and timing solution container and tubing � Clean disposable gloves (for tubing change) � Water proof pad � Alcohol swab � Dressing material and antiseptic solution if IV site dressing is to be changed
Changing Solution Container
Procedure Steps 2 1 0
1. Reviews physician’s orders for current IV fluid orders. — — —
2. Checks label on currently infusing solution for date and time they were hung. — — —
3. Gathers equipment . — — —
4. Wash hands. — — —
5. Compares solution with physician’s order adhering to six rights of medication administration. — — —
6. Removes IV bag from outer wrapper. — — —
7. Labels solution container with client’s name, solution type, additives, date, and time hung. — — —
8. Checks prelabeled container with physician’s order. — — —
9. Prepares container for spiking: — — —
10. Hangs new container on IV pole. — — —
11. Inspects tubing for air bubbles, and assess that drip chamber is one half full of solution. — — —
12. Adjusts clamp to regulate flow rate or program EID, according to orders. — — —
31
Changing Solution and Tubing
1. Follows Steps 1 through 8 of Changing Solution Container. — — —
2. Opens new tubing package, keeping protective covers on spike and catheter adapter. — — —
3. Adjusts roller clamp on new tubing to fully closed position. — — —
4. Prepares new solution container. — — —
5. Removes protective cover from spike, maintaining sterility, and insert spike into new solution container. — — —
6. Hangs container and “prime” drip chamber by squeezing gently, allowing to fill one-half full. — — —
7. Removes protective cap from IV set for flushing and discarding the air. — — —
8. Adjusts roller clamp on old tubing to close fully. — — —
9. Places towel or disposable underpad under extremity. — — —
10. Put on clean, disposable gloves.
11. Holds catheter hub with fingers of one hand With other hand, loosen tubing using gentle twisting motion. Remove old dressings if necessary. — — —
12. Grasps new tubing, remove protective catheter cap, and insert tightly into needle hub. — — —
13. Programs EID or adjust roller clamp to start solution flowing according to physician’s order. — — —
14. Removes and discard gloves. — — —
15. Secures tubing with tape. — — —
16. If dressing was removed, applies new dressing to IV site according to agency policy. — — —
17. Labels new tubing with date, time, and your initials. — — —
18. Labels solution container with client’s name, solution type, additives, date, and time hang. Time label on side of IV container. — — —
19. Records solution and tubing change. — — —
Total Grade
32
Code: 2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:------------------------------
33
34
Monitoring an Intravenous Infusion
Procedure Checklist Student's Name: ------------------------- ID: ---------------------------
Group No: -------------------------------- Rotation: --------------------- Instructor's Name------------------------
Equipment � 3-mL sterile syringe � Heparinized NaCl � Sterile NaCl � Antiseptic swab � Clean, disposable gloves � Dressing supplies
Procedure Steps 2 1 0
1. Checks physician’s order for type of IV solution, additives, and infusion rate. — — —
2. Calculates hourly infusion rate or drops/min. or cc/hr when an EID is used. — — —
3. Compares IV fluid currently infusing with the ordered solution. — — —
4. Inspects the rate of flow at least every hour. — — —
5. Inspects the system for leakage. — — —
6. Inspects the tubing for kinks or blockages. Loosely coil tubing and place it on the bed. — — —
7. Inspects the infusion site for infiltration. — — —
8. Inspects arm above the insertion point for signs of phlebitis. — — —
9. Inspects the insertion site for bleeding. — — —
10. Charts any findings indicating complications of IV therapy. — — —
Total Grade
Code:
2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:------------------------------
35
Administering Intravenous Medication Procedure Checklist
Student's Name: ------------------------- ID: --------------------------- Group No: -------------------------------- Rotation: --------------------- Instructor's Name------------------------ Equipment :
� Medication administration record (MAR) or EMAR � Antiseptic swab � Medication vial or ampule � Watch with second hand or digital display � Syringe of appropriate size for medication volume � Sterile needle (if nurse is preparing medication from vial or ampule) � .Gloves
Steps Procedure 2 1 0 1. Checks medication order
— — — 2. Washes hands
— — — 3. Arranges MAR next to medication supply
— — — 4. Prepares medications for only one client at a time
— — — 5. Removes ordered medications from supply. Check the six rights of
medications administration. — — — 6. Compares label on medication with the MAR
— — — 7. Scans bar code if using bar code medication administration
(BCMA). If discrepancy exists, recheck the client's chart and medication orders.
— — —
8. Prepares the medication if not prepared by pharmacy. — — —
9. Draws up ordered medication from vial or ampule. — —
10. Labels syringe with name of medication and dose. — — —
11. Identifies client by three identifiers. — — —
12. Explains procedure to client. — — —
13. Put on gloves. — — —
Administering Medication into an Existing Intravenous Line
2 1 0 1. Selects injection port of IV tubing closest to IV insertion site.
36
2. Disinfects the injection port with alcohol swap.
3. Attaches syringe to injection port.
4. Occludes the IV tubing below the injection port by pinching the tubing or using the secondary clamp.
5. Injects medication slowly into the IV port at the prescribed rate. (Use a watch to time administration rate).
Administering the bolus injection Lock Device
2 1 0
1. Wears gloves.
2. Disinfects the port with antiseptic swab
3. Attach syringe with 3 ml normal saline solution into injection port of cannula.
4. Performs aspiration.
5. Flushes the cannula (saline flush method).
6. Attaches syringe with medication into injection port.
7. Injects medication slowly at the prescribed rate (Using watch)
8. Flushes the injection port with saline after giving medication.
9. Disposes of uncapped needles and syringes properly.
10. Removes gloves.
11. Washes hands.
12. Documents medication administration.
Total Grade
Code:
2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:------------------------------
37
Administering Intravenous Medication Diluted in Small Amount of Infusion (Piggyback) Procedure Checklist
Student's Name: ------------------------- ID: --------------------------- Group No: -------------------------------- Rotation: --------------------- Instructor's Name------------------------
Equipment
� Medication administration record (MAR) � Medication prepared and labeled in a 50- to 100-mL piggyback � IV set � Sterile syringe with 1 to 3 ml normal saline solution (for Lock Device) � Alcohol swap � Tape – Gloves
Procedure Steps 2 1 0
1. Checks medication order. — — — 2. Washes hands. — — — 3. Prepares medications for only one client at a time — — — 4. Checks the six rights of medications administration. 5. Prepares and labels the medication. — — — 6. Confirms client’s identity by checking three identifiers. — — — 7. Explains the procedure to the client. 8. Wears gloves. — — — 9. Hangs medication bag above level of primary IV solution. — — — 10. Disinfects the injection port with alcohol swap. 11. Inserts secondary line into the injection port. 12. Documents medication administration. — — — 13. Assesses client and infusion device 5 to 10 minutes after infusion has begun. — — — 14. When the completion of medication, wears gloves. — — — 15. Removes tubing from injection port. — — — 16. Disinfects the injection port with alcohol swap. — — — 17. Dispose of bag in proper container. 18. Removes gloves. — — — 19. Washes hands. — — — 20. Documents the procedure in the patient record.
— — —
Administering Intravenous Medication Diluted in Small Amount of Infusion (Piggyback) Lock Device
1. Checks medication order 2 1 0 2. Wash hands — — — 3. Prepares medications for only one client at a time — — —
38
4. Remove ordered medications from supply. — — — 5. Confirms client’s identity using three identifiers (checking six rights again). — — — 6. Wears gloves. 7. Hangs the bag and “prime” drip chamber by squeezing gently, allowing to fill one-half full. 8. Disinfects the port of cannula with alcohol swap. 9. Attaches syringe with saline to the port of cannula. 10. Aspirates the cannula. 11. Flushes the cannula 1-3mL of normal saline 12. Attaches the IV set with the cannula. 13. Adjusts the flow rate of the medication according physician order. 14. When medication has infused, discards medication bag and tubing — — — 15. Removes gloves. 16. Wash hands. — — — 17. Documents medication administration and add IV volume to IV intake. — — —
Total Grades
Code: 2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- -------------------------------
Instructor’s Signature:------------------------------
39
Venous Blood Extraction
Procedure Checklist
Student's Name: ------------------------- ID: --------------------------- Group No: -------------------------------- Rotation: ---------------------
Instructor's Name------------------------
Equipment x Tourniquet x Cotton balls x Tape x Antiseptic swab x Disposable gloves x Needle (Usually 20 or 21 or 22 G) x Syringe or vacuum container x Vacuum holder (vaccutainer)
Procedure Steps 2 1 0 1. Checks physician’s order.
— — — 2. Washes hands
— — — 3. Puts on gloves.
— — — 4. Identifies the patient (check ID bracelet).
— — — 5. Explains the procedure to the patient.
— — — 6. Prepares equipment & supplies.
— — — 7. Positions the client so that the arm is extended with palm up on a table
or pillow. — — — 8. Inspects the client’s antecubital fossa for visible veins.
— — — 9. Secures the tourniquet approximately 4-6 inches(10-15cm). above the
site — — — 10. Checks for presence of distal pulse.
— — — 11. Cleans the site with antiseptic swab using friction horizontal, then
vertical in a circular motion. — — — 12. Places the thumb of your hand on the vein distal to the puncture site;
press down lightly until skin over the vein is taut. — — — 13. If using needle, inserts needle, with bevel up, and at 30q angle
approximately ½ in. distal to the vein. Note a slight “give” sensation as the needle pierces the vein.
— — —
14. Holds vacuum container securely. — — —
40
15. Pushes tube into the needle of the holder; avoid pushing needle into vein. — — —
16. Watches for blood flow into the tube. — — —
17. Holds vacuum container securely and remove the tube when the desired volume of blood is present. Insert next tube if desired. — — —
18. Releases tourniquet with a free hand. — — —
19. Removes needle quickly. — — —
20. Places a gauze pad against the puncture site. — — —
21. Applies pressure for 1 to 2 minutes or until bleeding stops. — — —
22. Labels the specimen`s tube correctly. — — —
23. Assists client to a comfortable position. — — —
24. Discards used uncapped needles and syringes in closed biohazard container. — — —
25. Discards gloves. — — —
26. Washes hands. — — —
27. Places blood tubes in plastic bag for sending specimens to the hematology laboratory according to agency guidelines. — — —
28. Documents according to hospital policy. — — —
Total Grade
Code:
2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:------------------------------
41
IV Cannulation
Procedure Checklist
Student's Name: ------------------------- ID: --------------------------- Group No: -------------------------------- Rotation: ---------------------
Instructor's Name------------------------ Equipment
� Tourniquet � Antiseptic swab � Non-allergic Tape � Disposable gloves � Towel � Needle disposal container � 2x2 gauze sponge and sterile tape � Syringe filled with 1-3 ml normal saline � IV access device options
Procedure Steps 2 1 0
1. Prepares needed equipment.
2. Washes hands.
3. Explains the procedure to the patient.
4. Have the patient in a low Fowler's position in bed.
5. Places protective towel or pad under patient's arm.
6. Selects an appropriate site and palpate accessible veins.
7. Applies a tourniquet 4 to 6 inches above the venipuncture site.
8. Directs the ends of the tourniquet away from the site of entry.
9. Checks to be sure that the radial pulse is still present.
10. Wears disposable gloves.
11.Cleanse the entry site with an antiseptic solution (alcohol swab)using friction in horizontal, then vertical followed by a circular motion, then allow to dry.
11. Uses the non-dominant hand, placed about 1 inch or 2 inches below entry site, to hold the skin taut against the vein.
12. Enters the skin gently with the catheter held by the hub in the dominant hand, bevel up, at a 10 to 30-degree angle.
13. Advances catheter about 1/4 inch into vein until the hub is at the venipuncture site; put gauze 2 x 2 under the hub of the catheter.
42
14. Holds pressure on the vein above the insertion site with your thumb.
15. Releases the tourniquet and quickly remove protective cap from the IV tubing and attach the tubing to the catheter or needle.
16. Stabilizes the catheter or needle with non-dominant hand.
17. Starts the flow of solution promptly by releasing the clamp on the tubing.
18. Secures the catheter with narrow non-allergenic tape (1/2 inch) placed sticky side up under the hub and crossed over the top of the hub.
19. Places folded in half sterile dressing 2 x 2 over venipuncture site and secure with 1 inch of tape.
20. Labels the date, time, site and type and size of the catheter used for the infusion.
21. Discards the equipment & supplies.
22. Removes gloves.
23. Washes hands.
24. Documents the procedure and patient's response.
Total Grade
Code: 2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:------------------------------
43
Deep Breathing Exercises & Incentive Spirometry Procedure Checklist
Student's Name: ---------------------- ID: ----------------------------- Group No: --------------------------------- Rotation: -------------------- Instructor`s Name Equipment
Incentive spirometer Gauze Disposable Gloves Kidney basin for the patient to cough out secretion Face mask Goggle (if splash risk exist)
Procedure Steps 2 1 0
1. Instructs patient to place one hand on the abdomen and the other hand on the middle of the chest.
2. Instruct patient to breathe in slowly and deeply through the nose, letting the abdomen protrude as far as possible.
3. Instruct patient to breathe out through pursed lips while contracting abdominal muscles and pressing inward on them. Purse Lips Breathing
4. Instruct patient for (sitting position) 5. Instructs patient to inhale through the nose while counting to 2 6. Tells patient to exhale slowly and evenly against pursed lips while tightening the
abdominal muscles and counting up to 4 7. Instructs patient to repeat for 1 minute and follow with a rest period of 2 minutes
working up to 10 minutes four times a day. Incentive spirometry
8. Explains procedure and purpose to patient 9. Sets spirometer for desired tidal volume
10. Instructs patient to exhale then inhale a deep breath through the mouth piece
11. Places patient in comfortable sitting or Semi-Fowler’s position
12. Asks patient to try holding level of inflation for a few seconds when desired tidal
volume is reached 13. Instructs patient to relax and exhale
14. Instructs patient to take several normal breaths before attempting another one with
incentive spirometer. Total Grade
Code:
2= Correct / Complete
Student’s Signature:
1= Incomplete
0=Not done / Wrong
Instructor’s Signature:
44
Nebulization Procedure Checklist
Student's Name: ------------------------- ID: --------------------------- Group No: -------------------------------- Rotation: --------------------- Instructor's Name------------------------ Equipment
� Nebulizer set � Connecting tubing � Sterile NSS � Ordered medication � Syringes (5 ml, 1 ml) � Oxygen � Stethoscope � Watch with second hand
Procedure 2 1 0 1. Prepares necessary equipment and assembles nebulizer
2. Reviews chart for physician’s order, diagnosis and history
3. Washes hands
4. Explains procedure to patient.
5. Positions patient in an upright position
6. Performs pretreatment assessment of heart rate and rhythm and chest
examination 7. Add the prescribed amount of medication and saline to the nebulizer.
8. Connect the tube to the compressor and set the flow at 6-8L/min.
9. Applies the mask and instructs the patient to take slow, deep breaths , hold
breathe briefly, then exhale 10. Periodically assesses pulse throughout the treatment and notifies physician if
side effects occur 11. Terminates the treatment when medication is completed or adverse reactions
occur. 12. Reassesses vital signs and breathe sounds.
13. Encourages the patient to cough and expectorate sputum observing volume,
color, odor, blood 14. Discards nebulizer and tubing in the appropriate receptacle.
15. Record medication used and description of secretion
45
16. Prepares necessary equipment and assembles nebulizer according to the facility policy
17. Washes hands
Total Grade
Code: 2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:------------------------------
46
Postural Drainage
Procedure Checklist
Student's Name: ---------------------- ID: ----------------------------- Group No: --------------------------------- Rotation: ------------------------ Instructor`s Name----------------------- Equipment
� Adjustable bed or
cot � Suctioning machine � Stethoscope
� Nebulizer � Syringes: 5 ml, 1 ml � Emesis basin � Pillows � Towels � Tissues � Clean gloves � Waterproof pad � Oral hygiene utensils � NSS
� Medication for Nebulize
Procedure Steps 2 1 0
1. Auscultate the chest to determine the areas of needed drainage and assesses vital signs.
2. Wash hands.
3. Explains procedure to patient and informs of any adverse effects.
4. Removes clothing and replace with loose-fitting gown.
5. Administers analgesics or nebulizer bronchodilators mucolytics, or saline according to orders and provides patient with tissues and an emesis basin.
6. Positions patient correctly for drainage of posterior basal segment of lower lobe.
7. Positions patient correctly for drainage of anterior basal segment of lower lobe.
8. Positions patient correctly for drainage of lateral basal segment of lower lobe.
9. Positions patient correctly for drainage of superior segment of lower lobe.
10. Positions patient correctly for drainage of lateral and medial segments of middle lobe.
11. Positions patient correctly for drainage of superior and inferior lingular segments.
12. Positions patient correctly for drainage of anterior segment of upper lobe.
13. Positions patient correctly for drainage of anterior segment of upper lobe.
14. Positions patient correctly for drainage of posterior segment of upper lobe
15. Maintains position for at least 3 – 15 min or for as long as the patient tolerates.
47
16. Performs chest wall percussions.
17. Encourage deep breathe and cough after spending allotted time in each position and suction if needed.
18. Encourages diaphragmatic breathing while in each position.
19. Reposition patient, removes gloves, and washes hands.
20. Auscultates lungs and assesses vital signs.
Total Grade
Code: 2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:------------------------------
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Tracheotomy Care Procedure Checklist
Student's Name: ---------------------- ID: ----------------------------- Group No: --------------------------------- Rotation: ------------------------ Instructor`s Name----------------------- Equipment � Sterile suction catheters (14 or 16 Fr., no larger than half the diameter of the tracheostomy tube. � Sterile and clean gloves � Clean towel or paper drap � Face shield � Replacement tracheostomy tube in case of accidental decannulation � Sterile cotton swab � Normal saline solution. � Hydrogen peroxide � Sterile water � Antiseptic solution and ointment(optional) � Tracheostomy tie tapes � Resuscitation bag connected to 100% oxygen source
Procedure Steps 2 1 0 1. Assesses the condition of the stoma(redness, swelling, character of secretions,
presence of purulence , bleeding and signs and symptoms of airway obstruction 2. Assembles equipment
3. Washes hands
4. Applies gloves
5. Hyperventilates with 100% O2 before ,after and between suctioning as ordered
6. Opens cannula using sterile technique and lubricates suction catheter tip with saline.
7. Put sterile gloves on dominant hand.
8. Suctions the outer cannula using sterile technique.
9. Cleans stoma under faceplate using sterile cotton tipped applicator moistened with
hydrogen peroxide then rinse with sterile saline solution moving from stoma outward. 10. Dries skin gently with gauze and slides 4x4 dressing under faceplate.
Changing tracheostomy ties: 11. Places slit in one end of tie & inserts tape from under neck plate through the opening;
pulls other end of tape through slit
12. Ties tapes allowing 2 fingers to be inserted under tie.
Total Grades Code: 2= Correct / complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:-----------------------
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Oxygen administration
Procedure Checklist
Student's Name: ---------------------- ID: ----------------------------- Group No: --------------------------------- Rotation: ------------------------ Instructor`s Name Equipment
� Piped-in Oxygen or Oxygen cylinders � Oxygen flow meter � Humidifier � Distilled or sterile water � Tubings � Packed sterile delivery device: (a. Nasal cannula b. Nasal Catheter c. Face mask � No Smoking sign
Procedure Steps 2 1 0 1. Post NO SMOKING signs on the patient`s door
2. Performs pretreatment assessment for sign and symptoms of hypoxia.
3. Explains the procedure to the patient.
4. Reviews safety precautions necessary when oxygen is in use.
5. Washes hands and wears gloves.
6. Connects the nasal cannula to the oxygen set up with humidification and
adjusts flow meter. Nasal cannula: 7. Place the tips of the cannula in the patient`s nose and adjust straps around
ears for snug, comfortable fit.
8. Reassesses the patient to detect improvement.
9. Removes cannula and cleans nares at end of treatment.
Face mask: 10. Attaches face mask to oxygen set up and starts flow of oxygen at prescribed
rate.
11. Positions the face mask over client’s nose and mouth and adjusts it with elastic strap
12. Record flow rate used and immediate patient response
Total Grade
Code: 2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:------------------------------
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Maintaining a Patent Airway
Insertion of Oropharyngeal Airway Procedure Checklist
Student's Name: ---------------------- ID: ----------------------------- Group No: --------------------------------- Rotation: --------------------- Instructor`s Name: _______________________ Equipment
� Oropharyngeal airways of proper sizes � Ambu bag connected to clear mask � Gloves � Gauze � Stethoscope
Procedure Steps 2 1 0 1. Performs pretreatment assessment for signs and symptoms of upper
airway obstruction 2. Explains procedure to patient
3. Washes hands and wears gloves
4. Positioning: Extends patients head or turns head laterally to open airway
5. Manual techniques: Opens airway using jaw thrust or head tilt - chin lift
technique Inserting an oropharyngeal airway: 6. Chooses airway of appropriate size 7. Washes hands and wears gloves
8. Opens patient’s mouth using thumb and index finger. Removes dentures
if present 9. Inserts airway with curved tip pointing up then slides airway backwards
and rotates airway180 degrees 10. Ensure adequate ventilation by auscultating breath sounds.
11. Ventilates patient using Ambu bag
12. Provides mouth care at end of procedure and discards airway
Total Grade
Code: 2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:------------------------------
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Suctioning the airway Procedure Checklist
Student's Name: ---------------------- ID: ----------------------------- Group No: --------------------------------- Rotation: --------------------- Instructor`s Name: _______________________ EQUIPMENT
� Appropriate size suction catheter (preferably soft rubber) � Sterile water-soluble lubricant jelly (anesthetic). � Sterile disposable gloves. � Sterile NSS � Sterile towel. � Resuscitation bag with face mask connect 100%O2 source � Oximeter � Nasal or oral airway (if indicated). � Face shield
Procedure Steps 2 1 0 1. Explains procedure to patient
2. Assesses patient for signs and symptoms of upper or lower airway
obstruction 3. Assists patient to assume comfortable position
4. Places towel across client’s chest
5. Washes hands
6. Connects tubing to suction machine and turns suction on to appropriate
negative pressure 7. Increases supplemental oxygen to 100% and encourages patient's deep
breathing and place in setting or semi-Fowler`s position. 8. Place sterile towel across the patient`s chest 9. Squeeze a small amount of sterile anesthetic water soluble lubricant jelly 10. Opens and lubricates catheter using aseptic technique.
11. Secures catheter to tubing and applies sterile gloves.
12. Oropharyngeal suction: Inserts catheter into mouth along gum line to pharynx and moves catheter around mouth, encourages patient to cough or say ahh
13. Nasopharyngeal suction: Without applying suction inserts catheter into nares for the proper distance(16 cm )
Nasotracheal suction: 14. Inserts catheter through the nares during inhalation about 20 cm 15. Positions patient’s head to the right to suction left main stem bronchus
and to the left to suction right main stem bronchus.
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16. Applies intermittent suction 10 to 15 seconds and gently rotate catheter while pulling it slightly upward. Then encourages client to cough and breathe deeply. Replaces oxygen device
Endotracheal tube suction: 17. Apply oxygen before suctioning and disconnects patient from oxygen
source
18. Inserts catheter without suction into endotracheal tube during inspiration until resistance is met or patient coughs then retrieves 1-2 cm
19. Applies intermittent suction
20. Withdraws catheter completely while applying suction and rotating the catheter gently
21. Reconnects oxygen, encourages deep breathing, or hyperventilates
22. Post- suctioning:
23. Measure vital signs and oxygen saturation
24. Dispose of disposable equipment 25. Readjusts oxygen to original level
26. Record the patient`s tolerance of the procedure, type and amount of secretion Total Grade
Code: 2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:------------------------------
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Inserting a Nasogastric Tube
Procedure Checklist
Student's Name: ---------------------- ID: ----------------------------- Group No: --------------------------------- Rotation: --------------------- Instructor`s Name: _______________________ Equipment � NGT of appropriate size � 60 ml or largerLuer lock or catheter tip syringe � Water soluble lubricant � Glass of water with straw � Tongue blade � Suction apparatus � Penlight � Clamp emesis basin � Bath towel or disposable � Stethoscope � Facial tissue � Hypoallergenic tape � Disposable gloves
Procedure Steps 2 1 0 1. Checks the physician's order for inserting an NGT.
2. Explains the procedure to the client.
3. Gathers the equipment.
4. Washes hands.
5. Assesses the client's abdomen.
6. Assists the client to a high Fowler's position, and drape chest with a
bath towel or disposable pad. 7. Checks the nares for patency.
8. Measures the distance to insert the tube by NEX (Nose-earlobe-
xiphoid) measurement. 9. Lubricates the tube with water soluble lubricant.
10. Asks the client to lift his head.
11. Inserts the tube into the nostril while directing the tube downward and
backward. 12. Instructs the client to bring his head forward. Advance the tube in a
downward and backward direction.
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13. Discontinues the procedure if any signs of distress (Coughing, cyanosis, gasping, and inability to speak or hum) appears.
14. Determines that the tube is in the patient's stomach. a-Measurement of tube lenghth b-Visual assessment of aspirate c-pH measurement of aspirate
15. Secures the tube to the client's bridge of the nose with a tape.
16. Secures the tube to the patient's gown using a rubber band or a tape and a safety pin.
17. Washes hands.
18. Removes all equipment.
19. Records the insertion procedure, type and size of the tube, description of gastric contents, and the client's response. Total Grades
Code: 2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:------------------------------
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Nasogastric Feeding Procedure Checklist
Student's Name: ------------------------- ID: ------------------------- Group No: --------------------------------- Rotation: ----------------- Instructor`s Name------------------------ Equipment � Tube feeding formula Graduated container � Disposable gloves 30-60mL catheter tipped syringe � Water Stethoscope � PH strip Gavage feeding bag(optional) � Tube feeding bag and tubing and feeding pump
Procedure Steps 2 1 0 1. Checks the physician's order
2. Explains the procedure to the client.
3. Gathers the equipment.
4. Washes hands.
5. Closes room door or curtains around bed.
6. Help client to high Fowler’s position by moving client up to the head of
the bed, then elevating head of bed at least 60 degrees or assisting to chair. If high Fowler’s position is contraindicated, help client to a right side-lying position with head slightly elevated.
7. Confirms placement of tube in stomach.
a-Withdraws sample of stomach contents, and check for low pH level
b-Aspirates all stomach contents, and measure for residual.
c-If 50% of previous feeding is aspirated (This aspirated fluid is readministered to the patient), contacts physician before proceeding with tube feeding.
d-Reinstalls the aspirated gastric contents through tube into stomach.
8-Prepares correct amount and strength of formula at room temperature. (Optional: Add several drops of food coloring.). 9-After administering the prescribed amount of formula ,flush tube with at least 30-50 mL of water
10-Cover end of feeding tube with plug or clamp. 11-Remove equipment 12-Maintain head of bed elevated 30-60 minutes after feeding 13-Wash hands
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14-Document type and amount of feeding, amount of water given and patient tolerance of the procedure.
Total Grades Code: 2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student’s Signature:- ------------------------------- Instructor’s Signature:----------
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Procedure Check List Administering an Intramuscular Injection
Student's Name: ------------------------- ID: -----------------------------
Group No: --------------------------------- Rotation: ------------------------ Equipment
� Medication � Medication Kardex or MAR � Two needles: 21 to 23 gauge � Alcohol swab � Syringe 2-3 ml � Disposable gloves
Procedure:
Procedure Steps 2 1 0 1 Assemble equipment and check MAR and physician’s order. 2 Explain the procedure to the patient. 3 Wash your hands. 4 Identify the patient carefully. Close the curtain to provide privacy.
Don disposable gloves.
5 Withdraw medication from a vial or ampule. 6 Provide for privacy. Have the patient assume a position appropriate
for the site selected. Ventrogluteal - the patient may lie on the back or side with hip knee flexed (It is safe site for all patients and preferred injection site for adult).
7 Don disposable gloves. 8 Clean the area thoroughly with an alcohol swab. Allow alcohol to
dry.
9 Remove the needle cap by pulling it straight off.
10 Displace the skin in a Z-track manner or spread the skin at the site using your non-dominant hand.
11 Hold the syringe in your dominant hand between the thumb and forefinger. Quickly dart the needle into the tissue at a 90- degree angle.
12 Aspirate slowly to determine whether the needle is in a blood vessel.
13 If no blood is aspirated, inject the solution slowly (10 seconds per ml of medication).
14 Place a gauze pad over the puncture site and slowly and gently remove the needle at 90-degree angle.
15 Apply gentle pressure at the site with a small, dry sponge. 16 Discard the needle and syringe in the sharp box. 17 Assist the patient to a position of comfort. 18 Remove gloves and dispose them properly. Wash your hands. 19 Record the administration of the medication and evaluate the
response of the patient to the medication within an appropriate time frame.
Total Grades
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Code 2= Correct / Complete 1= Incomplete 0=Not done / Wrong Student`s signature----------------------------------------------------------------------- Instructor`s Signature--------------------------------------------------------------------
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Procedure Check List Administering a Subcutaneous Injection
Student's Name: ------------------------- ID: ---------------- Group No: -------------------------------- Rotation: ---------- Instructor`s name------------------------- Equipment:
� Medication � Medication Kardex or MAR � Syringe (1-3 ml) and needle (27-25 gauge, 3/8 to 5/8 inch) � Disposable gloves � Alcohol swabs
Procedure:
2 1 0
1. Assemble equipment and check the physician’s order. 2. Explain the procedure to the patient. 3. Wash your hands. 4. Identify the patient carefully. Close the curtain to provide
privacy. Don disposable gloves.
5. Withdraw medication from a vial or an ampule. 6. Have the patient assume a position appropriate sties 7. Locate the site of choice, ensure that the area is not tender and
is free of lumps or nodules.
8. Clean the area around the injection site with an alcohol swab. Allow the antiseptic to dry.
9. Remove the needle cap with the Non - dominant hand, pulling it straight off.
10. For average size patient ,hold skin across injection site or pinch skin with non dominant hand. Then, inject the needle quickly and firmly 45 - 90 degree angle.
11. Do not aspirate when giving subcutaneous medications. 12. Inject the solution slowly. 13. Place a gauze pad and withdraw the needle quickly at the same
angle at which it was inserted.
14. Do not massage a subcutaneous heparin or Insulin injection site.)
15. Discard the needle and syringe in the sharp box. 16. Assist the patient to comfort position 17. Remove gloves and dispose of them properly. Wash your
hands.
18. Record the administration of the medication and evaluate response to medication within 15-30 minutes .
Total Grades Code 2= Correct / Complete 1= Incomplete 0=Not done / Wrong Student`s signature----------------------------------------------------------------------- Instructor`s Signature--------------------------------------------------------------------
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Procedure Check List
Administering an Intradermal Injection
Student's Name: ------------------------- ID: ---------------- Group No: -------------------------------- Rotation: ---------- Instructor`s name------------------------- Equipment
� Medication � Medication Kardex or MAR � 1-ml tuberculin syringe with 26 or 27-gauge needle � Disposable gloves � Small gauze pad and/or alcohol swab
Procedure Steps 2 1 0
1. Assemble all equipment and check the physician’s order. 2. Explain the procedure to the patient. 3. Wash your hands. Don disposable gloves. 4. Withdraw medication from an ampule or vial 5. Select an area on the inner aspect of the forarm that is not heavily
pigmented or covered with hair.
6. Cleanse the area with an alcohol swab. Allow the skin to dry. 7. Remove the needle cap with the non- dominant hand by pulling it straight off ,then hold syringe between thumb and forefinger of dominant hand
8. Insert needle slowly at 10-15 degree angle. 9. Slowly inject the agent while watching for a small wheal or blister to appear.
10.Withdraw the needle quickly at the same angle that it was inserted. 11.Do not massage the area after removing the needle. 12.Do not recap the used needle. Discard the needle and syringe in the sharp box.
13.Assist the patient to a position of comfort.
14.Remove gloves and Wash your hands. 15. Record the administration of the medication. Observe the area for signs of reaction at ordered intervals.
Total Grades Code 2= Correct / Complete 1= Incomplete 0=Not done / Wrong Student`s signature----------------------------------------------------------------------- Instructor`s Signature--------------------------------------------------------------------
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Applying Dry and Wet to Dry Sterile Dressing Procedure Checklist
Student's Name: ------------------------- ID: ------------------------- Group No: --------------------------------- Rotation: ----------------- Instructor`s Name------------------------
Equipment: ________________________________________________________________________________
� Sterile dressing tray or: o cotton balls or swab o abdominal pads o basin or container o scissors o forceps or hemostats
� Cleansing solution as prescribed. � Sterile normal saline or prescribed solution. � Tape � Clean and sterile gloves � Waterproof bag to hold used dressing and used equipment � Antiseptic ointment (as prescribed) � Gauze ties (optional) � Sterile container to hold solution. � Fine mesh gauze, 4x4 (without cotton fill) gauze � Sterile solution prescribed � Waterproof material to protect bed from wet dressing � Additional lightening if needed
Procedure Steps 2 1 0
1 Explain procedure to client and instruct not to touch wound area or sterile supplies.
2 Gather equipment 3 Perform hand hygiene 4 Close room or cubicle curtains and windows.. 5 Drape patient with bath blanket to expose only wound site. 6 Place disposable bag within reach of work area and put on clean
disposable gloves.
7 Remove tape 8 Observe character and amount of drainage on dressing and
appearance of wound.
9 Remove gloves 10 Open sterile dressing tray and place on bedside table. 11 Apply dressing:
Wet-to-dry dressing. a. Pour prescribed solution into sterile basin and add fine-mesh gauze.
b. Apply sterile gloves. c. Cleanse wound with prescribed antiseptic solution or normal
saline from least to most contaminated area.
d. Wring moist gauze pad until it is damp but not dripping and
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apply as a single layer directly onto wound surface. e. Apply dry, sterile 4 x 4 gauze over wet gauze. f. Cover with abdominal pad, or gauze with the line away from the
wound.
12 Apply tape over dressing, cling roll (for circumferential dressings or Montgomery ties).
13 Remove gloves and dispose in bag.. 14 Assist client to comfortable position. 15 Dispose of equipment and wash hands. 16 Reporting and Recording
� Report wound appearance,color and characteristics of drainage at shift change.
� Write date and time dressing applied.
Total Grades
Code: 2= Correct / Complete
1= Incomplete
0=Not done / Wrong
Student`s signature----------------------------------------------------------------------- Instructor`s Signature--------------------------------------------------------------------
Instructor’s Signature:------------------------------
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University of Dammam College of Nursing
Medical Surgical Nursing I (1610-311) First Semester-AY 2015-2016
Student’s Lab Performance Assessment Form Simulated Clinical Experience
Student's Signature: Assessed by: _________________________ Date: ________________ Approved by: _________________________
Students Name: ID: Group: People soft #: No. PERFORMANCE INDICATOR Allotted
Grade Student's
Grade I Knowledge and Cognitive Skills 25
1 Participates in discussion in the form of answering questions or presenting information
6
2 Prepares & Submits the assigned work 6 3 Recognizes significance of findings/changes 3 4 Uses Critical thinking and problem solving 4 5 Identify prescribed medications/interpret findings 6 II Psychomotor Skills 42 1 Prioritizes interventions 8 2 Follows appropriate protocols/procedures/treatments/interventions used 25 3 Documents findings 3 4 Evaluates patient after intervention 6
III Communication Skills 5 1 Communicates with patient (HPS), family / significant others 2.5 2 Communicates with other health team members 2.5
IV Numerical and Interpersonal Skills 5 1 Cooperates with co-students and instructors 1 2 Creates an atmosphere of mutual trust, acceptance and respect 1 3 Speaks in clear, tactful and considerate manner using appropriate gesture 1 4 Responds appropriately to directions and instructions 1
5 Uses computer and internet in collecting and presenting the requirements and communication with colleagues 1
V Responsibility and Professionalism 13 1 Uses time constructively 2 2 Shows interest and initiative to work 2 3 Maintains perfect attendance 3 4 Maintains proper grooming and uniform and complete paraphernalia 2 5 Shows punctuality in the submission of requirements 2 6 Completes her portfolio neatly, orderly and on time 2
Total 90
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RULES TO BE STRICTLY ADHERED IN THE CLINICAL SKILLS & SIMULATION LABORATORIES
1. Students should be in the complete prescribed uniform
2. No student is allowed to take in or take out any equipment/static manikin/supplies
3. Nobody is allowed to drink or eat in the Laboratories
4. Carry inside only the prescribed items to the lab, Example: Blue/Black Pen/Pencil/Eraser/Scale/Procedure Manual
5. Strictly no noise to be made inside the Labs
6. No student is allowed to handle any items in the lab without the respective Teacher
7. Always be Professional in all activities while inside the Nursing Laboratories
8. No valuables to be kept inside the Labs, You are responsible for the loss of your valuables
9. Respect one another and treat the Manikin/Simulator as live patients, do not mishandle any items in the Lab.
10. Do not throw any sort of garbage’s inside the Laboratories and around the vicinity.
66
67
SAFETY POLICIES AND GUIDELINES OF CLINICAL SKILLS LABORATORY
1. The faculty, demonstrator or clinical instructor must log before and after usi ng any laboratory equipment. Failure to log means that the equipment was not properly returned to its proper place. The respective log book is in the custody of the respective lab manager.
2. It is not allowed to transfer any equipment from one lab to another without the permission of the respective lab manager.
3. In case equipment or manikin will be used outside the College of Nursing campus, permission should be sought from the Clinical Simulation Lab Coordinator who in turn will inform the Vice Dean for Academic Affairs for final approval.
4. Students are not allowed to manipulate any equipment without faculty or instructors supervision. 5. Students are not allowed to be in the lab without the respective instructor and the doors will not be
open without the presence of the respective instructor. 6. All equipment and supplies have to be revised before the procedure by the respective instructor. 7. Supplies and equipment’s are not allowed to be requested by students to the lab managers, it is the
responsibility of the instructor to provide them to the students, if and when needed. 8. The request form for the supplies and equipment to be submitted 3 days prior to the date of the
procedure. 9. The lab managers will inform instructors of unavailable supplies and equipment. 10. Lab managers will help in providing supplies and equipment for training the students in the skills
lab, it will be arranged by the respective instructors at the same time complete, clean and in order according to the procedures they will demonstrate for their students.
11. The laboratory should be kept clean and in proper order at all times. The faculty or instructors who use the lab must ensure that litters are properly disposed of, whiteboard cleaned after use, equipment kept clean and chairs are arranged as a courtesy for the next user.
12. Any equipment or furniture used should be returned clean, in proper form )e.g. manikin parts are assembled in case it was not assembled),and in proper place ready for the next user.
13. The skills lab equipment should be used with care by all faculty and instructors and encourage the students to do the same.
14. Should there be any loss, breakage or malfunctioning of any equipment or furniture occurred during the laboratory hours, the faculty or instructor using the laboratory must submit a written incident report to the respective lab manager, who in turn will submit the same to the clinical skills lab coordinator for further action.
15. Never plug any equipment when in doubt of its electrical voltage. 16. Strictly no eating or drinking inside the skills lab. 17. The faculty or the instructor who use the skills lab should be the last person to leave the skills lab
after training of students to ensure that everything is in proper order. 18. The faculty or instructors who use the skills lab must ensure that the above policies and guidelines
are strictly followed during laboratory hours. 19. The skills lab door codes must not be revealed to any unauthorized persons. 20. Respect and cooperation among all members of the Clinical simulation lab community will ensure
the operation of daily tasks in smooth and professional manner.
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Lab Manager of Medical Surgical Nursing Lab.: Mrs. Jessy Thomas Laboratories' Coordinator: Dr. Radwa Hamdi Approved by: Dr. Sana Al Mahmoud Vice dean for Academic Affairs
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Medical Surgical Nursing Nursing Skills and Simulation Lab.
70
MSN Lab. Inventory
S.#
PLACEMENT EQUIPMENT/SUPPLIES QTTY REMARKS
SimMan simulator 1 On bed 1 SpO2 probe 2 BP cuff 3 Link box 1 4 Compressor 1 5 Dell laptop (Black) latitude/D630 1 6 Touch screen monitor 1 7 Keyboard (Dell) 1 8 Mouse (Dell) 1 Nursing Wound Models 1 Abdominal packing 2 Abdominal incision 3 Abdominal module w/sutures & drain. 4 Abdominal module w/staples & drain. 5 Chest incision w/staples. 6 Sutured thigh 7 Thigh packing 8 Thigh debridement 9 Varicose leg & diabetic foot 10 Ventral gluteal ulcer 11 Infected stoma 12 Lacerated palm 13 Upper arm.
CABINET 1 1 Tuning fork. C-128 (Germany) Allgaier 2 2 Tuning fork. (288D) Medivibe 9 3 Tuning fork . Hartmann (Germany) 2 (box – a set of
5) 4 Arm sling (Blue) 1 5 Triangular bandage 1 6 Cloth bag 5 + 3=8 7 Penlight –Rayovac, diagnostic penlight (Kliniqa)
AAA bat 4+1
8 Percussion hammer ( 031624 Allgaier) 2 + 8 =10
9 Percussion hammer(Riester) Pakistan 5058 Queens 2 10 Laryngoscope (fiber optic 3 curved blades)
Gowlands 2 As a set in box
11 Laryngoscope (fiber optic 3 blades ) Medicon 1 As a set in box 12 ENT set Riester (Germany) diagnostic set 1 Whole set in
box 13 Stethoscope Littman-electronic stethoscope model 1 14 Stethoscope (Germany, allgaier) 1 Grey 15 Stethoscope (Germany-Riester) duplex, anestophon 1 Grey 16 Stethoscope (spectrum) Adam Rouilly (BLUE) 1 SB 34967 17 Otoscope – Earscope & tips (set in box) 8 18 Kidney tray small 6-1=5 Funda 19 Kidney tray medium 6
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20 Kidney tray large 6 + 1-1=6
1 given to FON
21 Instrument tray – Medium 7 3 w/instruments
22 Instrument tray cover –medium (magnate Thailand) 5 23 Instrument tray cover w/knob Allgaier 73300006 2 24 Instrument tray small medicon 47.27.23 – 3L. 2 25 Instrument drape (green cloth) 2 26 Magnetic drape for instrument 1 27 Huntleigh accessories – doplex probe – speaker in a
bag 1 2010 Oct
28 Steel canister with lid (Two sizes) 4 + 2 = 6
29 Skin fold thickness – Goniometer (White) 2 30 Abdominal retractor ( Balfour) 1 set 31 Polygreen – infrared ear and forehead thermometer 1 32 Speaker – pink set 1 33 SAM auscultation trainer Dell laptop 1102014 SAM
1 power cord & 2 USB cable connections. 1 VOSTRO
34 ISTAN METI Apple laptop (Macpro) 1 35 METI voice link w/accessories, 1stan 1143 white
wire, minidisplay port adaptor 1
36 Sam laptop charger CN-092844-72438-0c8-382B-A00
1 DP/N-0928G4
37 Cardionics Escope electronic stethoscope-sound out P/N – 718-7700,& charger mentioned above in black bag
1 SN/LOT# 0302454S
USA 38 Polyhesive pt return electrode valley lab, AED type 1
CABINET 2 1 3M Litmann® brand – Classic II S.E Stethoscope 16 2 One touch Glucometer (ultra – life scan) 5 3 Accucheck active® 2 4 One touch® ultra 2/Lot:Y1203383X &
P/N:02126503C 2
5 Tourniquett for blood extraction 10 6 Finger pulse Oximeter MD300C1 1 2013 Nov 7 Measuring tape 4 8 Aneroid Sphygmomanometer-Prosphyg™ (for
simulation) 1
9 Infinite adaptor (Model – SG/22-28) 2 10 Laerdal Aerosal Filter/Reusable Canister for
portable suction 2
11 Leardal Suction Unit NiMH Battery/Cat No – 780 800
2
12 Nurses stethoscope blue color 1 13 Electrode handle 1 14 Extension rod for ISTAN white 1 15 Charger cable LSU 2 16 Laerdal pocket mask (one way valve) 12 17 pH ion-diagnostic pH teststrips (bottle) 2 18 Digital peak flow & FEV₁ meter w/charger
1 2 mouth piece
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Drawer 3 1 MS Supplies/Dressing set/ vein bands 2 TERUMO IV infusion set – To be installed. 1 2015 March
Drawer 4 1 Intramuscular inj simulators (buttocks with muscle–
free) 3 1 new 2014
2 Venatech trainer - rubber 10 3 IV Arm skin and vein 1 set 4 Injection trainer pads (small) 2 5 Injection trainer pad (medium) 1 6 Hungry Manikin 2 7 Suture Clip Applicator (Disposable) 9
Drawer 5 1 Arterial puncture arm/stick arm (In a box each) 2 2014 Feb 2 Advanced Geri arm 2 Old 3 Advanced IV injection arm ( in a box) LF011214 &
LF011264 4 2015 March
4 Nursing wound care models (Accessories of SimMan)
1 set 2014 Jan
5 Vata Oregon City – Seymour Butts – 503-632-8282 2 Old 6 First Aid arm (in a box) Nasco life form. 1
Drawer 6 1 Bandages 2 Cotton Applicators 3 Medical dressing 4 OR Scrub brushes 5 Tegaderm 6 Staple remover 7 Sure Temp Plus – Welch Allyn Probes
Drawer 7 1 Supplies for dressing
Drawer 8 1 Decubitus care simulator – set of 4 types (M156)
Wearable type (Sakamoto model corporation) 2 sets Jan 2012 &
2014 2 VAC info KCL ( VAC therapy ) (in a box) 1 3 S Vena press SQ 6 2 L & 4 S 4 Laerdal urinary catheterization&enema
trainer(old&new 2 In a blue bag
5 VATA Seymour Butts™(BUTTOCKS), Seymour II VATA
4 2 old, 2 new
6 Fit on enema administration sim – Sakamoto model 1 7 Suture & Staple practice Upper limb/Arm 4 2015 March
Drawer 9 1 Suture & staple practice Lower limb/Leg 5 2015 Feb 2 First Aid arm (in a box) Nasco life form. 1 3 Hemodialysis practice arm 1 4 Full arm (soft) 2 new
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Drawer 10, 11, 12 1 Disposable suture remover/ clip remover set 2 Disposable dressing trays/blades 3 Accessories of ISTAN
Drawer 13 1 Patient gown (long.) (Blue 1, Offwhite 1) 2 2 Draw sheet ( Blue 1, white 2) 3 3 Bath towel white 4 4 Face towel white 3 5 Pillow (Sponge 8, cotton 4, of which plastic covered
2) 12
6 Pillow case (light green 2, light blue 6, dark blue 3) 11 7 Bedsheet blue (light 5, dark 9) 14 8 Bedsheet white (2 large ISTAN, 3 white) 5 9 OR suit blue (33 tie pant, of which 1 light brown
color) 46 13 elastic pant
10 OR cloth drapes /fenestrated (blue) 5 3 big, 2 small 11 OR head cover for nurses 21 12 OR Gowns long sleeved, 25 elastic end sleeve, 3
plain. 28
13 Mattress cover light blue (new) 3 14 Hamper bag 2 15 Laerdal Sim Man 2G jacket and pants 1 pair 16 White colored fine bedsheets (thin) 3 17 Suit top only 1 OR, 1 press button, 1 CAE labeled
on ISTAN, 1 on Vital SIM White. 4
18 Blanket (5 white, 3 blue) 8
Drawer 15 1 Fazzini suction bottle 1 2 Fit On enema administration simulator box 1 Empty 3 Koken airway management trainer box 1 Empty 4 CAE health care trauma fill tank 2 ISTAN 5 Blood bags 6 Urine bag stand 1
Drawer 16/17/18 1 NGT Feeding Tubes 2 Elimination sets 3 Oxygen Administration sets
Drawer 19 1 TB Testing arm 2 wooden 2 Philips Respironics –REF # 90256/Aero family
(Nebulizer) 4 2012 Jan
3 OMRON compressor nebulizer (A-I-R) 1 4 NGT Insertion model/Hungry Manikin 4
Drawer 20 1 Ultrasound training model 1 Blue Phantom:
US 2012 Jan
74
2 Surgical Bandaging Simulator (Nasco life form) 1 With staples & drain
3 Nellcor (SpO₂ & pulse) recorder – Sat seconds – N550 S/N – P 1020600575
1
4 Cable wire ( battery charger & other end plug ) 1 5 Apex – Dynabest – 5000 – High/low pressure
mattress 1
6 Laerdal Vital Sim/ Vital signs simulator w/ RC 1 Blue bag
Drawer 21 1 Laerdal AED Little Anne 2 Blue bag 2 Laerdal AED trainer 2 (Red color bag) battery pack
& RC 1 Pads
3 Laerdal ECG trainer 1 Box 4 Voltage stabilizer/Regulator – Dactron Auto Stack 1 5 Laerdal manikin face shields, 36 disposables/pck 6 pck Rolls.
Drawer 22 1 Tracheostomy care simulator 1 2 Auscultation trainer w/smart scope, amplifier,
connections & RC – SN - 2392 1 FCC ID
OZULF01142U
FURNITURE 1 Laboratory table 4 2 Arm chair ( 1 arm needs fixation) 22 3 Steel cabinet w/glass door. 2 4 Filing trolley 2 5 Patient’s bedside screen (white) (needs repair) 2 6 Bedside table 1 7 Cot (Contoura electric 460) 1 8 Cot (Stryker electric) 2 9 Cot (Huntleigh health care Nesbit Evans 14385 w/
IV stand (cream and steel top w/2 steel holder) 1 Cot 1, IV pole
(2) 1attached 1
free 10 Step stool (1 white, 1 black) 2 11 Piped in O₂ & humidifier to be mounted, 3 sets and 3 + 3 3 humidifiers 12 Bulletin board 1 13 Overbed table (2 creamy yellow, 1 dark wood color) 3 14 Medicine cart (Hammerlit – red (w/ IV pole 4
holder, & side w/file holder and Astromick) 2
15 Wt and ht scale (Detecto –electronic and normal) 2 & 1 16 Aug ‘15 16 Wheel chair 2 17 Mayo table 2 18 IV stand (2 holder, 4 holder, 2 holder-plastic, body
steel) 6 2, 3, 1.
19 Stainless steel trolley (big plain) 2 20 Stainless steel trolley Medium (no drawers) 2 White top 21 Stainless steel trolley Medium (w/ drawers) 1 22 Antiseptic dispenser, steel (portable) 1 23 Sharp container (small, round) 6 24 Trolley (Schmitz) Bluegreen w/5 drawers, white 2
75
handle 25 Dressing cart (Schmitz) blue handle, light blue,7
drawers (w/on one side not a fixed holder & a fixed holder)
1
26 Steel basin w/stand –FAZZINI C€O2-53500 2 2014 March 27 Sharp container medium 1 2014 May 28 Steel trash can (large) 2 2014 May 29 Geo rubbish bin (grey) 1 30 PURELL Instant Hand Sanitizer 1 2014 May 31 Portable O₂ Cylinder – Alluminium high press
medical cylinder (green top w/silver body) 1 2015 March
32 Mattress (plastic , black 2, orange white 2) 4 33 Fire extinguisher 1 34 White board with 3 duster 1 35 Hamper bag stand 1
ELECTRONICS 1 SMART SIGNS Compact Patient Monitor (NIBP
cuff and SpO₂ probe) 1 Model:SC
1000-BU1;s#: 2 TV (colored; JVC 29”) W/remote control Serial #
09981076 1 Model: AV-
29WX11 3 Video cassette recorder (JVC) W/RC 1 Serial #
10970180 4 Data show Eiki EIP 200 w/RC 1 Model:HRV –
401as; 40164 5 Team board 1 6 Dell CPU Optiplex GX520 & 7010 2 1 in office 7 LCD Monitor ( one in office) 2 671-55YU 8 Keyboard ( one in office) 2 71616-691-
10FE 9 Mouse ( one in office) 2 HC 63008139x 10 Infusion pump w/stand (TERUMO) w/wire and
plug. 1
11 Alaris IV pump w/stand, w/wire square pun plug & white spring wire IVAC.
1
12 Dynamap (Huntleigh) w/basket, BP cuff and power plug
1 Light blue wire
13 Microban METRO Lifeline (Crash cart) 1 2010 Nov 14 Premium video presentor w/RC 1 15 Newlife Air EP Humidifier, suction machine,
portable 1
16 IP Fast Dome Camera 1 17 LG DVD Player w/RC 1 18 Sony LCD BRAVIA Serial # 1199819/2011 w/RC 1 Model name
klv-40bx400/ 19 LSU Laerdal Suction Unit/ Portable Suction 2 2015 March 20 Medical ECONET COMPACT 3 W/BP &
Pulseoximeter w/stand power cord & square pin adapter, SpO₂ probe, Thermister sensor & BP cuff.
1 2015 March
21 Extension Board, 1 close to TV, 1 close to compressor, 2 in MS supplies, 1 for istan.
5
22 Welcon plain jane feeding pump w/IV pole 1
76
Steel Cabinet 1 (Key No – 0016) Video Tapes: 1 Infection Control 2 Office emergencies 3 Dialysis 4 Wound care 5 Post-operative nursing care 6 Pressure ulcer 7 Administering IVF Therapy 8 Injections 9 Baxter: Arabic Version – Dialysis
CD’s: 1 Nutrition 2 Sterile dressing change 3 Needle stick prevention 4 Nursing scenarios ( 1 booklet) Laerdal. 2013 Nov 5 Nursing Management of wounds 2015 6 The nursing assistant/ Infection control 2015 7 Infection control – precautions & sterile dressing
changes 2015
8 Pressure ulcers 2015 9 Nursing process in pre & post surgical case. 2015 10 Bates’ Health assessment 2015 Vol 1 Head, eyes and ears. Vol 2 Nose, mouth and neck Vol 3 Thorax and lungs Vol 4 Cardiovascular: Neck Vessels and heart Vol 5 Cardiovascular: peripheral vascular system Vol 6 Breasts and axillae Vol 7 Abdomen Vol 8 Male genitalia, hernias, rectum and prostate Vol 9 Female genitalia, Anus and rectum Vol 10 Musculoskeletal system Vol 11 The nervous system: cranial nerves and motor
system
Vol 12 The nervous system: sensory system and reflexes Vol 13 Approach to the patient Vol 14 Head to toe assessment (Adult) Vol 17 Head to toe assessment (Older Adult) Vol 18 A General survey and vital signs Vol 18B Examination of the skin
1 Spirometer 5 2 Omron BP cuff – child (size 13-22cm)colin
Ref:HEMCS23 1 2010 Nov
3 Stoma care torso Black/Adam Rouilly – S/No 34132 1 2012 Jan 4 Catheterization and enema trainer 2 Cat# 270-
00001 Jan 2012
5 Colostomy care simulator 1 6 OR Set 1 7 Universal precaution supplies
77
8 O₂ source & humidifier 3 set & 2 humidifier
Steel Cabinet: # 2 (Key No – 0008) 1 Diabetic foot 1 2 Diabetic training injection pad 5 3 Intradermal inj arm 2 4 Cricoid stick trainer model 1 5 Bedsore cleansing and dressing model 1 6 Arterial puncture arm 1 7 KOKEN Adam Rouilly Airway management model 1 8 IV arm 4 9 Mercurial Sphgymomanometer/ Model # SM – 300 4 KBM 2013
NOV: Code#63300/
10 Sure Temp Plus – Welch Allyn 2 set 2014 Jan
2011 January Arrivals 1 Abdominal palpation model 2 2 Table with 3 drawers 2 3 Speakers – Maike MDT – 2280 (Flourescent orange) 3 2 small, 1 large 4 USB 2.0 ZTEK-20080056487 2 Pink color 5 USB 2.0 Music fairy SN – 091108083505, SN-
0911083688 2
6 Aneroid Sphygmomanometer XB11B/20070/ 021-5614245/ 021-56972034
2 Black in black bag
7 Honglian (Medial examination skills/ Training system controller) GD/TCZ9900
2 Student & Teacher
controller boxes.
8 Computer screen/SN-CN-OX237R-64180-041-0585 2 9 Dell Computer CPU Optiplex 380
Service Code: 9520630264/4DGC5BS. Service Code: 425051432952/JBGC5BS
2 Mounted on glass computer
stand 10 Dell –Keyboard Model L 30U 2 11 Dell – mouse MOC5UO S/N JOAO1A1H 2 12 General Doctor (Stethoscope) 2 displayed 13 Cuff Inflation pump 1 14 Medical stethoscope – TZ-1 (Grey & white color) 2 Packed 15 Advanced BP arm training simulation – General
Doctor GD/HS7 – Model - GD/TCZ 9900C w/AC/DC adaptor
1
16 Computer cord cover 1 17 Velcro belts 5 18 Black belt (PRESS) 1
Displayed 1 Rectal Examination Model (Adam Rouilly)
AR321/035823 (Box) 1 Sent to male
college 2 Static Geri Manikin 1 2014 Jan 3 Sim Man 2G 1 4 Peritoneal Dialysis Simulator (Box) 1 LF 1027UA 5 Simulaids – Adam Rouilly (Box) 1 Orange 6 Vital Sim/ Nursing Kelly w/BP cuff 1 2014 Jan
78
7 ISTAN METI 1 2015 March 8 ISTAN Monitor/Screen/MSI (AC/DC Adaptor in
basket) 1 2015 March
9 MSI Keyboard (No wire, plug) 1 2015 March 10 MSI Cordless mouse 1 2015 March 11 SAM Auscultation Trainer 1 Trans in from
CC1 12 Sure Temp Plus-Welch Allyn Holder 2 Pasted on wall
Instruments 1 Allis forceps 9-2=7 2 Babcock forceps 7+2=9 3 Needle holder 11 4 Straight Kelly Clamp 21-3=18 5 Curved Kelly Clamp 20 6 Weitlaner Retractor 3 7 Scissors Straight 6 8 Scissors curved 21 9 Bandage scissors 6 10 Thumb forceps flat, nontoothed, 8+2 1 Adson 11 Thumb forceps pointed, toothed 3, 2+1 1 Adson 12 Blade Holder #3 7 13 Blade Holder #4 2 14 Blade Holder #3 L 2 15 Nasal Speculum 1 16 Sponge/Ovum forceps 3 17 Suction tip 1 18 Suction Yankauer tube 1 19 Towel clips 11 20 Ochsner/ Kocher 8+4+12 21 Mixture 1 22 Wire scissor 1 23 Suture removal scissors 1 24 Cushing Vein Retractor 1 25 Cat’s paw Retractor (Senn retractor) 1 26 Clamp (S Murray) & Martin Germany SS 2
Inventory Prepared by: Jessy Thomas Date: 27th August, 2015 MSN Lab Coordinator: Dr. Mervat Adham. Date: 10th September, 2015
79
80
List of Equipment Requiring Maintenance
No. Equipment Remarks 1 Penlight - Rayovac E92 LR03 AM4 1.5V AAA – 2 each = 10 2 Penlight - Reister 24A LR 03 AAA – 2 each = 6 3 Laryngoscope (Gowlands) LR 14 1.5V MN 1400 – 2 each = 4 4 Laryngoscope (Medicon) LR 14 1.5V MN 1400 – 2 each = 2 5 ENT set – Opthalmoscope (Riester) LR 14 1.5V MN 1400 – 2 each = 2 6 Stethoscope Littmann electronic E92 LR03 AM4 1.5V AAA – 2 each = 2 7 Polygreen infra red ear & forehead
thermometer probe CR 2032 3V = 1
8 One touch glucometer (ultra life scan) CR 2032 3V, 1 x 5 = 5 9 Acucheck active CR 2032 3V, 1 x 2 = 2 10 One touch ultra 2 CR 2032 3V, 1 x 2 = 2 11 Finger pulseoximeter E92 LR03 AM4 1.5V AAA – 2 each = 2 12 Diagnostic penlight R03 1.5V = 2 13 Huntleigh Doppler- MD2- IEC Type 6LR61/ 6LF22 = 2 14 e-scope 24A LR 03 AAA = 1 15 Ear scope 1.5 V LR6 – AA, 2 each= 16 16 Auscultation trainer remote E92 LR03 AM4 1.5V AAA – 2 each = 2 17 TV (JVC 29”) remote 1.5 V LR6 – AA = 2 18 JVC (VCR) remote lithium battery 19 Datashow Eiki remote R03 1.5V AAA = 2 20 Premium video presenter remote R03P AAA 1.5V = 2 21 LG DVD player remote 24A LR03 1.5V AAA size = 1 22 Sony LCD Bravia remote R03 1.5V AAA = 2 23 1.5 V C Baby LR-14 24 1.5V C size R14P 25 AED trainer
remote LR14/ C size = 6 AAA LR03 = 4
26 Microlife Digital peakflow & FEV1 meter
AAA/UM4 1.5V = 2
27 Lock for cabinet 19 Needs repair 28 Speakers – Maike MDT – 2280 Florescent orange – not working 29 Computer for abdominal palpation 1 needs update & 1 not working 30 Patient’s bedside screen (white) Needs repair 31 Cot (contoura) electric bed 460 Some functions not working 32 Team board Not working 33 Overbed table ( dark color) Not stable 34 Huntleigh healthcare smartsigns
compact patient monitor Requires 3 lead ECG cable & pulseoximeter
35 Arterial arm (old) To be discarded
81
82
List of Supplies and equipment needed for all procedures (MS I & MS II) / 50
students
S#
Manikins, Equipment & Supplies
Number Remarks
Manikin/Simulators: 1 Auscultation Manikin 2 2 Wound (Buttocks) 2 3 IV arm 4 4 Venatech Blood Extraction 2 5 Laerdal Airway 2 6 Manikin for O₂ therapy Geri 7 Hungry Manikin 2 8 Manikin for urinary
catheterization 2
9 Advanced Geri for skin prep 2 Equipments:
1 Trolley 15 2 Suction machine 1 3 Sharp box 3 4 IV stand 6 5 Hammer 8 6 Tuning fork 8 7 Penlight 8 8 Tape measure 2 9 Forceps 2 10 Stethoscope 10 11 Vacutainer holder 5 12 Tourniquet 2 13 Oropharyngeal Airway 2 14 Kidney Basin 11 15 Pitcher 1 16 Bed pan 1 17 Cloth gown 8 18 Cleansing towel 1 19 Instruments & surgical blades 2 sets
Supplies: 1 Sterile Skin prep tray 10 2 Sterile Suture removal tray 70 3 Sterile Dressing tray 120 4 Scrub sponge set 60 5 Surgical sutures 20 6 Disposable skin stapler 3 7 Sterile drapes 2 8 Bed protector 70 9 Absorbent towels 70 10 Sterile gloves 270 pairs 11 Clean gloves 550 pairs 12 Disposable cap, mask, gown,
shoe cover Set of 70
13 Alcohol swabs 300
83
14 Blue sheet 100 15 Sticking plaster 25 rolls 16 Sterile gauze pieces (4 X 4), (2
X 2) 150 each
17 Cotton balls packet 110 18 IV tubing, plain 80 19 Blood transfusion set 2 20 Secondary IV set (Piggyback) 10 21 IV cannula 65 22 3-way 15 23 Syringes (1 mL), 3mL each 50 24 Syringes 5 mL 110 25 Syringes 10 mL 210 26 Syringes 60 mL 10 27 Vacutainer needle 60 pieces 28 Blood tubes Red, Blue, Purple 40 each 29 Blood tubes grey 10 30 Butterfly cannula 70 31 Medication labels 30 pieces 32 IV tubing labels 20 pieces 33 Lubricant 3 bottles 34 Iodophor detergent ( 7.5%) 5 35 Povidone iodine (10%) 5 36 Alphadine 4 bottles 37 Wound irrigation solution 25 38 NSS 30 39 D₅ Solution 2 40 RL 2 41 Sterile water vials 80 X 5 42 NS (100 mL bag) (50 mL) 4 each 43 Different types of dressing 7 44 NGT 10 45 Suction catheter 10 46 Urinary catheter 70 47 Urine bag 10 48 Urine specimen container 10 49 Tongue depressor 10 50 O2 cannula 3 51 O2 mask 3 52 O2 flowmeter with humidifier 3 53 Ventolin 4 54 Cotton tipped applicator 5 55 Povidone swabs 5 56 Stethoscope 5 57 BP apparatus 3 58 Thermometer 3 59 Artery forceps (Clamp) 3
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