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UNIVERSITY OF SAINT LOUIS Tuguegarao City COLLEGE OF HEALTH AND ALLIED SCIENCES Name: Course/Year: Date: Set/Group #:

ASSISTING CLIENT FOR A BRONCHOSCOPY Instruction: please put a check () mark on the appropriate column using the scale: 3- Procedure is done excellently (E) 2- Procedure was satisfactorily done (S) 1- The student needs more practice (NP) 0- The student failed to perform the skills/procedure (ND) E 3 S 2 NP ND 1 0 COMMENTS

PROCEDURE POINT EARNED Before the procedure: 1. Verify the physicians order. 2. Check the clients informed consent. 3. Identify the client by checking armband and having the client state name. 4. Introduce yourself to the client and explain the procedure. Administer pre-operative medications as prescribed. 5. Assess the clients vital signs. Ask if he/she has allergies to topical anesthetic and the time he/she last ingested fluid or food. 6. Remove dentures and oral prostheses. 7. Gather equipment and supplies. 8. Perform hand hygiene and other appropriate infection control procedures. During the procedure: 9. Provide privacy for client. Position client in semi fowlers. Drape client as needed. 10. If physician sprays anesthesia in nasopharynx and oropharynx, instruct client not to swallow local anesthetic. Provide emesis basin. 11. Remind the client no to change position while the physician is inserting the bronchoscope. 12. Monitor pulse and blood pressure every 5

minutes during procedure. 13. Monitor clients respiratory status every 5 minutes during procedure. Observe degree of restlessness, capillary refill and nail beds. Monitor oxygen saturation. 14. Collect drainage and laboratory specimens. Note the characteristics of the suctioned material. After the procedure: 15. Wipe clients nose to remove lubricant after bronchoscope is removed. 16. Instruct the client nothing by mouth until the gag reflex returns. 17. Assess level of sedation and LOC. 18. Monitor the clients vital signs. Observe for hypoxia, hypotension, tachycardia, dysrhythmias, hemoptysis and dyspnea. 19. Immediately report any abnormality to physician. 20. Document necessary information. TOTAL SCORE

Remarks:

Printed Name & Signature of Clinical Instructor

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