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

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


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


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


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


ursing Pediatric N

ursing H

ealth Assessm

ent Bridging

Critical C

are Nursing

Lab1 Post G

raduate M


Post Graduate

Medical-Surgical N

ursing Post G

raduate M


Manintenance

Post Graduate

Medical-Surgical N

ursing Post G

raduate Medical

Surgical Nursing

Critical C

are Nursing

Lab 2 M


Medical-Surgical N

ursing M


ursing Pediatric N

ursing

Operating R

oom Lab

Medical-Surgical N

ursing M


Fundamentals of N

ursing Fundam

entals of Nursing

Maintenance

Emergency R

oom Lab

Medical-Surgical N

ursing M


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


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


M

rs. Buthaina

O

R Lab

G5(B

) 11-12 &

1-3pm

G5(B

) 8-11am

IV C


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


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


Mrs. Elizabeth

MSN

Lab G

4(A)

11-12 & 1-3pm

G5

G5(A

) 8-11am


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


M

rs. Buthaina

O

R Lab

G1(B

) 11-12 &

1-3pm

G1(B

) 8-11am

IV C


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


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


Mrs. Elizabeth

MSN

Lab G

5(A)

11-12 & 1-3pm

G1

G1(A

) 8-11am


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


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


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


Mrs. Elizabeth

MSN

Lab G

1(A)

11-12 & 1-3pm

G2

G2(A

) 8-11am


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


Mrs. B

uthaina

O

R Lab

G3(B

) 11-12 &

1-3pm

G3(B

) 8-11am

IV C


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)


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


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


-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


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



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)


Screening

Week12

10-110N

ov 2015 *Tuesday (1.00:3.00pm

) **W


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


-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


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


-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


-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



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)


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


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


10-11 am CC2 Lab IV Cannulation and 3 ways insertion


11-12 am OB/Gyn Lab Blood Extraction (via vacutainer, syringes & butterfly)


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


9-10am CC2 Lab IV Cannulation and 3 ways insertion


10-11 am OB/Gyn Lab Blood Extraction (via vacutainer, syringes & butterfly)


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


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


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:


1= Incomplete

0=Not done / Wrong


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


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


1= Incomplete

0=Not done / Wrong

Student’s Signature:- -------------------------------

Instructor’s Signature:------------------------------

39

Venous Blood Extraction

Procedure Checklist


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:


1= Incomplete

0=Not done / Wrong


41

IV Cannulation

Procedure Checklist


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


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


1= Incomplete

0=Not done / Wrong


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)


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:


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


1= Incomplete

0=Not done / Wrong


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


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


1= Incomplete

0=Not done / Wrong


48

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:-----------------------

49

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


1= Incomplete

0=Not done / Wrong


50

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


1= Incomplete

0=Not done / Wrong


51

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.

52

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


1= Incomplete

0=Not done / Wrong


53

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.

54

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


1= Incomplete

0=Not done / Wrong


55

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

56

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:----------

57

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

58

Code 2= Correct / Complete 1= Incomplete 0=Not done / Wrong Student`s signature----------------------------------------------------------------------- Instructor`s Signature--------------------------------------------------------------------

59

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--------------------------------------------------------------------

60

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


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--------------------------------------------------------------------

61

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


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

62

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


1= Incomplete

0=Not done / Wrong

Student`s signature----------------------------------------------------------------------- Instructor`s Signature--------------------------------------------------------------------

Instructor’s Signature:------------------------------

63

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

64

65

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.

68

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

69

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

71

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

72

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

73

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