Student ______________________________________________________ Instructor ____________________________________________________

PERFORMANCE CHECKLIST SKILL 30-3 ASPIRATION PRECAUTIONS

Date _________________________ Date _________________________

S
ASSESSMENT

NP

Comments

1. Performed nutritional assessment. 2. Assessed patient for dysphagia. 3. Assessed patient for abnormal eating patterns. 4. Noted evidence of dysphagia on patients record and notified physician. 5. Placed identification of risk on patients chart or Kardex.
NURSING DIAGNOSIS

1. Developed appropriate nursing diagnoses based on assessment data.

PLANNING

1. Identified expected outcomes.

IMPLEMENTATION

1. Performed hand hygiene. 2. Provided oral hygiene before meal. 3. Applied pulse oximeter to patients finger. 4. Positioned patient to facilitate eating and swallowing. 5. Inspected mouth for pockets of food. 6. Discussed and demonstrated chin-tuck position. Observed return demonstration. 7. Added thickener to liquids as needed. 8. Offered small amounts of food, touching utensil to patients mouth or tongue to provide tactile cue to begin eating. 9. Provided verbal cueing while feeding and observed for coughing, choking, gagging, and drooling. Suctioned airway as necessary. 10. Advised patient to remain sitting upright for at least 30 to 60 minutes after the meal. 11. Assisted patient hand hygiene and oral care. 12. Returned patients tray to appropriate place and washed hands.

Mosby items and derived items 2010 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

S
EVALUATION

NP

Comments

1. Assessed patients ability to ingest foods of various textures and consistencies. 2. Assessed patients food and fluid intake. 3. Monitored pulse oximetry during meal. 4. Weighed patient weekly. 5. Identified unexpected outcomes.
RECORDING AND REPORTING

1. Documented tolerance of various food textures, amount of assistance required, position during meal, absence or presence of dysphagia, and amount eaten. 2. Reported dysphagia to nurse in charge or physician.

Mosby items and derived items 2010 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.