POST-MORTEM CARE
Step on the checklist that were skipped or
not done properly:
21. Puts a tag (indicating Name of Patient,
Age, Date and Time of Death) on the left
wrist
CHEST PHYSIOTHERAPHY
Step on the checklist that were skipped or
not done properly:
1. Checks physician’s order from the chart
2. Does hand hygiene
3. Prepares needed equipment
4. Introduces self to the patient
5. Asks the complete name of the patient
7. Closes the door, draw curtain and send
out extra-personnel
Assess respiratory status. Utilize:
8. Inspection
9. Palpation
12. Teaches the client in pursed lip breathing
Teaches the client to do:
13. Huff
Implications
Forgetting to put a label or tag on the patient’s left wrist
may make it difficult to identify the patient immediately
and details on their death.
Implications
Forgetting to read the physician’s chart may give room
for error to the procedure to be done. This may include
the frequency and type of procedure to be done on the
patient.
Not doing hand hygiene before doing chest
physiotherapy may become a mode of transfer of
microorganisms either from the patient to the nurse or
the nurse to the patient.
Unprepared equipment may cause the procedure to
lengthened and more effort is needed to move around
while looking for the necessary equipment.
Not introducing yourself to your patient may bring about
anxiety to the patient
Not doing so may be a room for error in identifying the
right patient to do the procedure to.
Not ensuring the privacy of the patient may cause the
patient to become uncooperative, uncomfortable and
anxious throughout the procedure
Not doing inspection may be a reason for you to not be
able to identify the following:
 Level of distress
 Use of accessory muscle
 Respiratory position
 Chest structure
 Respiratory pattern
which are very crucial before doing chest physiotherapy
Not doing palpation will make it difficult for the nurse to
assess the degree of chest expansion
Not teaching the patient pursed lip breathing may
increase the probability of air trapping
Not teaching the patient how to huff may not help in the
expel of the mucus that has been loosened out of the

14. Cascade
18. Covers the area to be exposed with gown
or towel
26. Performs 5 vibrations per segment and
encourages coughing after vibrations
27. Places client in sitting position, with feet
on the floor and leaning slightly forward
29. Have the client to cough (either huff or
cascade)
30. Offers sputum container, tissue paper
and provide oral hygiene
31. Repositions client comfortably
32. Performs after care of materials used
33. Performs hand hygiene
34. Evaluate changes in client assessment,
result of diagnostic test such as ABG and
pulse oximetry
35. Communicates therapeutically during the
procedure
ORAL CARE
Step on the checklist that were skipped or
not done properly:
ABLE PATIENT
10. Opens patients mouth and gently insert a
padded tongue depressor
12. Removes dentures if present and uses
padded tongue depressor moistened with
water or dilute mouthwash solution to
gently clean gums, mucous membranes and
tongue
13. Cleans dentures before replacing
airway
It may be difficult to move the secretions in larger
airways, doesn’t help with airway clearance and there
may be inability to maintain patent airways for clients
with large volumes of sputum
Forgetting to cover certain areas of the patient may be a
reason for them become uncooperative and anxious
about unnecessary body exposure
Not doing this step may not improve the quality of
breathing of the client
Not doing so will not promote the efficient use of
accessory muscles in breathing
Not letting the patient cough may increase the
probability of air trapping
Patient may be uncomfortable with the foul taste of the
secretions or patient may have bad breath if not
provided with oral hygiene
Patient may not be relaxed or may be very anxious thus
increasing respiratory rate, pattern and amplitude
Not doing after care may be a mode of transmission in
the spread of infections
May cause a spread of infection when handling other
patients or other hospital equipment
It may be hard to evaluate the patient’s response to the
therapy
It may be difficult for the patient to trust the nurse
throughout the procedure thus cutting off all means to
establish rapport
Implications
Not doing so may cause the patient to constantly close
their mouth which may cause disruption and extended
time to do oral care
Not removing the dentures will cover certain areas to be
cleaned.
Not cleaning these areas may harbor food remnants and
microorganisms.
Dentures may harbor food and microorganisms, not
cleaning it may be a mode for the patients dentures to

14. Uses padded tongue depressor dipped in
mouthwash solution to rinse the oral cavity
15. Applies lubricant to patient lips
18. Raises side rail and lowers the head
UNABLE PATIENT
11. If teeth are present, brushes carefully
with toothbrush and toothpaste
13. Cleans dentures before replacing
harbor smell and a homes for microorganisms
Not doing so may cause the patient to have remnants of
food or may have bad breath
May cause the patient’s lips to crack and dry
Patient may fall of the bed when the side rails aren’t
raised. If the bed is not lowered patient may be
uncomfortable with her position.
Not doing this step may be a reason for the client teeth
to have remnants of food, plaque or tartar
Dentures may harbor food and microorganisms, not
cleaning it may be a mode for the patients dentures to
harbor smell and a homes for microorganisms