Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

(Chris Devlin) #1

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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


  1. If not a crisis situation, perform hand hygiene.

  2. Put on PPE, as indicated.

  3. If not an emergency, identify the patient.

  4. 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.

  5. 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.

  6. 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.

  7. 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.


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