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College of Nursing
RATING SCALE:
4 – Performed correctly, systematically according to standard with correct rationale
3 - Performed correctly, not systematically with correct rationale
2 - Performed correctly, not systematically with inadequate rationale
1 – Performed incorrectly
Objectives:
1. To secure and maintain a clear airway that will promote good ventilation.
2. To prevent aspiration.
3. To provide oral hygiene.
4. To decrease the risk of ventilator associated infections such as pneumonia.
Materials:
Protective equipments: Goggles or glasses, cup and mask
Bite-block or oral airway if needed
Suction machine
Adhesive or twill tape; commercial endotracheal tube holder (design must ensure ability to provide oral
care and suctioning)
2 × 2 Gauze or cotton swab
Normal saline solution
Oral cleansing solution
Soft pediatric/adult toothbrush or suction toothbrush
Toothettes/oral swab/oral suction swab
Procedure 4 3 2 1 Comments
22 Remove the linen from the patient and dispose properly all
materials used.
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Student’s Signature over Printed Name
Evaluated by:
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C.I’s Signature over Printed Name.