Task: Preparing a Patient and Trolley for Chest Aspiration & Assisting With the Procedure

REQUIREMENTS ON TROLLEY 

  • Two plain dissecting forceps 
  • Sterile towel  
  • Sterile dressing  
  • Sterile gloves and masks 
  • 1 artery forceps 
  • Sterile syringe (5-10ml) and needles 
  • 50ml syringe with aspiratory needle size, 16,18 and 20 
  • 2 or 3 way stop cork with extensive tube 
  • Chest drainage set 
  • Dressing mackintosh and towel 
  • Specimen bottles 
  • Local anaesthetic agent 
  • TPR tray with a blood pressure apparatus 
  • A pair of scissors 
  • Receptacle for used instrument and swabs 
  • Adhesive strapping

Component Task

1. Establish rapport , explain procedure to patient and ensures consent form is signed
2. Washes and prepares the trolley with the following requirement
  • Two plain dissecting forceps 
  • 1 artery forceps 
  • Sterile syringe (5-10ml) and needles 
  • 50ml syringe with aspiratory needle size, 16,18 and 20 
  • 2 or 3 way stop cork with extensive tube 
  • Sterile gloves and marks 
  • Sterile towel and dressing
3. Dressing mackintosh
  • Receptacle and specimen bottles 
  • Local anaesthetic agent 
  • TPR tray with a blood pressure apparatus 
  • A pair of scissors 
  • Receptacle for used instrument and swabs 
  • Adhesive strapping
4. Sends trolley to bedside and provides privacy
5. Ensure chest x-rays are ready
6. Check vital signs ad records
7. Sits patient on the edge of the bed with his legs supported and his head and folded
arms resting over bed tables or have him embraced on a chair backward and rest 
his head and folds arm on the back of the chair. Or if not able to sit position patient by turning him on the unaffected side with the arm on the affected side raised above his 
head, elevates the head of the bed 30-45 degrees.

Assisting with the procedure

8. Maintains patient position throughout procedure
9. Protects bed linen with mackintosh and towel or paper
10. Reminds patient not to cough or breathe deeply or more suddenly during the procedure 
11. Exposes the whole area and shaves (when necessary) and cleans the area with an 
antiseptic solution.
12. Assist the doctor throughout the procedure
13. Checks vital signs, general condition and level of pain throughout the procedure 
14. Secures tube in position with a firm dressing and strapping.
15. Makes patient comfortable and thanks him
16. Discards trolley and decontaminates used instruments
17. Labels specimens and ensures specimen is taken to the laboratory
18. Washes hand and documents procedure and findings.

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