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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:
Skill Checklists for Taylor's Clinical Nursing Skills:
A Nursing Process Approach, 3rd edition
Name Date
Unit Position
Instructor/Evaluator: Position
SKILL 14-15
Using a Handheld Resuscitation Bag and Mask
Goal:The patient exhibits signs and symptoms of adequate
oxygen saturation. Comments
- If not a crisis situation, perform hand hygiene.
- Put on PPE, as indicated.
- If not an emergency, identify the patient.
- Explain what you are going to do and the reason for doing
it to the patient, even if the patient does not appear to be
alert. - Put on disposable gloves. Put on face shield or goggles and
mask.
6.Ensure that the mask is connected to the bag device, the
oxygen tubing is connected to the oxygen source, and the
oxygen is turned on, at a flow rate of 10 to 15 L per
minute.This may be done through visualization or by
listening to the open end of the reservoir or tail: if air is
heard flowing, the oxygen is attached and on. - If possible, get behind head of bed and remove headboard.
Slightly hyperextend patient’s neck (unless contraindicated).
If unable to hyperextend, use jaw thrust maneuver to open
airway. - Place mask over patient’s face with opening over oral cav-
ity. If mask is teardrop-shaped, the narrow portion should
be placed over the bridge of the nose.
9.With dominant hand, place three fingers on the mandible,
keeping head slightly hyperextended. Place thumb and
one finger in C position around the mask, pressing hard
enough to form a seal around the patient’s face.
10.Using nondominant hand, gently and slowly (over 2 to
3 seconds) squeeze the bag, watching chest for symmetric
rise.If two people are available, one person should
maintain a seal on the mask with two hands while the
other squeezes the bag to deliver the ventilation and
oxygenation.
ExcellentSatisfactoryNeeds Practice