OUR LADY OF FATIMA UNIVERSITY
College of Nursing – Valenzuela City
PROGRAM Bachelor of Science in Nursing STUDENT NAME
COURSE NCMB-312 YEAR & SECTION
Care of Clients with Problem in
Oxygenation, Fluids & INSTRUCTOR
Electrolytes, Infectious,
Inflammatory & Immunologic DATE
Response, Cellular Aberrations
(Acute & Chronic)
(SKILLS LABORATORY)
PROCEDURE : INCENTIVE SPIROMETRY
EXPECTED OUTCOME :The student should be able to perform incentive spirometry correctly.
ASSESSMENT TASK : Return Demonstration
Assessment
DONE SCORES NOT DONE
Dimension
1. Verify the doctor’s order 4
2. Wash hands 4
3. Gather the materials. Identify 4
the patient.
4. Greet and explain the procedure. 2
5. Position the patient comfortably and provide privacy. 6
6. Instruct client to: Hold the incentive spirometer upright, with 4
both hands
7.Slide the indicator (located in the left-hand column when you are 6
facing the spirometer) to the desired level. For example, start at
1250 milliliters and slowly increase as your treatment progresses
8.Place the mouthpiece into your client’s mouth and instruct the 4
patient to tightly seal his/her lips around it
9. With lips tightly sealed around the mouthpiece, breathe in slowly 4
and as deeply as possible. The piston that is resting below the
indicator should now rise toward the top of the column
10. Hold breath for at least 3 seconds and allow the piston to fall 4
back to the bottom of the column
11. After each set of deep breathing, cough to help clear the airways 4
of mucus. Ask client to rest for a few seconds and repeat steps 2-8,
10 times each hour while your patient is awake
12. Provide comfort. Document the procedure. 2
OVERALL SCORE: ______________
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FACULTY SIGNATURE OVER PRINTED NAME