| Incentive Spirometry |
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Check one box for each line below:
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| Verifies physician order and scans chart for pertinent data. |
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| Washes or disinfects hands. |
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| Attains, assembles, troubleshoots equipment as indicated. |
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| Introduces self to patient. |
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| Checks patient identification. |
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| Explains purpose of procedure to patient. |
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| Assesses patient as indicated (B.S., pulse and respiratory rate) |
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| Positions patient as indicated. |
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| Sets and explains volume goals. |
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| Instructs patient on how to perform inhalations and breath hold. |
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| Instructs patient to cough. |
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| Instructs patient on splinting technique. |
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| Instructs patient on how and when to repeat therapy. |
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| Washes or disinfects hands. |
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| Charts therapy and notifies appropriate personnel of modifications as indicated |
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