Secretion Mobilization

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Acapella, PEP, Aerobika

E-mailadres *

First name-Last name *

Date *

JJJJ

Time *

Tijd

Verification *

Did you get an order for Ventilation,verify the right patient and notify the nurse of what the patient needs

PPE *

Personal Protection Equipment. Did you use universal precautions, wash your hands, glove and wear eye protection for this procedure?

Breathsounds *

Chart pre/post tx breathsounds

Cough *

Chart pre/post cough effort and sputum

Device *

Settings *

Chart no of times (number of patients breaths on device) and settings of the device used.

Postion *

Chart patient positioning and time in each position during treatment

Effort/Motavation *

Chart patient effort and motivation for IS

Sp02 *

What is the patient's baseline Sp02?

Adverse Affects *

Chart any adverse affects

Adjustments *

Chart any ventilator adjustments and why you made them.

Notify *

Did you notify the nurse/M.D. of the results and an make the appropriate respiratory therapy changes?

Clean Up *

Did you clean up the mess you made?

Conclusion *

State why CPT should be continued.

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