Before I start, I will perform handwashing technique to deter the spread of microorganisms and

prevent healthcare associated infections.

1. Hi po good afternoon, ma’am. How are you po? I am nurse cha and I will be your nurse po for today.

2. Can you please state your name and your birthday po.

3. I will be also closing the curtains to give you privacy

4. At this moment I will be administering Oxygen by Nasal Cannula, Face Mask, or Face Tent. But before
that, I will have to check the physician’s order and gather the equipment and supplies needed for this
procedure.

5. Now I will perform respiratory assessment for baseline data. I will also assist the client to a semi-
Fowler position.

6. Next is I will set up the oxygen equipment and humidifier:

a. First I will attach the flow meter to wall outlet or tank.

b. Then I will fill the humidifier bottle with tap or distilled water, if needed.

c. Then I will attach humidifier bottle to base of flow meter.

d. Lastly, I will attach the prescribed oxygen tubing and delivery device to humidifier

7. Now I will turn on the oxygen at the prescribed rate, and ensure proper functioning.

a. Then I will check if the oxygen was flowing freely through tubing.

b. Then I will set the oxygen at flow rate ordered. If reservoir bag was attached, I will partially inflate it
with oxygen

8. Lastly, I will apply the appropriate oxygen delivery device

9. Now let’s move on to different variation using a Nasal Cannula.

10. I will now put the cannula with outlet prongs curved downward, fitting into nares; and elastic band

around head or tubing over ears and under chin.

11. Next is I will tape the cannula at sides of face if it would not stay in place.

12. Then I will pad the tubing and band over ears and cheekbones if needed.

13. Now let’s move on to another variation using a Low-Flow Oxygen Nasal Cannula

14. First I will assess the client’s nares for encrustations and irritation. Then, I will apply a water-soluble
lubricant as required to soothe the mucous membranes.

15. Next is I will assess the top of the client’s ears for any signs of irritation from the cannula strap. If
present, padding it with a gauze pad may help relieve the discomfort.

16. Now let’s move on to different variation using a High-Flow Oxygen Nasal Cannula
17. Next is I will add a heated humidification system to the high-flow oxygen nasal cannula to prevent
upper airways from drying.

18. Now I will assess the air/oxygen blending in the system to ensure that the client who requires a
higher percentage of oxygen has a comfortable and more easily tolerated alternative to a facemask.

19. Now let’s move on to another variation using a face mask

20. Now I will check the size of the face mask to make sure it fits client.

21. Next is I will guide the mask towards client’s face and apply it from nose downward

22. Now I will fit the mask and metal nose bracket to contours of client’s face.

23. Next is I will secure the elastic band around client’s head so that the mask was comfortable but snug.

24. Now I will pad the band behind ears and over bony prominences.

25. Now let’s move on to different variation using a simple face mask

26. Now I will verify a minimum of 5 L/min oxygen flow rate.

27. Next is I will support the client if she is having anxiety about having mask covering her face

28. Now I will assist the client in eating and drinking with mask applied.

29. Next is to consider that this mask is helpful for a client with nasal breathing difficulties

30. Now let’s move on to another variation using a partial rebreather mask

31. Now I will verify the oxygen flow rate at 6–10 L/min

32. Next is I will check if the oxygen reservoir bag remained one third to one half full during inspiration.

33. Now I will provide humidification to system as needed.

34. Now let’s move on to different variation using a nonrebreather mask

35. Now I will verify the oxygen flow rate at 10–15 L/min providing highest oxygen concentration by
mask.

36. Next is I will check to make sure oxygen bag did not totally deflate during inspiration

37. Now I will support the client requiring high supplemental oxygen concentration.

38. Now let’s move on to another variation using a venturi face mask

39. Now I will verify oxygen concentration appropriate for client, varying from 24% to 50%.

40. Next is I will check the oxygen flowmeter that was set at appropriate oxygen L/min.

41. Now I will empty the condensation that may form in tubing with humidification.

42. Now let’s move on to different variation using a face tent

43. Now I will place the tent over client’s face and secure the ties around head.
44. Next is I will stay with client until client felt at ease with mask.

45. Now this applies for all face mask and tents

46. Now I will inspect the facial skin frequently for dampness or chafing, and dried and treated as
needed.

47. Next is I will assess the client regularly

a. I will assess the client’s vital signs (including oxygen saturation), level of anxiety, color,

and ease of respirations and provided support while client adjusted device.

b. Then I will assess the client in 15 to 30 minutes and regularly thereafter.

c. Lastly, I will assess the client for clinical signs of hypoxia, tachycardia, confusion, dyspnea,
restlessness, and cyanosis confusion, dyspnea, restlessness, and cyanosis.

48. Now let’s move on to another variation by providing Oxygen via a Tracheostomy with a T-Tube or
Tracheostomy Collar

49. Now humidity is provided with a tracheostomy mist collar.

50. Next is I will encourage the client to wear a stoma protector.

51. Now let’s move on to different variation using a Continuous Positive Airway Pressure (CPAP) or
Biphasic Positive Airway Pressure (BiPAP)

52. CPAP provided single positive airway pressure to establish a minimal airway value at end of
exhalation.

53. BIPAP provided two positive airway pressures, one to assist peak pressure on inhalation and a lower
one to establish a minimal airway value at end of exhalation.

54. BIPAP auto titration device sensed and measured client’s airflow and adjusted its pressure setting
automatically to maintain airway patency

55. Lastly, I will perform hand hygiene and document the procedure, assessment data, and client’s
response.