2015 Trumbull Memorial Hospital Demo

Nebulizer Nebulizer

Scope of Practice Notes:  AEMTs have standing orders to administer nebulized bronchodilators.  EMTs must obtain a verbal order from online medical direction or the direct supervision of a Paramedic on scene.

Steps

Performed? Yes No

1. Gather the necessary equipment  Mask or Pipe Nebulizer setup

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 Oxygen tubing  DuoNeb Bullet

2. Assemble the nebulizer kit.

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3. Instill the contents of the bullet into the reservoir of the nebulizer.

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4. Connect the nebulizer device to oxygen at 6-8 liters per minute.

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5. Instruct the patient to breathe calmly, deeply, and evenly throughout the treatment. If using a pipe nebulizer, ensure the patient has a good lip seal around the mouthpiece and observe the mist at the end of the reservoir to make sure it disappears with inspiration. 6. The treatment should last until the solution is depleted. Tapping the reservoir well near the end of the treatment will assist in utilizing all of the solution. 7. Monitor the patient for medication effects. This should include the assessment of the patient’s response to the treatment and reassessment of vital signs, ECG, and breath sounds.

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8. Document the treatment, dose, and route on/with the patient care report.

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140

EMR

EMT

AEMT

Paramedic

Extended