RNSG 1140 – NURSING SKILLS
MODULE IX - RESPIRATORY PROCEDURES
A. OXYGENATION
Behavioral Objectives
Skill Content
1.
Describe the principles of respiratory
physiology.
1.
Pulse Oximetry, pages 568 - 570.
2.
Describe age-related differences that influence
care of the client with respiratory problems.
2.
Skill 50 – 1 Administering Oxygen via Nasal
Cannula, Tent, face mask Devices, and T-tube.
Identify factors that influence respiratory
function.
3.
Incentive Spirometry, page 1393.
4.
Insertion of Oral airway and Nasal trumpet
airway, pages 1403 - 1404.
3.
4.
Describe nursing strategies to promote
adequate respiratory functioning, identifying
their rationale.
5.
Identify different equipment used to administer
oxygen.
6.
Explain the purpose of an oral airway and
nasal trumpet.
7.
Describe the procedure for inserting and
removing an oral airway and nasal trumpet.
8.
Discuss the rationale for oxygen flow rates on
clients with chronic lung disease.
9.
Explain the benefits of using incentive
spirometry.
10. Discuss and demonstrate use of Bag-ValveMask Device on a manikin.
Berman and Snyder:
Learning Opportunities
1. Read:
a. Read applicable pages in Berman and Snyder, Chapter 50.
b. Read applicable pages in McKinney, Chapter 45.
2. View:
a. TVCC Library – Nursing Education in Video
http://tvcc.ent.sirsi.net/client/tvcclibraries
 Basic Oxygen Administration (Medcom Inc., 2011)
 Normal Breath Sounds in Auscultation of Breath Sounds
Episode 1 (Medcom Inc., 20
b. Internet:
http://www.atriummed.com/EN/chest_drainage/edufiles/ocean-video1.asp
3. Practice
 Administration of oxygen with a nasal cannula and face
mask. Practice inserting the flow meter into the wall
suction. Discuss the use of a pulse oximeter and
administering oxygen by tent. Instructor will demonstrate
use of the pulse oximeter in the clinical facility.
 Discuss inserting oral and nasal airways with two peers.
 Practice using bag-valve mask device on a manikin.
 Have a peer review your ability to perform skills #1-4.
RNSG 1140 – NURSING SKILLS
MODULE IX – RESPIRATORY PROCEDURES
B. SUCTIONING
Behavioral Objectives
1.
Demonstrate oral, endotracheal and tracheal
suctioning.
2.
Demonstrate oropharyngeal and naso
pharyngeal suctioning of an infant using a bulb
syringe and a DeLee mucous trap.
Skill Content
Berman and Snyder text.
Learning Opportunities
1.
Read:
Applicable pages in Berman and Snyder, Chapter 50.
Applicable pages in McKinney, Chapter 45.
1.
View:
a. MyNursingLab:
http://www.prenhall.com/mynursinglab/
Real Nursing Skills 2.0: Physical and Health
Assessment : Oxygenation and Ventilation
1. Suctioning: Endotracheal
3.
Describe the different uses for suction tubes
and pharyngeal suction tips.
4.
Demonstrate the use of an in-line suction
device.
2. Oral suctioning. (Yankauer), pgs. 1406 - 1413
a. Bulb suctioning
b. Yankauer
c. De Lee Mucous Trap (equipment available in
skills lab)
3.
a. TVCC Library– Nursing Education in Video
Inline suctioning.
http://tvcc.ent.sirsi.net/client/tvcclibraries

Suctioning: Nasotracheal, Oropharyngeal Endotracheal
Techniques (Medcom Inc., 2005)
2.
Practice suctioning skills.
3.
Have a peer review your suctioning techniques using a
Yankauer, bulb syringe, DeLee mucous trap and in-line
suction device.
4.
Have two peers review your ability to perform all suctioning
techniques.
5.
Have an instructor evaluate all your suctioning techniques in
a group.
RNSG 1140 – NURSING SKILLS
MODULE IX - RESPIRATORY PROCEDURES
C. TRACH SUCTIONING
Behavioral Objectives
Skill Content
1.
Define tracheostomy.
Berman and Snyder
2.
Identify the types of tracheostomy tubes and
explain the purpose of each.
1.
Suctioning via the Tracheostomy Tube.
2.
Endotracheal Tube Care, Chapter 50
3.
Identify safety measures required for clients
with tracheostomy openings and explain the
rationale for each.
3.
Checklist in syllabus.
Learning Opportunities
2.
Read:
Applicable pages in Berman and Snyder, Chapter 30.
Applicable pages in McKinney, Chapter 45.
Applicable pages in Lewis, pages 530 – 571.
3.
View:
a MyNursingLab:
http://www.prenhall.com/mynursinglab/
Real Nursing Skills 2.0: Physical and Health
Assessment : Oxygenation and Ventilation
b. TVCC Library– Nursing Education in Video
4.
Demonstrate the procedure for suctioning a
tracheotomy tube.
5.
List risks associated with tracheal suctioning.
6.
Describe the frequency and indications for
suctioning.
4.
Compare and contrast tracheostomy tubes and
endotracheal tubes.
Examine the various types of tracheostomy tubes available
in skills lab.
5.
Practice suctioning techniques for the tracheostomy.
6.
Have two peers review your technique in suctioning of the
tracheostomy using checklist in syllabus.
7.
Have an instructor evaluate your technique for suctioning
the tracheostomy.
7.
http://tvcc.ent.sirsi.net/client/tvcclibraries

Airway Care:Tracheostomy Care, Tube Change, and
Artificial Airway Cuff Management (Medcom Inc.,
2005)
RNSG 1140 – NURSING SKILLS
MODULE IX – RESPIRATORY PROCEDURES
D. CHEST TUBES
Behavioral Objectives
1.
Skill Content
Describe the similarities and differences in
function of one bottle, two-bottle, three-bottle,
disposable chest drainage systems, and the
waterless chest tube system.
Berman and Snyder
1.
Figure 50 - 33 Closed Chest Tube Drainage
System, pg. 1418.
Describe observations which indicate that the
waterless system and water-seal drainage
systems are functioning properly.
2.
See handout on chest tubes.
3.
See checklist in syllabus.
3.
Compare various waterless chest drainage
systems.
4.
Answer 12 questions on Chest Tubes Questions
form.
4.
State nursing actions that will help maintain
the integrity of the closed chest drainage
system.
5.
Explain the significance of fluctuations in the
water-seal system.
Learning Opportunities
1.
Read:
Applicable pages in Berman and Snyder.
Applicable pages in Lewis, pages 569 – 571; 588-592.
2. View:
2.
6.
Explain the significance of bubbling in the
water-seal chamber.
7.
State observations which indicate that air has
entered the pleural space.
8.
State indications and precautions in clamping
chest tubes.
9.
Describe the appropriate nursing actions
required if a chest tube becomes dislodged, an
air leak develops at the site of insertion, or
unusual bleeding occurs.
a MyNursingLab:
http://www.prenhall.com/mynursinglab/
Real Nursing Skills 2.0: Physical and Health
Assessment : Oxygenation and Ventilation
b. Internet:
http://www.atriummed.com/EN/chest_drainage/edu
-files/ocean-video1.asp
2.
Answer chest tube questions provided in syllabus.
3.
Watch instructor lecture on video.
N/ADN Syllabus/Transition/RNSG 1140 Mod IX
Revised 04/13