Monday, April 21, 2014

Assisting in Gastrostomy Feeding



Assisting patient with a Gastrostomy Feeding.

Equipment:
     Feeding solution
     Graduated containers
     Large syringe (60ml catheter tip)
     Reservoir bag with tubing and regular clamp
     50ml water
     4x4 gauze sponge
     towel/linen saver
     stethoscope
     tape measure
     Adapter to connect tubing
     Sterile basin

Optional: infusion controller pump and tubing set for continuous feeding infusion


Thursday, April 10, 2014

Assisting in thoracentesis

Guide in assisting in thoracentesis:

1. Ascertain in advance if chest Roentgenograms and or other test has been prescribed or completed for accuracy and guides the physician the extent of injury of the lungs. This should be available at the bedside.

2. See if consent from has been explained and signed.

3. Determine if the client is allergic to the ideal anesthetic agent to be used. Give sedation if prescribed.

4. Explain the procedure to client and indicated how he can be helpful. Discuss the following:
         a. Nature of the procedure
         b. Importance of remaining immobile/ refraining from coughing.
         c. Pressure sensation to be experienced.
         d. No discomfort is anticipated after the procedure.
         e. Readjust gown if needed; put lining (draw sheet/ draw sheet).
         f. Ask permission from client to arrange for the procedure.

Wound Dressing

A guide to wound dressing.

1. For proper identification of the patient, check the chart for doctor's order, name of patient, dressings, solutions and ointment to be used.

2. Explain to the patient the following: procedure, purpose and use of overbed table and garbage can.

3. Clean overbed table.

4. Put garbage can near to the patient's bedside (remove cover).

5. Leave patient to prepare things for dressing.