what are the nursing responsibilities before, during and after oxygenation, ventilator and nebulization?

Answer 1

I just spent the last 44 minutes typing a detailed answer to you question. I clicked on preview my answer, and my computor decided it needed to check my password, again. When I returned, my answer was gone.
I will try again.
O2 and nebs. Check the order, get the equipment, give the tx, or make sure RT got the order and responds in a timely manner.chartit. You need O2 sats before, during and after, or as per policy,and the patient's reaction and participation to the tx. Like did they follow instructions on how to breathe the nebs in, did they leave the O2 cannula in their nose?Teach patient and family about it, chart it. Teach them o2 safety, no flame or sparks in the room, or oil based lubricants on the patient. Inform care staff there is a new tx, and make sure they know how to deal with it. Chart that. Post signs that o2 is present as per policy.Arrange for the o2 to go with the patient to other departments, as necessary.If any labs need done, arrange for them, like arterial blood gasses, make sure they get done..Monitor the patient, call the doc if tx not effective, know s/s of o2 deprivation, watch for them, and chart.
chart anything extra you did, like pad the o2 tubing so it would not rub the patient's ears. Make sure the flow rate is correct, and chart it. Call the doctor if the patient does not get the desired result. Chart it. There are usually flowsheets for all this.this.
Vent care to follow on another answer, I'm not going to lose all this again.Can't do that. Rember the five rights of medication administration, and document.
Vent is a whole 'nuther can of worms. I am going to quit writting chart it, is is assumed from now on.
Check the order for the vent and it's setting. Arrange for it.Get all the equipment to the room. Have suction, an ambu bag, and extra ET tube or trach set, according to what the patient has. If it is a trach, have the obdurator taped above the patient on the wall.
Check the settings on the order with the machine. Make sure the line tubing is not suspended from the ET or trach tube, support it with the provided clamps. Empty the water collection bag once in awhile, so the gulb-glubbing will not drive the patient nuts. Explain the deal to the patient and family, get a consent. Check for a living will, to make sure the patient wants a vent. RT usually has a pressure monitor, and will do that, make sure they do. Monitor patient, make sure the patient is tolerating. Check the alarms to make sure they work, at least every qshift, and check the emergency equipment every shift. Teach patient care personel how to care for a patient with a vent. Make sure any meds that need to be in the tube get there, usually RT does this. Do ET or Trach skin care as per policy. Do o2 sats and/ or ABG's as ordered. Call RT if problem, call doctor if problem with patient.Document what comes out when you suction , by color, consistancy, amount, smell, if there is blood in it, etc. Change the suction canister and do I and O qshift. Follow weaning parameters and the patient's response when ordered.
Tricks: we did not take the emergency trach kit into the isolation room, we left it outside, if it was an isolation room. $300+, just to throw it away if the patient does not extubate himself accidently. Get permission to do this. We put the alarm bell outside the room by an extension, so we could hear the alarms.
You might have to take a vent patient elsewhere in the hospital. Make sure the battery for the vent is good, and the vent is on a wheeled cart. Make sure the vent is on, the tubing is patent and in the right place, and not tanagled every time you go into the room.
I think I got it all. Hope this helps, are you a student with a care plan to write?

Answer 2

Gosh. I think you better ask a nurse.