Angeles, Shane Aileen C.

BSN 2-2

MCN SKILLS

Assignment:

1. Identify common devices in administering O2 administration with its procedure, principles

and rationales.

● Nasal cannula (prongs):​ It is a disposable, plastic device with two protruding

prongs for insertion into the nostrils, connected to an oxygen source. Used for
low-medium concentrations of Oxygen (24-44%).

➔ Procedure:

★ Review chart for physician's order for oxygen to ensure that it includes
method of delivery, flow rate, titration orders; identify client.
Rationale​: Prevents potential errors.

★ Wash your hands.

Rationale​: Handwashing reduces transmission of microorganisms.
Identify client and proceed with 5 rights of medication administration

★ Explain procedure to client. Explain that oxygen will ease dyspnea or

discomfort, and inform client concerning safety precautions associated
with oxygen use. Encourage him or her to breathe through the nose.
Rationale​: Oxygen is a drug and administering using the 5 rights avoids
potential errors. Teaching helps ensure compliance with therapy.

★ Assist client to semi- or high Fowler's position, if tolerated.

Rationale​: These positions facilitate optimal lung expansion.

★ Insert flowmeter into wall outlet. Attach oxygen tubing to nozzle on

flowmeter. If using a high O2 flow, attach humidifier. Attach oxygen tubing
to humidifier
Rationale:​ Oxygen in high concentrations can be drying to the mucosa.

★ Turn on the oxygen at the prescribed rate. Check that oxygen is flowing
through tubing.
Rationale​: Oxygen must be administered as prescribed.
★ Hold the nasal cannula in proper position with prongs curving downward.
★ Place cannula prongs into nares.
★ Wrap tubing over and behind ears.
★ Adjust plastic slide under chin until cannula fits snugly.

★ Place gauze at ear beneath tubing as necessary.

Rationale​: Proper placement in nares ensures accurate administration.
Note: The cannula permits some freedom of movement and does not
interfere with the client's ability to eat or talk.

★ If prongs dislodge from nares, replace promptly.

Rationale​: To ensure correct oxygen delivery and prevent hypoxemia.

★ Assess for proper functioning of equipment and observe client's initial

response to therapy.
Rationale:​ Assessment of vital signs, oxygen saturation, color, breathing
pattern, and orientation helps the nurse evaluate effectiveness of therapy
and detect clinical evidence of hypoxia.

★ Monitor continuous therapy by assessing for pressure areas on the skin

and nares every 2 hours and rechecking flow rate every 4 to 8 hours.
Rationale: ​Permit early detection of skin breakdown or inadequate flow
rate.