Staff Development Program Nursing Need: Nebulization is a common method of medicinal aerosol generation and it is largely used by adults

and children all over the world, both for emergency treatment of acute respiratory illness and for long-term home treatment of airway diseases such as asthma, chronic obstructive pulmonary disease (COPD) and cystic fibrosis. Nebulizer effectively delivers the medicine directly into the respiratory tract so that it can reach the lungs quickly and reverses the symptoms of wheezing, coughing, and other breathing difficulties. Objectives General Objectives: After 20 minutes of In-Service Education Program, the practicing head nurse will be able to: 1. Discuss clearly the definition and nature of the procedure 2. Demonstrate proper handling of materials and equipment needed for the effectiveness of the teaching 3. Evaluate level of understanding and competency of the SSNs in such procedure. Specific Objectives: After 20 minutes of In-Service Education Program, the student staff nurses will be able to: 1. Provide understanding of the definition and purpose of the procedure 2. List down important basic steps in such procedure in proper and systematic order 3. Enumerate nursing action and health teaching after doing the procedure to patients with NGT. Time Frame: 20 minutes Topic/Title: Nebulization Therapy Topic Outline Content Summary Evaluation After 20 minutes of InService Education Program, the practicing head nurse was able to: I. Definition Nebulization is the process by which a liquid medication is converted into a fine mist that can be inhaled. The device that is used to convert the liquid drug into aerosol droplets suitable for patients to inhale is known as a Nebulizer.

Nebulization is a common method of medicinal aerosol generation and it is largely used by adults and children all over the world, both for emergency treatment of acute respiratory illness and for long-term home treatment of airway diseases such as asthma, chronic obstructive pulmonary disease (COPD) and cystic fibrosis. Nebulizer effectively delivers the medicine directly into the respiratory tract so that it can reach the lungs quickly and reverses the symptoms of wheezing, coughing, and other breathing difficulties. III. Method of The patient should be instructed to sit upright, take steady breaths (tidal breathing), and to not talk during the nebulization. Steady inhalation II. Purpose of nebulization therapy.

a normal breathing interspersed with occasional deep breaths is likely to be optimal. It should be noted that the nasal passages effectively filter droplets delivered from the nebulizer. Hence, oral breathing is preferred over nasal breathing. a. In acute attacks of asthma or COPD exacerbations, nebulization IV. Clinical indications for treatment is usually employed. the use of b. Patients not able to or too sick or incapable of managing handheld inhalers. nebulization c. Drugs not available in handheld inhaler (e.g.: Arformoterol, Ntherapy. Acetylcysteine) d. Need for a large drug dose. e. Patient preference: Many patients may prefer nebulization therapy over other inhaler devices. f. Practical convenience. V. Equipmen The necessary equipments for nebulization therapy are: a. Air compressor / nebulizer unit ts needed. b. Tubing c. Mouthpiece / face mask d. Nebule / medication as prescribed by physician e. Medication Card VI. Procedure ASSESSMENT: Monitors the clients heart rate before the treatment when using bronchodilator drugs. with nebulizer. PLANNING: 2. Obtains clients medication card. 3. Checks medication against physicians order. 4. Prepares the necessary equipment. 5. Checks that the tubing and all components are clean. 6. Places the nebulizer compressor on a table or on any stable surface. 7. Washes hands. IMPLEMENTATION: 8. Explains the procedure to the client. 9. Places the patient in a comfortable sitting or semi-fowlers position. 10. Attaches the plastic tubing to the air pump outlet of the nebulizer compressor, making sure other end tube is secured into hand-held nebulizer mouthpiece or mask. 11. Unscrews nebulizer cap and pours medication per doctors order. Reattaches cap by turning clockwise. 12. Plugs the nebulizer compressor unit to the electrical outlet and turns it ON to begin the treatment. 13. Instructs the patient to exhale. 14. Instructs the client to take deep breaths from the

mouthpiece (inhale, hold breath briefly then exhale). 15. Observes expansion of the clients chest to ascertain deep-breathing. 16. Instructs client to breath slowly and deeply until all medication is nebulized. 17. Presses power switch OFF and unplugs the nebulizer compressor unit from the electrical outlet when treatment is finished. 18. Encourages client to cough after several deep breaths upon completion of treatment. 19. Disassembles nebulizer chamber by turning counter clockwise. 20. Cleans the component with warm water and detergent solution and rinses with clean tap water and air dry thoroughly. 21. Washes hands after the procedure. EVALUATION: 22. Monitors the clients heart rate and response to the nebulization therapy. DOCUMENTATION: 23. Records the medication used, clients respiratory rate and effort, heart rate pre and post treatment, and description of secretion. Strategies: Traditional Teaching Strategy using Lecture, Discussion, Questioning Media Presentation using laptop

Resources:

Human: PHN Physical: Handouts Laptop for Powerpoint Presentation Financial: 25php for the printing of handouts

References: Antipuesto, D. J. (2012, December 3). Nebulizer Therapy. Retrieved December 10, 2010, from Nursing Crib Web site: http://nursingcrib.com/demo-checklist/nebulizer-therapy/ Nursing, C. o. (S.Y. 2009-2010). Manual of Nursing Procedures: A Compilation. Bacolod City: UPress. Price, K. (2010, September 12). Livestrong. Retrieved December 3, 2012, from http://www.livestrong.com/article/252388-what-is-nebulizer-therapy/