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College of Nursing

Fundamentals of Nursing Department


2015

Medical Surgical Nursing Laboratory

Edited By

Dr. Mervat A. Ghaleb

Medical Surgical Nursing Courses’ Coordinator


S. # Items Page

1 Aim, mission & Objectives 3

2 Learning Outcomes 5

3 Occupancy of Medical Surgical Nursing 7


Laboratory

4 Medical Surgical Nursing Laboratory 9


Schedules

5 List of Procedures 21

6 Schedules for Screening 25

7 Checklists & Assessment Tools 28

8 Rules to be strictly adhered in the 64


clinical skills & simulation laboratories

9 safety policies and guidelines of clinical 66


skills laboratory
10 MSN Lab. Inventory 69

11 List of Equipment Requiring 79


Maintenance

12 List of Equipment Needed for Training 81


per Semester

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3
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
Providing students with basic and advanced nursing skills
necessary for adult nursing care.
Developing students’ skills for dealing with advanced
technology and equipment.
Facilitating transition to actual clinical settings.
Enhancing students understanding of the clinical skills
necessary for providing comprehensive nursing care for the
adult patients.
Enhancing teamwork and communication skills.
Provide hands-on learning experiences specific to course
objectives as directed by the nursing curriculum.
Developing clinical judgment through scientific inquisition
and critical thinking and problem solving
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.

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5
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
IV Cannulation
Starting IV Infusion
Blood draws
Blood Glucose Testing
Blood Transfusion
O2 Administration
Insertion of oropharyngeal airway
Nebulization
Sterile technique
Wound dressing
IV Medication administration
NGT Insertion, feeding, irrigation & removal
Tracheostomy care
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.

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Occupancy of the Medical Surgical Laboratory:

Day Duration Courses

First & Second Medical Surgical Nursing I & II


Saturday & Sunday
Semester courses

Tuesday & Wednesday First Semester Fundamentals of Nursing I


Course
Second Semester
Fundamentals of Nursing II
Wednesday & Thursday
Course

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9
Kingdom of Saudi Arabia
University of Dammam
College of Nursing
Clinical Skills & Simulation Lab Schedule AY:2015-2016 – First Semester
Nursing Labs SUN MON TUES WED THURS
Medical & Surgical Medical-Surgical Nursing Medical-Surgical Nursing Fundamentals of Nursing Fundamentals of Nursing Maintenance
Nursing Lab Health Assessment Bridging
Fundamentals of Medical-Surgical Nursing Medical-Surgical Nursing Fundamentals of Nursing Fundamentals of Nursing Maintenance
Nursing Lab Health Assessment Bridging
Obstetric & Gyne Medical-Surgical Nursing Medical-Surgical Nursing Fundamentals of Nursing Fundamentals of Nursing Maintenance
Nursing Lab OB/GYNE Nursing Bridging Health Assessment Bridging
Pediatric Nursing Lab Medical-Surgical Nursing Medical-Surgical Nursing Maintenance Pediatric Nursing Pediatric Nursing
Health Assessment Bridging
New Born Nursing Lab Fatat Al Khaleej Program Fatat Al Khaleej Program Maintenance Pediatric Nursing Pediatric Nursing
Health Assessment Bridging
Critical Care Nursing Post Graduate Post Graduate Post Graduate Manintenance Post Graduate
Lab1 Medical-Surgical Nursing Medical-Surgical Nursing Medical-Surgical Nursing Post Graduate Medical Medical-Surgical Nursing
Surgical Nursing
Critical Care Nursing Medical-Surgical Nursing Medical-Surgical Nursing Maintenance Pediatric Nursing Pediatric Nursing
Lab 2
Operating Room Lab Medical-Surgical Nursing Medical-Surgical Nursing Fundamentals of Nursing Fundamentals of Nursing Maintenance
Emergency Room Lab Medical-Surgical Nursing Medical-Surgical Nursing Fundamentals of Nursing Fundamentals of Nursing Maintenance
Home Care Nursing Lab Nursing Management Nursing Management Maintenance Fatat Al Khaleej Program Fatat Al Khaleej Program
Fatat Al Khaleej Program
Computer Lab (Big) Nursing Management Nursing Management Maintenance
Computer Lab (Small) Maintenance
Clinical Skills & Simulation Lab Coordinator Dean College of Nursing
Dr. Radwa Bakr Dr. Elham Al Ateeq
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Fundamentals of Nursing Department
Medical-Surgical Nursing 1 (1610-311)
First Semester – A.Y. 2015-2016
Schedule of the First Week
1st Week
Time Topic Lecturer Venue
Sunday 8 am – 9 am Registration - -
23/8/2015 9 am – 10 am Introduction to the course Dr. Mervat Ghaleb Building C3/Blue Hall
10 am – 12 pm Wound Management Dr. Mervat Ghaleb Building C3/Blue Hall
1pm – 3 pm Medication Calculation Ms. Zainab Al-Saba’a Building C3/Blue Hall
8 am – 10 am Management of Patients with Diabetes Dr. Mervat Ghaleb Building C3/Blue Hall
Monday Mellitus
24/8/2015 10am – 12pm Complications of Diabetes Mellitus Dr. Abeer Ali Building C3/Blue Hall
1 pm – 3 pm Wound Assessment, Dressing Materials & Building C3/Blue Hall
Solutions Used in Dressing Mrs. Riza
Prepared by Planned by
Course Co-Coordinator Course Coordinator
Dr. Abeer Ali Dr. Mervat Ghaleb
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Fundamentals of Nursing Department
Medical-Surgical Nursing 1 (1610-311)
First Semester – A.Y. 2015-2016
Laboratory Rotation Schedule
Week/Day Clinical
Date Group Time Procedure Instructor Venue
G1(A) 8-11am Mrs. Badriah Funda Lab
G1(B) 11-12 & 1-3pm Respiratory Assessment Mrs. Maram
G1 G1(B) 8-11am Wound Assessment & Wound Dressing Mrs. Mona Funda Lab
G1(A) 11-12 & 1-3pm Donning Sterile Gloves Mrs. Maram
G2(A) 8-11am IV Infusion and IV Medication
G2 G2(B) 11-12 & 1-3pm Crash Cart Mrs. Riza MSN Lab
G2(B) 8-11am
G2(A) 11-12 & 1-3pm NGT Insertion, feeding, irrigation and removal Mrs. Elizabeth MSN Lab
2nd week G3(A) 8-11am
G3 G3(B) 11-12 & 1-3pm Suctioning and Insertion of Oropharyngeal Airway Mrs. Suzette CC2 Lab
Sunday
G3(B) 8-11am
30/8/2015
G3(A) 11-12 & 1-3pm Oxygen Therapy & Nebulization Mrs. May CC2 Lab
G4(A) 8-11am
G4 G4(B) 11-12 & 1-3pm Blood Extraction (via vacutainer, syringes and butterfly) Mrs. Buthaina OR Lab
G4(B) 8-11am Mrs. Safaa
G4(A) 11-12 & 1-3pm IV Cannulation and 3 ways insertion Mrs. Fedaa ER Lab
G5(A) 8-11am
G5 G5(B) 11-12 & 1-3pm Abdominal Assessment Mrs. Reshmi Ob/gyne Lab
G5(B) 8-11am Dr. Abeer
G5(A) 11-12 & 1-3pm Cardiovascular Assessment Ms. Zainab Pedia Lab
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Week/Day Clinical
Date Group Time Procedure Instructor Venue
G2(A) 8-11am Mrs. Badriah Funda Lab
G2(B) 11-12 & 1-3pm Respiratory Assessment
G2 G2(B) 8-11am Wound Assessment & Wound Dressing Mrs. Mona Funda Lab
G2(A) 11-12 & 1-3pm Donning Sterile Gloves
G3(A) 8-11am IV Infusion and IV Medication Mrs. Riza
G3 G3(B) 11-12 & 1-3pm Crash Cart Ms. Maram MSN Lab
G3(B) 8-11am Mrs. Elizabeth
G3(A) 11-12 & 1-3pm NGT Insertion, feeding, irrigation and removal Ms. Maram MSN Lab
2nd week G4(A) 8-11am
G4 G4(B) 11-12 & 1-3pm Suctioning and Insertion of Oropharyngeal Airway Mrs. Suzette CC2 Lab
Sunday
G4(B) 8-11am
31/8/2015
G4(A) 11-12 & 1-3pm Oxygen Therapy & Nebulization Mrs. May CC2 Lab
G5(A) 8-11am
G5 G5(B) 11-12 & 1-3pm Blood Extraction (via vacutainer, syringes and butterfly) Mrs. Buthaina OR Lab
G5(B) 8-11am Mrs. Safaa
G5(A) 11-12 & 1-3pm IV Cannulation and 3 ways insertion Mrs. Fedaa ER Lab
G1(A) 8-11am
G1 G1(B) 11-12 & 1-3pm Abdominal Assessment Mrs. Reshmi Ob/gyne Lab
G1(B) 8-11am Dr. Abeer
G1(A) 11-12 & 1-3pm Cardiovascular Assessment Ms. Zainab Pedia Lab
Week/Day Clinical
Date Group Time Procedure Instructor Venue
G3(A) 8-11am Mrs. Badriah Funda Lab
G3(B) 11-12 & 1-3pm Respiratory Assessment
G3 G3(B) 8-11am Wound Assessment & Wound Dressing Mrs. Mona Funda Lab
G3(A) 11-12 & 1-3pm Donning Sterile Gloves
G4(A) 8-11am IV Infusion and IV Medication Mrs. Riza
G4 G4(B) 11-12 & 1-3pm Crash Cart MSN Lab
G4(B) 8-11am Mrs. Elizabeth
G4(A) 11-12 & 1-3pm NGT Insertion, feeding, irrigation and removal MSN Lab
3rd week G5(A) 8-11am Mrs. Suzette
G5 G5(B) 11-12 & 1-3pm Suctioning and Insertion of Oropharyngeal Airway Ms. Maram CC2 Lab
Sunday
G5(B) 8-11am Mrs. May
6/9/2015
G5(A) 11-12 & 1-3pm Oxygen Therapy & Nebulization Ms. Maram CC2 Lab
G1(A) 8-11am
G1 G1(B) 11-12 & 1-3pm Blood Extraction (via vacutainer, syringes and butterfly) Mrs. Buthaina OR Lab
G1(B) 8-11am Mrs. Safaa
G1(A) 11-12 & 1-3pm IV Cannulation and 3 ways insertion Mrs. Fedaa ER Lab
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G2(A) 8-11am
G2 G2(B) 11-12 & 1-3pm Abdominal Assessment Mrs. Reshmi Ob/gyne Lab
G2(B) 8-11am Dr. Abeer
G2(A) 11-12 & 1-3pm Cardiovascular Assessment Ms. Zainab Pedia Lab
Week/Day Clinical
Date Group Time Procedure Instructor Venue
G4(A) 8-11am Mrs. Badriah Funda Lab
G4(B) 11-12 & 1-3pm Respiratory Assessment
G4 G4(B) 8-11am Wound Assessment & Wound Dressing Mrs. Mona Funda Lab
G4(A) 11-12 & 1-3pm Donning Sterile Gloves
G5(A) 8-11am IV Infusion and IV Medication Mrs. Riza
G5 G5(B) 11-12 & 1-3pm Crash Cart MSN Lab
G5(B) 8-11am Mrs. Elizabeth
G5(A) 11-12 & 1-3pm NGT Insertion, feeding, irrigation and removal MSN Lab
3rd week G1(A) 8-11am Mrs. Suzette
G1 G1(B) 11-12 & 1-3pm Suctioning and Insertion of Oropharyngeal Airway CC2 Lab
Sunday G1(B) 8-11am Mrs. May
7/9/2015
G1(A) 11-12 & 1-3pm Oxygen Therapy & Nebulization CC2 Lab
G2(A) 8-11am Mrs. Buthaina
G2 G2(B) 11-12 & 1-3pm Blood Extraction (via vacutainer, syringes and butterfly) Ms. Maram OR Lab
G2(B) 8-11am Mrs. Safaa
G2(A) 11-12 & 1-3pm IV Cannulation and 3 ways insertion Ms. Maram ER Lab
G3(A) 8-11am
G3 G3(B) 11-12 & 1-3pm Abdominal Assessment Mrs. Reshmi Ob/gyne Lab
G3(B) 8-11am Dr. Abeer
G3(A) 11-12 & 1-3pm Cardiovascular Assessment Ms. Zainab Pedia Lab
Week/Day Clinical
Date Group Time Procedure Instructor Venue
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G5(A) 8-11am Mrs. Badriah Funda Lab
G5(B) 11-12 & 1-3pm Respiratory Assessment
G5 G5(B) 8-11am Wound Assessment & Wound Dressing Mrs. Mona Funda Lab
G5(A) 11-12 & 1-3pm Donning Sterile Gloves
G1(A) 8-11am IV Infusion and IV Medication Mrs. Riza
G1 G1(B) 11-12 & 1-3pm Crash Cart MSN Lab
G1(B) 8-11am Mrs. Elizabeth
G1(A) 11-12 & 1-3pm NGT Insertion, feeding, irrigation and removal MSN Lab
4th week G2(A) 8-11am Mrs. Suzette
G2 G2(B) 11-12 & 1-3pm Suctioning and Insertion of Oropharyngeal Airway CC2 Lab
Sunday
G2(B) 8-11am Mrs. May
13/9/2015
G2(A) 11-12 & 1-3pm Oxygen Therapy & Nebulization CC2 Lab
G3(A) 8-11am Mrs. Buthaina
G3 G3(B) 11-12 & 1-3pm Blood Extraction (via vacutainer, syringes and butterfly) OR Lab
G3(B) 8-11am Mrs. Safaa
G3(A) 11-12 & 1-3pm IV Cannulation and 3 ways insertion ER Lab
G4(A) 8-11am Mrs. Reshmi
G4 G4(B) 11-12 & 1-3pm Abdominal Assessment Ms. Maram Ob/gyne Lab
G4(B) 8-11am Dr. Abeer
G4(A) 11-12 & 1-3pm Cardiovascular Assessment Ms. Zainab Pedia Lab
Ms. Maram
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College of Nursing
Fundamentals of Nursing Department
Fundamentals of Nursing I (NURS 241)
1st Semester Academic Year 1436-1437(2015-2016)
LABORATORY SCHEDULE
Week 3
Group No G1 G2 G3 G4 G5
*Tuesday (1.00:3.00pm) Hand Washing Hand Washing Hand Washing Hand Washing Hand Washing
Mrs. Zeinab Elsabah Mrs. Heba Mrs. Heba Mrs. Heba Mrs. Heba
Mrs. Fedaa Mrs May Mrs May Mrs May Mrs May
(O R Lab) (MSN Lab) (MSN Lab) (MSN Lab) (MSN Lab)
**Wednesday(8.00:3.00)pm Body Mechanics Body Mechanics Body Mechanics Body Mechanics Body Mechanics
8-9 Sept.2015 Mrs. Zeinab Elsabah Mrs. Heba Mrs Badria Mrs Zanib Shahin Mrs Mona Mrs
Mrs. Fedaa Mrs May Mrs Buthina Mrs.Reshmi Safaa
(O R Lab) (MSN Lab) (Funda Lab) & Miss Maram
Mrs.Suzi
(OB/GYNE Lab) (ER1Lab)
Week 4
*Tuesday (1.00:3.00pm) Measuring Blood Measuring Radial Measuring Body -Moving & Bandages, Binders,
**Wednesday(8.00:3.00)pm Pressure ,Apical pulse& temperature transferring Sling & Elastic
15-16 Sept.2015 Ms. Zeinab Elsabah Respiration Mrs Badria Mrs.Reshmi Stockings
Mrs. Fedaa Mrs Buthina & Miss Maram Mrs Mona
Oxygen Therapy
(O R Lab) (OB/GYNE Lab) Mrs.Suzi
Mrs. Heba
-Positioning
Mrs May (ER1Lab)
Mrs Safaa
(MSN Lab)
Mrs Zanib Shahin
(Funda Lab)
Week5 17-28/9/20150Eid Eladah Vacation
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Week 6
*Tuesday (1.00:3.00pm) Measuring Radial Measuring Body -Moving & Bandages, Binders, Measuring Blood
**Wednesday(8.00:3.00)pm ,Apical pulse& temperature transferring Sling & Elastic Pressure
29-30 Sept.2015 Respiration Mrs Badria Mrs.Reshmi Stockings Ms. Zeinab Elsabah
Mrs Buthina & Miss Maram Mrs Mona Mrs. Fedaa
Mrs. Heba
(OB/GYNE Lab) Mrs.Suzi (O R Lab)
Oxygen Therapy (ER1Lab)
-Positioning
Mrs May
Mrs Safaa
(MSN Lab
Mrs Zanib Shahin
(Funda Lab)
Week7
*Tuesday (1.00:3.00pm) Measuring Body -Moving & Bandages, Binders, Measuring Blood Measuring Radial
**Wednesday(8.00:3.00)pm temperature transferring Sling & Elastic Pressure ,Apical pulse&
6-7 Oct 2015 Mrs Badria Mrs.Reshmi Stockings Ms. Zeinab Elsabah Respiration
Mrs Buthina & Miss Maram Mrs Mona Mrs. Fedaa Oxygen Therapy
(OB/GYNE Lab) Mrs.Suzi (O R Lab)
(ER1Lab Mrs. Heba
-Positioning
Mrs May
Mrs Safaa (MSN Lab
Mrs Zanib Shahin
(Funda Lab)
Week8
13-14 Oct 2015 -Moving & Bandages, Binders, Measuring Blood Measuring Radial Measuring Body
*Tuesday (1.00:3.00pm) transferring Sling & Elastic Pressure ,Apical pulse& temperature
**Wednesday(8.00:3.00)pm Mrs.Reshmi Stockings Ms. Zeinab Elsabah Respiration Mrs Badria
& Miss Maram Mrs Mona Mrs. Fedaa Mrs Buthina
Mrs. Heba
Mrs.Suzi (O R Lab) (OB/GYNE Lab)
(ER1Lab Oxygen Therapy
-Positioning
Mrs May
Mrs Safaa
(MSN Lab)
Mrs Zanib Shahin
(Funda Lab )
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Week9
20-21 Oct 2015 Bandages, Binders, Measuring Blood Measuring Radial Measuring Body -Moving &
*Tuesday (1.00:3.00pm) Sling & Elastic Pressure ,Apical pulse& temperature transferring
**Wednesday(8.00:3.00)pm Stockings Ms. Zeinab Elsabah Respiration Mrs Badria Mrs.Reshmi
Mrs Mona Mrs. Fedaa Mrs Buthina & Miss Maram
Mrs. Heba
Mrs.Suzi (O R Lab) (OB/GYNE Lab)
(ER1Lab Mrs May
Oxygen Therapy -Positioning
Mrs Safaa
(MSN Lab
Mrs Zanib Shahin
(Funda Lab)
Week10
27-28Oct 2015 Measuring Blood Measuring Radial Measuring Body -Moving & Bandages, Binders,
*Tuesday (1.00:3.00pm) Pressure ,Apical pulse& temperature transferring Sling & Elastic
**Wednesday(8.00:3.00)pm Ms. Zeinab Elsabah Respiration Mrs Badria Mrs.Reshmi Stockings
Mrs. Fedaa Mrs Buthina & Miss Maram Mrs Mona
Oxygen Therapy
(O R Lab) (OB/GYNE Lab) Mrs.Suzi
Mrs. Heba Revision (ER1Lab)
Revision -Positioning
Mrs May Revision
Mrs Safaa
(MSN Lab)
Mrs Zanib Shahin
Revision
(Funda Lab)
Revision
Week11 Screening
3-4 Nov 2015*Tuesday
(1.00:3.00pm)
**Wednesday(8.00:3.00)pm
Week12
10-110Nov 2015 Unoccupied Bed& -Heat & cold CPR Bed bath & Back Hair Shampoo
*Tuesday (1.00:3.00pm) Occupied bed application Ms. Zeinab Massage Mrs Safaa , Mrs
**Wednesday(8.00:3.00)pm Mrs Suzui -Enema Mrs. Badria Mrs May , Mrs Rashmi
Mrs Heba Mrs Zinab Shahin, Mrs. Fedaa Mona Miss Marram (ER Lab.)
(Funda Lab) Mrs Mrs. Buthina (OB/GYNE Lab)
(MSN Lab) (OR Lab)
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Week 13
17-18 Nov 2015 -Heat & cold First Aid Bed bath & Back Hair Shampoo UnoccupiedBed
*Tuesday (1.00:3.00pm) application Ms. Zeinab Massage Mrs Safaa , Mrs Occupied bed
**Wednesday(8.00:3.00)pm -Enema Mrs. Badria Mrs May , Mrs Rashmi Mrs Suzui
Mrs Zinab Shahin, Mrs. Fedaa Mona Miss Marram (ER Lab.) Mrs Heba
Mrs. Buthina (OB/GYNE Lab) (Funda Lab
(MSN Lab) (OR Lab)
Week14
24-25 Nov 2015 First Aid Bed bath & Back Hair Shampoo Unoccupied Bed -Heat & cold
*Tuesday (1.00:3.00pm) Ms. Zeinab Massage Mrs Safaa , Mrs & application
**Wednesday(8.00:3.00)pm Mrs. Badria Mrs May , Mrs Rashmi Occupied bed -Enema
Fedaa Mona Miss Marram (ER Lab.) Mrs Suzui Mrs Zinab Shahin,
(OR Lab) (OB/GYNE Lab) Mrs Heba Mrs. Buthina
(Funda Lab) (MSN Lab)
Week15
1-2 Dec2015 -Bed bath & Back -Hair Shampoo -Unoccupied Bed -Heat & cold -First Aid
*Tuesday (1.00:3.00pm) Massage Mrs Safaa , Mrs & Occupied bed application Ms. Zeinab
**Wednesday(8.00:3.00)pm Mrs May , Mrs Rashmi Mrs Suzui -Enema Mrs. Badria
Mona Miss Marram (ER Lab.) Mrs Heba Mrs Zinab Shahin, Mrs. Fedaa
(OB/GYNE Lab) (Funda Lab) Mrs Buthina (MSN (OR Lab)
Lab)
Week16
8-9 Dec2015 -Hair shampoo -Unoccupied Bed& -Heat & cold -First Aid -Bed bath & Back
*Tuesday (1.00:3.00pm) , Mrs Reshmi Occupied bed application Ms. Zeinab Massage
**Wednesday(8.00:3.00)pm Mrs Safaa Mrs Suzui -Enema Mrs. Badria Mrs May , Mrs
(ER lab) Mrs Heba Mrs Zinab Shahin, Mrs. Fedaa Mona Miss Marram
(Funda Lab Mrs Buthina (OR Lab) (OB/GYNE Lab)
(MSN Lab)
Week17 Screening
15-16 Dec 2015
*Tuesday (1.00:3.00pm)
**Wednesday(8.00:3.00)pm
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N.B: If there are not non academics activities *on Tuesday the clinical will be started from 10.00A.m :2.00p.m
** on Wednesday the clinical will be started from 8.00A.m :2.00p.m
Approved By: _____________________
Date: ___________
Dr.Hend el shnawie
Course Coordinator
Staff Member:
Supervision:
-Dr. Hend;(Funda, MSN labs)
-Dr. Sahar:( Home care, OR,ER labs)
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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.

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▪ Feeding by Gastric Gavage.
▪ Irrigating a Nasogastric Tube.
▪ Removing a Nasogastric Tube.
XIV. Wound Care management

▪ Donning Surgical Gloves


▪ Wound Dressing:

Wet to dry Dressing

Dry Sterile dressing


▪ Wound Assessment Sheet
▪ Solutions used in wound care

23
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

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25
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
8 – 9 am CC2 Lab IV Cannulation and 3 ways Mrs. Safaa
insertion Mrs. Fedaa
9-10am OB/Gyn Lab Blood Extraction (via vacutainer, Mrs. Buthina
Group syringes & butterfly) Mrs. May
1 10-11 am Pedia Lab IV Infusion and IV medication Mrs. Raiza
Ms. Zainab
11-12 am MSN Lab NGT Insertion, feeding, irrigation Mrs.
and removal Elizabeth
Mrs. Suzette
12-1pm Break
1-2 pm Funda Lab Wound dressing/Donning sterile Mrs. Mona
gloves Mrs. Reshmi
8 – 9 am OB/Gyn Lab Blood Extraction (via vacutainer, Mrs. Buthina
syringes & butterfly) Mrs. May
9-10am Pedia Lab IV Infusion and IV medication Mrs. Raiza
Ms. Zainab
Group 10-11 am MSN Lab NGT Insertion, feeding, irrigation Mrs.
2 and removal Elizabeth
Mrs. Suzette
11-12 am Funda Lab Wound dressing/Donning sterile Mrs. Mona
gloves Mrs. Reshmi
12-1pm Break
1-2 pm CC2 Lab IV Cannulation and 3 ways Mrs. Safaa
insertion Mrs. Fedaa

8 – 9 am Pedia Lab IV Infusion and IV medication Mrs. Raiza


Ms. Zainab
9-10am MSN Lab NGT Insertion, feeding, irrigation Mrs.
and removal Elizabeth
Mrs. Suzette
Group 10-11 am Funda Lab Wound dressing/Donning sterile Mrs. Mona
3 gloves Mrs. Reshmi

11-12 am CC2 Lab IV Cannulation and 3 ways Mrs. Safaa


insertion Mrs. Fedaa
12-1pm Break
1-2 pm OB/Gyn Lab Blood Extraction (via vacutainer, Mrs. Buthina
syringes & butterfly) Mrs. May
8 – 9 am MSN Lab NGT Insertion, feeding, irrigation Mrs.
and removal Elizabeth
26
Mrs. Suzette
9-10am Funda Lab Wound dressing/Donning sterile Mrs. Mona
gloves Mrs. Reshmi
Group
4 10-11 am CC2 Lab IV Cannulation and 3 ways Mrs. Safaa
insertion Mrs. Fedaa
11-12 am OB/Gyn Lab Blood Extraction (via vacutainer, Mrs. Buthina
syringes & butterfly) Mrs. May
12-1pm Break
1-2 pm Pedia Lab IV Infusion and IV medication Mrs. Raiza
Ms. Zainab
8 – 9 am Funda Lab Wound dressing/Donning sterile Mrs. Mona
gloves Mrs. Reshmi

9-10am CC2 Lab IV Cannulation and 3 ways Mrs. Safaa


Group insertion Mrs. Fedaa
5 10-11 am OB/Gyn Lab Blood Extraction (via vacutainer, Mrs. Buthina
syringes & butterfly) 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 Mrs.
and removal 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

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28
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

29
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.
— — —

30
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

31
Code:
2= Correct / Complete 1= Incomplete 0=Not done / Wrong

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


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

32
33
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:------------------------------

34
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.

35
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 2 1 0


Lock Device
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:------------------------------

36
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 — — —

37
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:------------------------------

38
Venous Blood Extraction
Procedure Checklist

Student's Name: ------------------------- ID: ---------------------------


Group No: -------------------------------- Rotation: ---------------------
Instructor's Name------------------------

Equipment
Tourniquet
Cotton balls
Tape
Antiseptic swab
Disposable gloves
Needle (Usually 20 or 21 or 22 G)
Syringe or vacuum container
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 30 angle
approximately ½ in. distal to the vein. Note a slight “give” sensation as — — —
the needle pierces the vein.
14. Holds vacuum container securely.
— — —
39
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:------------------------------

40
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.

41
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:------------------------------

42
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 1= Incomplete 0=Not done / Wrong

Student’s Signature: Instructor’s Signature:


43
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

44
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:------------------------------

45
Postural Drainage
Procedure Checklist

Student's Name: ---------------------- ID: -----------------------------


Group No: --------------------------------- Rotation: ------------------------
Instructor`s Name-----------------------
Equipment

Adjustable bed or Suctioning machine Stethoscope


cot
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.

46
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:------------------------------

47
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:-----------------------


48
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:------------------------------
49
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:------------------------------

50
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.

51
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:------------------------------

52
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.

53
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:------------------------------

54
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

55
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:----------

56
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

57
Code
2= Correct / Complete 1= Incomplete 0=Not done / Wrong

Student`s signature-----------------------------------------------------------------------

Instructor`s Signature--------------------------------------------------------------------

58
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--------------------------------------------------------------------

59
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--------------------------------------------------------------------

60
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
61
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--------------------------------------------------------------------

62
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

Students Name: ID:


Group: People soft #:
No. PERFORMANCE INDICATOR Allotted Student's
Grade Grade
I Knowledge and Cognitive Skills 25
Participates in discussion in the form of answering questions or presenting 6
1
information
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
Uses computer and internet in collecting and presenting the requirements
5 1
and communication with colleagues
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
Student's Signature:

Assessed by: _________________________ Date: ________________

Approved by: _________________________

63
64
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.

65
66
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.

67
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

68
Medical Surgical Nursing
Nursing Skills and Simulation Lab.

69
MSN Lab. Inventory
S. PLACEME EQUIPMENT/SUPPLIES QTTY REMARKS
# NT
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) 4+1
AAA bat
8 Percussion hammer ( 031624 Allgaier) 2+8
=10
9 Percussion hammer(Riester) Pakistan 5058 Queens 2
10 Laryngoscope (fiber optic 3 curved blades) 2 As a set in box
Gowlands
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
70
20 Kidney tray large 6 + 1- 1 given to FON
1=6
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 1 2010 Oct
bag
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 VOSTRO
1 power cord & 2 USB cable connections.
34 ISTAN METI Apple laptop (Macpro) 1
35 METI voice link w/accessories, 1stan 1143 white 1
wire, minidisplay port adaptor
36 Sam laptop charger CN-092844-72438-0c8-382B- 1 DP/N-0928G4
A00
37 Cardionics Escope electronic stethoscope-sound out 1 SN/LOT#
P/N – 718-7700,& charger mentioned above in black 0302454S
bag 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 & 2
P/N:02126503C
5 Tourniquett for blood extraction 10
6 Finger pulse Oximeter MD300C1 1 2013 Nov
7 Measuring tape 4
8 Aneroid Sphygmomanometer-Prosphyg™ (for 1
simulation)
9 Infinite adaptor (Model – SG/22-28) 2
10 Laerdal Aerosal Filter/Reusable Canister for 2
portable suction
11 Leardal Suction Unit NiMH Battery/Cat No – 780 2
800
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

71
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– 3 1 new 2014
free)
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 & 4 2015 March
LF011264
4 Nursing wound care models (Accessories of 1 set 2014 Jan
SimMan)
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) 2 sets Jan 2012 &
Wearable type (Sakamoto model corporation) 2014
2 VAC info KCL ( VAC therapy ) (in a box) 1
3 S Vena press SQ 6 2 L&4S
4 Laerdal urinary catheterization&enema 2 In a blue bag
trainer(old&new
5 VATA Seymour Butts™(BUTTOCKS), Seymour II 4 2 old, 2 new
VATA
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
72
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 12
2)
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 46 13 elastic pant
color)
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 28
plain.
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 4
on ISTAN, 1 on Vital SIM White.
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 4 2012 Jan
(Nebulizer)
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
73
2 Surgical Bandaging Simulator (Nasco life form) 1 With staples &
drain
3 Nellcor (SpO₂ & pulse) recorder – Sat seconds – 1
N550 S/N – P 1020600575
4 Cable wire ( battery charger & other end plug ) 1
5 Apex – Dynabest – 5000 – High/low pressure 1
mattress
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 1 Pads
& RC
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, 1 FCC ID
connections & RC – SN - 2392 OZULF01142
U

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/ 1 Cot 1, IV pole
IV stand (cream and steel top w/2 steel holder) (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 2
holder, & side w/file holder and Astromick)
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 6 2, 3, 1.
steel)
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

74
handle
25 Dressing cart (Schmitz) blue handle, light blue,7 1
drawers (w/on one side not a fixed holder & a fixed
holder)
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 1 2015 March
medical cylinder (green top w/silver body)
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 1 Model:SC
cuff and SpO₂ probe) 1000-BU1;s#:
2 TV (colored; JVC 29”) W/remote control Serial # 1 Model: AV-
09981076 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 1
plug.
11 Alaris IV pump w/stand, w/wire square pun plug & 1
white spring wire IVAC.
12 Dynamap (Huntleigh) w/basket, BP cuff and power 1 Light blue wire
plug
13 Microban METRO Lifeline (Crash cart) 1 2010 Nov
14 Premium video presentor w/RC 1
15 Newlife Air EP Humidifier, suction machine, 1
portable
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 & 1 2015 March
Pulseoximeter w/stand power cord & square pin
adapter, SpO₂ probe, Thermister sensor & BP cuff.
21 Extension Board, 1 close to TV, 1 close to 5
compressor, 2 in MS supplies, 1 for istan.
22 Welcon plain jane feeding pump w/IV pole 1

75
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 2015
changes
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 1 2010 Nov
Ref:HEMCS23
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
76
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- 2
0911083688
6 Aneroid Sphygmomanometer XB11B/20070/ 2 Black in black
021-5614245/ 021-56972034 bag
7 Honglian (Medial examination skills/ Training 2 Student &
system controller) GD/TCZ9900 Teacher
controller
boxes.
8 Computer screen/SN-CN-OX237R-64180-041-0585 2
9 Dell Computer CPU Optiplex 380 2 Mounted on
Service Code: 9520630264/4DGC5BS. glass computer
Service Code: 425051432952/JBGC5BS 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 1
Doctor GD/HS7 – Model - GD/TCZ 9900C
w/AC/DC adaptor
16 Computer cord cover 1
17 Velcro belts 5
18 Black belt (PRESS) 1

Displayed
1 Rectal Examination Model (Adam Rouilly) 1 Sent to male
AR321/035823 (Box) 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

77
7 ISTAN METI 1 2015 March
8 ISTAN Monitor/Screen/MSI (AC/DC Adaptor in 1 2015 March
basket)
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

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79
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 CR 2032 3V = 1
thermometer probe
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 LR14/ C size = 6
remote AAA LR03 = 4
26 Microlife Digital peakflow & FEV1 AAA/UM4 1.5V = 2
meter
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 Requires 3 lead ECG cable & pulseoximeter
compact patient monitor
35 Arterial arm (old) To be discarded

80
81
List of Supplies and equipment needed for all procedures (MS I & MS II) / 50
students

S Manikins, Equipment & Number Rem


# Supplies arks
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 2
catheterization
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, Set of 70
shoe cover
13 Alcohol swabs 300
82
14 Blue sheet 100
15 Sticking plaster 25 rolls
16 Sterile gauze pieces (4 X 4), (2 150 each
X 2)
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

83