CARE OF MOTHER, CHILD AT RISK OR WITH

PROBLEMS SKILLS LABORATORY BSN 3A

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/ SKILLS LABORATORY / CARE OF MOTHER, CHILD AT RISK OR WITH PROBLEMS SKILLS LABORATORY BSN 3A
/ Topic 1 / Administering Oxygen to Neonates via Mask and Cannula

Administering Oxygen to Neonates via Mask and Cannula

Nursing Procedure Checklist

Administering Oxygen to Neonates via Mask

Instruction: Check under Correctly Done if identified skill is correctly performed; Incorrectly Done if
skill is not performed correctly; and Not Done if the student failed to perform the skill.

Procedure Correctly Incorrectly Not Done

Done Done

2 1 0

1. Identify the patient.

2. Prepare materials (neonatal cannula, gauze pads,

oxygen tank)

3. Explain the procedure and the reason to the significant

other.

! when oxygen is in
4. Review safety precautions necessary
use.

5. Perform hand hygiene.

6. Attach face mask to oxygen source (with humidification,

if appropriate for the specific mask). Start the flow of oxygen
at the specified rate. for a mask with reservoir, be sure to
allow oxygen to fill the bag before proceeding to the next
step.

7. Position face mask over patient’s nose and mouth. Adjust

the elastic strap so that the mask fits snugly but comfortably
on the face. Adjust the flow rate to the prescribed rate.

8. Observe signs of irritation or redness, use gauze pads

under the elastic strap at pressure points to reduce irritation
to ears and scalp.
9. Re assess patient’s respiratory status, including
respiratory rate, effort, and lung sounds. Note any signs of
respiratory distress such as tachypnea, nasal flaring, use of
accessory muscles, or dyspnea.

10. Perform hand hygiene.

11. Remove the mask and dry the skin every 2 to 3 hours if
the oxygen is running continuously. do not use powder
around the mask

12. Document the procedure in the patient’s chart.

Comment:

______________________________________________________________________________________________________________________________________
__________________

Score: _________________________________________________________________

Name of Student: Date Performed:

(Signature Over Printed Name)

Evaluated by: Date of Evaluation:

(Signature Over Printed Name)

Nursing Procedure
Checklist

Application of Neonatal Oxygen Cannula

Instruction: Check under Correctly Done if identified skill is correctly performed; Incorrectly Done if
skill is not performed correctly; and Not Done if the student failed to perform the skill.

Procedure Correctly Incorrectly Not Done

Done Done

2 1 0

1. Identify the patient.

2. Prepare materials (neonatal cannula, gauze pads,
oxygen tank)

3. Explain the procedure and the reason to the significant

other.

4. Review safety precautions necessary when oxygen is in

use.

5. Perform hand hygiene.

6. Connect nasal cannula to oxygen set-up with

humidification.

7. Adjust flow rate as ordered by the physician.

8. Check if oxygen is flowing out of prongs by placing it

over the surface of your fist or behind your ear

9. If you feel a gush of air, place prongs in newborn’s

nostrils, tubing over and behind each ear and adjust
comfortably under chin or around the patient’s head using
the adjuster.

10. Place gauze pads at ear beneath the tubing as

necessary.

11. Adjust the fit of the cannula as necessary. Tubing should

be snug but not tight against the skin.

12. Reassess patient’s respiratory status, including

respiratory rate, effort, and lung sounds. Note any signs of
respiratory distress, such as tachypnea, nasal flaring, use of
accessory muscles, or dyspnea.

13. Perform hand hygiene.

14. Assess and check nares for evidence of irritation or

bleeding, and oxygen regulation at least every 4 hours or
according to agency recommendations.

15. Document procedure in patient’s chart.

Comment:

______________________________________________________________________________________________________________________________________
__________________

Score: _________________________________________________________________

Name of Student: Date Performed:

(Signature Over Printed Name)

Evaluated by: Date of Evaluation:

 (Signature Over Printed Name)

Last modified: Friday, 18 December 2020, 6:00 PM

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