RLE 103 – REQUIREMENTS FINAL

Enumerate all the materials/equipments used to the following proicedures. Indicate

pictures and purpose of each material:

A. NGT Insertion
EQUIPMENTS:
• Large or small-bore tube - used to pass through the nose or mouth into the esophagus
and down into the stomach to deliver medications, feedings, or to remove stomach
contents.
• Guidewire or stylet for small-bore tube - helps to guide the small-bore tube into the
desired position during insertion.
• Solution basin filled with warm water (if plastic tube is being used) - used to soften
and lubricate the plastic tube before insertion, making it more comfortable for the
patient.
• Nonallergic adhesive tape, 2.5 (1nch) wide - used to secure the tube to the patient's
nose or face after insertion, preventing accidental removal.
• Clean gloves – used to maintain hygiene and prevent the spread of infection during
the procedure.
• Water-soluble lubricant - It is applied to the tube to reduce friction and aid in smooth
insertion.
• Facial tissues - used to clean and dry the patient's nose before tube insertion.
• Glass of water and drinking straw - After the tube is inserted, water can be given to
the patient to check if it reaches the stomach, ensuring proper placement.
• 20-50 ml syringe with an adapter - used to inject air or water into the tube to confirm
its placement.
• Basin - Used for collecting any fluid or secretions during the procedure.
• pH test strip or meter - used to verify correct placement of a feeding tube in the stomach.
• Stethoscope - used to check the acidity of aspirated stomach contents, helping to
confirm correct placement in the stomach.
• Clamp or plug (optional) - used to temporarily close the end of the tube to prevent
leakage or aspiration during the procedure.
• Suction apparatus if required - used to remove fluids through the NGT.
• Gauze square or plastic specimen bag and elastic bag - used to collect and secure any
specimen or fluid obtained from the patient through the tube.
• Safety pin and elastic band - used to secure the tube to the patient's clothing,
preventing accidental dislodgement.
B. Colostomy EQUIPMENTS:
• Basin with warm water - used for cleaning and rinsing the stoma and surrounding skin.
• Mild hypoallergic soap or skin cleanser - used to clean the skin around the stoma
without causing irritation.
• Small towel or wash cloth - used to dry the stoma and surrounding skin after cleaning.
• Toilet tissue - Used for wiping the stoma and peristomal area.
• 2-3 pcs gauze squares - used for applying any necessary ointments or cleaning
solutions to the stoma area.
• One-piece or two-piece ostomy appliance - used for collecting stool from the stoma. It
consists of a pouch that adheres to the skin around the stoma.
• Tail closure clamp - used to close the bottom of the pouch when emptying or
replacing it.
• Stoma measuring guide - helps in measuring the size of the stoma to ensure the
correct fit of the ostomy appliance.
• Scissor - Used for cutting the opening of the ostomy appliance to fit the size of the
stoma.
• Marking pen - used to mark the correct size and shape on the back of the ostomy
appliance before cutting.
• Bedpan - used to collect stool during the appliance change to prevent any mess.
• Disposable clean glove - Worn for hygiene purposes during the colostomy care
procedure.
• Waterproof disposable pad/linen saver - Placed under the patient to protect the
bedding or surface from any potential leakage.
• Small plastic trash bag - Used to dispose of soiled or used supplies.
ADDITIONAL OPTIONAL OSTOMY CARE ACCESSORIES
• Ostomy belt - Provides additional support and security for the ostomy appliance.
• Skin protectant - Used to create a barrier between the skin and the adhesive of the
ostomy appliance, helping to prevent skin irritation.
• Pouch deodorizer - Helps to neutralize odors that may occur from the colostomy pouch.
• Stomal phase - Used to fill in any uneven areas around the stoma, creating a smooth
surface for better adherence of the ostomy appliance.
C. Enema
EQUIPMENTS:
• Disposable linen saver - Placed under the patient to protect the bedding or surface
from any potential leakage during the procedure.
• Bath blanket - Used to cover and keep the patient warm during the enema procedure.
• Bedpan or commode - used to collect the expelled enema solution and stool.
• Clean gloves – Worn by the healthcare provider to maintain hygiene and prevent the
spread of infection during the procedure.
• Water-soluble lubricant if tubing not prelubricated - Used to lubricate the enema tube
for easier insertion if the tubing is not already prelubricated.
• Paper towel - Used for wiping and cleaning during the enema procedure.
LARGE-VOLUME ENEMA
• Solution container with tubing of correct size and tubing clamp - The container holds
the enema solution, and the tubing with a clamp allows for controlled administration
of the solution into the rectum.
• Correct solution, amount, and temperature – The enema solution, which could be a
saline solution, can be administered in a specific amount and temperature as directed
by a healthcare professional.
• IV pole – Used to hang the solution container at an appropriate height for gravity flow
during the large-volume enema procedure.
SMALL-VOLUME ENEMA
• Prepackaged container of enema solution with lubricated tip - This is a ready-to-use
enema solution with a lubricated tip that can be easily inserted into the rectum for
administration.
D. Urinary
catheterization
EQUIPMENT:
• Clean gloves (2pairs) - Worn by the healthcare provider to maintain hygiene and
prevent the spread of infection during the catheterization procedure.
• Retention catheter in place – This refers to the urinary catheter that is already inserted
into the patient's bladder to drain urine.
• Drainage tubing and bag (if not in placed) – Used to collect and drain urine from the
catheter into a sterile bag.
• Drainage tubing clamp – Used to regulate or stop the flow of urine from the catheter
if needed during the procedure.
• Antiseptics swabs – Used to clean and disinfect the urethral meatus (the opening
where the catheter is inserted) and surrounding area before catheter insertion.
• Sterile receptacle – Used to collect any urine sample for laboratory testing if required.
• Sterile irrigating solution warmed or at a room temperature (label the irrigant clearly
with the words Bladder Irrigation, including the information about any medications
that have been added to the original solutions) – This refers to a sterile solution used
for bladder irrigation, which involves flushing the bladder with a specific solution to
remove clots, debris, or sediment.
• Infusion tubing – Used to administer the irrigating solution into the catheter for
bladder irrigation.
• IV pole – Used to hang the irrigation solution bag at an appropriate height for gravity
flow during bladder irrigation.
E. Nasal and Oral Suctioning EQUIPMENT:
• Towel or moisture-resistant pad – Placed under the patient's head or around the area
being suctioned to protect the bed or surface from moisture or secretions
• Portable or wall suction machine with tubing and collection receptacle – Used to
create negative pressure for suctioning and to collect the suctioned material.
• Sterile disposable container for fluids – Used to collect any fluids or secretions
suctioned from the patient.
• Sterile normal saline or water – Used as an irrigating solution to help loosen and
remove secretions during suctioning.
• Sterile gloves – Worn by the healthcare provider to maintain hygiene and prevent the
spread of infection during the suctioning procedure
• Goggles or face shield, if appropriate – Worn by the healthcare provider to protect the
eyes and face from potential splashes or aerosolized secretions during suctioning.
• Sterile suction catheter kit (#12 to #18 Fr for adults; #8 to #10 Fr for children, and #5
to #8 Fr for infants); if both the oropharynx and the nasopharynx are to be suctioned,
one sterile catheter is required for each – This kit includes sterile suction catheters of
different sizes (Fr denotes the French size) used for nasal and oral suctioning. The
appropriate size is selected based on the patient's age and anatomical size.
• Water-soluble lubricant (for nasopharyngeal suctioning) – Applied to the suction
catheter to ease insertion during nasopharyngeal suctioning.
• Y-connector – Used to connect the suction catheter to the suction tubing and machine
for effective suctioning.
• Sterile gauzes – Used for cleaning and drying the patient's nose or mouth before and
after suctioning.
• Moisture-resistant disposal bag – Used to dispose of used or soiled suctioning
equipment.
• Sputum trap, if specimen is to be collected – Used to collect a sputum sample during
suctioning for laboratory testing if required.
F. Oxygen therapy EQUIPMENT:
Nasal Cannula:
• Oxygen supply with a flow meter and adapter - Provides a controlled flow of oxygen
from an oxygen source.
• Humidifier with distilled water or tap water according to agency protocol - Used to
add moisture to the oxygen to prevent drying of the nasal passages and respiratory
mucosa.
• Nasal cannula and tubing - Delivers oxygen directly into the patient's nostrils. The
tubing connects the cannula to the oxygen source.
• Tape - Used to secure the nasal cannula tubing to the patient's face to ensure proper
positioning.
• Padding for the elastic band - Provides comfort and prevents skin irritation from the
elastic band of the nasal cannula. For Face Mask:
• Oxygen supply with a flow meter and adapter - Supplies a controlled flow of oxygen
to the face mask.
• Humidifier with distilled water or tap water according to agency protocol - Adds
moisture to the oxygen to prevent drying of the respiratory mucosa.
• Prescribed face mask of the appropriate size - Covers the nose and mouth, delivering
oxygen to the patient's airways.
• Padding for the elastic band: Offers comfort and prevents skin irritation from the
elastic band of the face mask. For Face Tent:
• Oxygen supply with a flow meter and adapter - Provides a controlled flow of oxygen
to the face tent.
• Humidifier with distilled water or tap water according to agency protocol - Adds
moisture to the oxygen to prevent drying of the respiratory mucosa.
• Face tent of the appropriate size - Covers the patient's nose and mouth, allowing them
to breathe in oxygen-enriched air without the need for a tight-fitting mask.