STANDARD OPERATING PROCEDURES FOR INSTALLATION OF OXYGEN O₂

A. DEFINITION
Oxygen therapy is an action to increase the partial pressure of inspired oxygen which can be done
using a nasal cannula, simple mask, RBM mask and NRBM mask.
B. PURPOSE
1. Overcoming hypoxemia / hypoxide
2. To maintain metabolism and increase oxygen
3. As a medicinal action
C. TOOLS PREPARATION:
1. Tube
2. Humidifier
3. Nasal kanule
4. Flow meter
5. Handscoon
6. Plaster
7. Scissor
8. Tweezers
9. Safe sterile
10. A tray or trolly containing
D. NURSE PREPARATION
1. Reviewed data on oxygen deprivation (shortness of breath, nasal lobe breathing, use of extra
respiratory muscles, tachycardia, restlessness, worry and cyanosis).
2. Nurse washes hands
3. Wear gloves.
E. PATIENT PREPARATION
1. Greet the patient (say hello)
2. Explain the intent and purpose of the action to be taken.
3. The patient is set in a safe and comfortable position (semi fowler)
F. WORKS PROCEDURE:
1. Washing hands
2. Use a handscoon
3. Ensure that the volume of sterile water in the humidifier tube is as specified
4. Connect the tube from the nasal cannula to the humidifier tube
5. Putting the kaule on the client's nose
6. Set the O2 level in accordance with the medic program
7. Fixation of the hose
G. THINGS TO BE ATTENTION TO
1. The anule or folded
2. The humidifier tube is not filled enough with water
3. O2 is no longer enough
4. Assess the patient's condition regularly
5. Documenting procedures
H. INFORMATION
1. Nasal cannula perishable cannula = 1-6 liters / minute with a concentration of 24-44%
2. Simple face mask (mask cannula) = 5-8 liters / minute with a concentration of 40-60%
3. Rebreating mask cannula = 8-12 liters / minute with a concentration of 60-80% is given to
patients who have low CO₂ pressure.
4. Non breathing mask cannula = concentration 80-100%. Administered in patients with high levels
of CO₂ pressure.
 STANDARD OPERATIONAL INSTALLATION PROCEDURESNEBULIZER

A. UNDERSTANDING
Administration of medicated / non-medicated steam inhalation using a nebulator

B. PURPOSE
1. Dilute secretions so they can be easily removed
2. Loosen the airway
Policy

C. PROCEDURE
Preparation of Tools and Materials
1. Set nebulizer
2. Bronchodilator drugs
3. Bend 1 piece
4. Tissue
5. Syringe 5 cc
6. Aquades

D. IMPLEMENTATION
- Pre -Interaction Stage
1. Check the therapy program
2. Wash your hands
3. Prepare the tools

- Orientation stage
1. Greet and greet the patient's name
2. Explain the objectives and implementation procedures
3. Asking the patient's consent / readiness

- Level of Work
1. Maintain patient privacy
2. Set the patient in a sitting position
3. Place the table / troly in front of the patient containing the nebulizer set
4. Fill the nebulizer with distilled water according to the amount
5. Ensure the tool works properly
6. Enter the drug according to the dosage
7. Put on the mask on the patient
8. Turn on the nebulizer and ask the patient to breathe deeply until the medication runs out
9. Clean mouth and nose with tissue

- Termination stage
1. Conducting action evaluation
2. Say goodbye to the patient / family
 STANDARD OPERATIONAL SUCTION INSTALLATION PROCEDURES

A. DEFINISI
Suction is the act of sucking mucus in the airway.

B. PURPOSE
Removing a secret or fluid in the airway
Smoothing the airway

C. INDICATION
The patient is unconscious
Patients who are unable to pass mucus on their own

D. TOOL PREPARATION
1. The instrument tub contains: 2 pieces of anatomical tweezers, enough gauze
2. NaCl or boiled water
3. Kanul suction
4. Suction machine
5. Tissue
6. Gloves
7. Plaster and padding

E. HOW IT WORKS
1. Check the patient's therapy program
2. Wash your hands
3. Prepare the equipment
4. Greet and greet the patient's name
5. Explain the objectives and implementation procedures
6. Give the patient a slightly extended head position
7. Give oxygen 2 - 5 L / m
8. Place a pad under the patient's chin
9. Wear gloves
10. Turn on the suction machine, check the pressure and the container bottle
11. Carefully insert the suction canal (nose about 5 cm, mouth about 10 cm)
12. Suction mucus by closing the cannula hole, pull it out slowly while rotating (children
around 5 seconds, adults about 10 seconds)
13. Rinse the cannula with NaCl, allow the patient to breathe
14. Repeat the suction procedure 3-5 times
15. Observe the patient's general condition and respiratory status
16. Secret observations about color, smell, and volume
17. Evaluate the actions taken
18. Organize the patient and the environment around the patient
19. Tidy up the equipment that has been done
20. Wash your hands
21. Document the actions that have been taken.
22. Tidy up tools
23. Wash your hands
24. Record activities in nursing note sheets
 STANDARD OPERATING PROCEDURES FOR INFUSION

A. TOOLS
Before carrying out the infusion, the following are the tools and materials that must be prepared
when doing the infusion procedure. Make sure that all 12 tools and materials are available.
1. Infusion fluids as needed
2. IV Catheter / Wings Needle / Abocath as needed
3. Perlak
4. Tourniquet
5. Plaster
6. Scissors
7. Crooked
8. Clean gloves
9. Box sterile
10. Alcohol swab / Alcohol swab
11. Betadine

B. WORK PROCEDURES
1. Wash hands
2. Bring the appliance closer
3. Explain to the client about the procedure and the sensations that will be felt during the
infusion
4. Position the patient / lie down
5. Prepare fluids by connecting the bottle of liquid to the IV tube and hang it on the standard
infusion
6. Determine the area of the vein to be punctured
7. Install the base
8. Install a ± 15 cm damping tournament above the vein to be pierced
9. Wear gloves
10. Disinfect the area to be pierced with a diameter of 5-10 cm
11. Pierce an IV catheter into a vein with the needle facing the heart
12. Make sure the IV needle is inserted into the vein
13. Connect the IV needle to the IV line
14. Perform IV needle tip fixation at the place of insertion
15. Cover the insertion area with dry gauze and then tape
16. Arrange intravenous drip according to the medical program
17. Remove gloves
18. Label the implementation of the action that contains: the name of the executor, date and
time of implementation
19. Clean the tool
20. Wash your hands
21. Observation and evaluation of patient responses, record on nursing documentation
 STANDARD OPERATIONAL PROCEDURESBLOOD TRANSFUSION

A. UNDERSTANDING
Blood transfusion is an action performed for clients who need blood by infusing blood through a
vein using a transfusion set.
B. PURPOSE
1. Increases circulating blood volume (after surgery, trauma, or bleeding).
2. Increase the number of red blood cells and to maintain hemoglobin levels in severely anemic
clients.
3. Providing certain cellular components as replacement therapy (eg, clotting factors to help
control bleeding in hemophilia patients).
C. TOOL PREPARATION
1. Large catheter (18G or 19G)
2. Normal copy IV fluid (Nacl 0.9%)
3. Set blood infusion with filter
4. The right blood products
5. Disposable gloves
6. Cotton alcohol
7. Plaster
8. Blood pressure cuff
9. Stethoscope
10. Thermometer
11. Signed format for the approval of the transfusion
D. PROCEDURE
1. Explain the procedure to the client, assess whether or not the client has received a previous
transfusion and record the reactions that arise
2. Ask the client to report chills, headaches, hives or rash immediately
3. Ensure that the client has signed a letter of approval
4. Wash hands and put on gloves
5. Insert the IV tube using a large catheter
6. Use an infusion hose that has a filter inside the hose
7. Hang a bottle of 0.9% normal saline solution to be given after the blood infusion is completed
8. Follow institutional protocols for obtaining blood products from blood banks
9. Correctly identify blood products and clients
10. Measure the client's baseline vitals
11. Apply the normal saline first. Start giving transfusions slowly
begins with filling the filter in the hose
12. Set the speed to 2ml / min for the first 15 minutes and stick with the client.
13. Monitor vital signs every 5 minutes during the first 15 minutes of transfusion,
then measure every hour.
14. Maintain the programmed infusion rate by using an infusion pump.
15. Remove and discard gloves, wash hands.