Name of Student: ___________________________________________________________

BLOOD TRANSFUSION

PROCEDURE Return
Demo 1 2 PE
1. Verify physician’s order
2. Explain the procedure to the client
3. Wash your hands. Prepare necessary materials and bed to
bedside.
4. Obtain compatible blood from hospital blood bank.
Countercheck blood against the cross-matching sheet.
5. Warm blood at room temperature.
6. Assess the client’s condition and obtain baseline vital signs
before transfusion.
7. If main IVF line is dextrose 5%, initiate an IVF with
appropriate plain NSS.
8. Open compatible blood set aseptically and spike blood bag
carefully. Prime tubing and remove any air bubbles. Attach
needle gauge 18 or 19 to side drip.
9. Disinfect the Y-injection port of IV tubing and insert the
needle from the BT administration set and secure with
adhesive tape.
10. Close the IV fluid of Plain NSS or regulate to KVO rate as
ordered while the transfusion is going on.
11. Transfuse the blood via the injection port at 10 to 15 drops
initially for 15 minutes and regulate at ordered rate of the
doctor based on client’s condition.
12. Observe the client for any untoward signs and symptoms.
Stop transfusion if any reactions occur and open IV line with
NSS. Report to the doctor immediately.
13. If blood is consumed, close roller clamp of BT set and
disconnect from IV lines. Regulate the IVF as ordered.
14. Continue to observe the client for delayed reaction towards
transfusion. Monitor vital signs.
15. Discard blood bag and BT set appropriately. Wash your
hands.
16. Document the following data:
a. Type and amount of blood product
b. Serial number
c. Time started and completed
d. Observation of client’s condition during transfusion
Ability to answer questions

Total Score
Equivalent Grade
 With Client
Final Grade
Signature of C.I.
Signature of Student
Date Performed

1
Name of Student: ______________________________________________________________

ASSISTING IV INSERTION

Return
PROCEDURE Demo 1 2 PE
1. Check the Doctor’s order
2. Explain the procedure to the client
3. Assess the client’s vein and choose appropriate vein.
4. Wash hands and prepare necessary materials.
5. Check sterility and integrity of the IV solution, IV set and
other devices to be used.
6. Place IV label on Iv fluid bottle
7. Open the seal of the solution aseptically and disinfect the
rubber port with cotton ball with alcohol.
8. Open the administration set aseptically and close the IV
clamp. Spike the infusate aseptically.
9. Compress the drip chamber and release, allowing the
chamber to fill 1/3 to ½ full and prime the tubing aseptically.
10. Remove air bubbles and put back the cover to the distal end
of the IV tubing.
11. Carry the needed equipment to the bedside.
12. Hang IV bottle / pack to the IV pole or stand. Prepare strips
of plaster.
13. Un-sleeve the client’s arm where IV fluid is to be insert.
14. The physician applies tourniquet 2 to 6 inches above the
insertion site. Check for presence of radial pulse. Instruct
the client to make a fist. Cleanse insertion site using firm,
circular motion from center to outward about 2 to 3 inches
from insertion site.
15. Offer the IV catheter to the physician. The physician
performs venipuncture by anchoring vein placing thumb over
vein beneath insertion site and stretching the skin against
the direction of the insertion. The catheter is position 1 to 30
degree angle with the bevel pointing upwards.
16. Upon flashback visualization, the physician will decrease the
angle and advance the catheter into the vein off the stylet
until hub rests at the venipuncture site.
17. Slip a sterile gauze under the hub, release the tourniquet
and remove the stylet while applying digital pressure over
the catheter with one finger.
18. Connect the infusion tubing of the IV fluid aseptically to the
IV catheter.
19. Open the clamp and regulate the flow.
20. Anchor the catheter firmly in place with tape. Apply splint if
necessary.
21. Place client in a comfortable position.
22. Discard used supplies appropriately and do hand washing.
23. Observe client every hour to determine if fluid is infusing
correctly.
24. Do recording.
Ability to answer questions

2
Total Score
Equivalent Grade
 With Client
Final Grade
Signature of C.I.
Signature of Student
Date Performed

3
Name of Student: _________________________________________________________

DISCONTINUING AN IV INFUSION

PROCEDURE Return
Demo 1 2 PE
1. Verify physician’s order to discontinue IV infusion including
IV medications.
2. Explain the procedure to the client
3. Wash your hands. Prepare necessary materials and bring
them to client’s bedside.
4. Close IV clamp of tubing. Don gloves.
5. Moisten adhesive tapes around IV catheter using cotton
balls with alcohol.
6. Remove tapes while stabilizing catheter.
7. With dry gauze or cotton ball held over site, apply gentle
pressure and withdraw the catheter using slow steady
movement keeping the hub of the needle parallel to the
skin.
8. Apply pressure to the site for 2 to 3 minutes using dry
sterile cotton ball. Secure with tape.
9. Inspect the catheter for intactness.
10. Discard used supplies. Do hand washing.
11. Instruct the client to report any redness, pain, drainage or
swelling after removal of IV catheter.
12. Make the client comfortable.
13. Do charting.
Ability to answer questions

Total Score
Equivalent Grade
 With Client
Final Grade
Signature of C.I.
Signature of Student
Date Performed

4
Name of Student: __________________________________________________________

SUPPOSITORY INSERTION ANAL / VAGINAL

Return Practical
PROCEDURE Demo Exam
1. Verify doctor’s order
2. Explain the procedure to the client
3. Have vaginal/anal suppository ready and check medication
ticket. Suppositories should be kept firm.
4. Prepare gloves, rubber sheet and draw sheet and carry
them to client’s bedside.
5. Screen the client. Place rubber sheet and draw sheet.
6. Position client on her left side with upper knee flexed and
drape client appropriately.
7. Open suppository ready for application.
8. Don gloves and pick suppository with gloved hand.
9. Instruct client to breathe through the mouth, then introduce
the suppository gently into the anus for anal suppository or
to vaginal for vaginal suppository. The pointed tip should
be introduced first.
10. Press the buttocks together for 1 to 2 minutes
11. Reposition client and leave client comfortably
12. Wash hands.
13. Clean used equipment and return to CSR
14. Chart:
a. Time of insertion
b. Care done to client
c. Reaction of client
Ability to answer questions

Total Score
Equivalent Grade
 With client
Final Grade
Signature of C.I.
Signature of Student
Date Performed

5
Name of Student:______________________________________________________

OXYGEN ADMINISTRATION

Return

PROCEDURE Demo 1 2 PE
Assessment:

1. Check doctor’s order for oxygen administration, method of

delivery, and parameters for regulation (blood gas levels, pulse
oximetry values).
2. Check baseline data: LOC, respiratory status (rate, depth,
signs of distress), BP and pulse.
3. Check color of skin and mucous membranes.
Planning:

1. Identification of possible nursing diagnoses.

 Ineffective breathing pattern r/t neuromuscular impairment.
 Ineffective tissue perfusion (cardiopulmonary) r/t poor
oxygen distribution.
 Anxiety r/t inability to breathe.
2. Identify possible desired outcome of client:
 Respiratory rate will range from 14 to 20 breaths/min;
breaths of normal depths, smooth and symmetric; lung
fields are clear; no cyanosis.
 Client will verbalize and demonstrate no anxiety about
breathing.
Implementation:
1. Perform hand hygiene and organize equipment.
2. Explain equipment and procedure to the client.
3. Insert flow meter into outlet on wall, or place oxygen cylinder
near client.
4. Prepare humidifier. Add distilled water, if needed, or remove
prefilled bottle from package and screw enclosed spiked cap to
bottle.
5. Connect humidifier to flow meter.
6. Connect humidifier to tubing attached to cannula or mask.
7. Turn on oxygen flow meter until bubbling is noted in humidifier.
If no bubbling is noted, check that flow meter is securely
inserted, ports of humidifier are patent, and connections are
tight. Contact respiratory therapist or supervisor if you cannot
correct the problem.
8. Regulate flow meter as ordered.
9. Don clean gloves.
10. Have client blow nose or clear nares of secretions with moist
cotton balls.
11. Apply nasal cannula or face mask.
12 .For nasal cannula:
a) Place cannula prongs into client’s nares.
b) Slip attached tubing around client’s ears and under chin.

6
 Place cotton between tubing and ear for comfort, as
needed.
c) Tighten tubing to secure cannula, but make sure client is
comfortable.
13. For face mask:
a) Place mask over nose, mouth and chin.
b) Adjust metal strip at Nose Bridge of mask to fit securely
over bridge of client’s nose.
c) Pull elastic band around back of head or neck.
d) Pull band at sides of mask to tighten.
e) If appropriate, place cotton or gauze pad under bridge of
face mask.
14. For nasal catheter:
a) Measure the catheter by holding it in a horizontal line from
the tip of the nose to the earlobe.
b) Mark it with a narrow strip of tape.
c) Moisten the catheter with a water soluble lubricant.
d) Hold the tip of the patient’s nose up and insert the tip of
the catheter into the nares downward.
e) Move the catheter along the floor of the nose until the
marking on the catheter.
f) Check the position of the tip of the catheter by depressing
the tongue carefully with a tongue blade.
15. Check oxygen flow rate and doctor’s orders every 8 hours.
16. Remove cannula each shift or every 4-hours to assess skin,
apply petroleum jelly to nares, and clean accumulated
secretions. Remove mask every 2-4 hours, wipe away
accumulated mist, and assess underlying skin.
17. Position client for comfort with head of bed elevated.
18. Dispose of or store equipment appropriately.
19. Discard gloves and perform hand hygiene.
20. Place “No Smoking” signs on door and over bed.
21. Evaluate respirations.
Evaluation:

1. Check if desired outcomes have been achieved.

 Pulse oximetry is 95%.
 Client does not display restlessness or other signs of
anxiety.
 Mucous membranes pink and capillary refill time less than
3 seconds.
2. Record:
 Time of initiation of oxygen therapy.
 Amount of oxygen and delivery method.
 Respiratory status before and after initiation.
 Color of skin and mucous membranes.
 Teaching performed regarding therapy, and client’s
understanding of teaching.
 Blood gas results, pulse rate, capillary refill time.
 Signs of anxiety.
 Significant changes in vital signs.
Ability to answer questions

Total Score

7
Equivalent Grade:
* with patient
Signature of Student:
Signature of C.I.
Date Performed:

8
Name of Student: ________________________________________________________

NEBULIZATION

Return
PROCEDURE Demo 1 2 PE
1. Assess client’s vital signs, respiratory status and Heart
rate before the treatment.

2. Check doctor’s order

3. Wash hands.

4. Assemble all the equipment.

5. Identify the client. Explain the procedure to the client.

6. Place the client in semi-fowlers position.

7. Add the prescribed amount of medication or saline to the

nebulizer.

8. Instruct the client to exhale, take in a deep breath from the

mouthpiece, and hold his breath briefly and then exhale.

9. Instruct the client to breath slowly and deeply.

10. Encourage coughing exercise after the treatment. Provide

bronchial tapping, if permitted.

11. Disassemble and clean the nebulizer after the use.

12. Provide oral hygiene.

13. Wash hands.

14. Evaluate effectiveness, description of any secretion

expectorated.

15. Assess client’s vital signs; the respiratory rate and heart
rate after the treatment.

16. Record the medication used and the description of

secretion.

17. Record client’s vital signs; respiratory rate and heart rate
after the treatment.

Ability to answer questions

Total Score
Equivalent Grade

9
  With Client

Final Grade
Signature of Clinical Instructor
Signature of Student
Date Performed

Name: _________________________________ Date: ____________________

(1st Week)

General Objective:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

10
 LEARNING FEED DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

AREA

11
 CLINICAL INSTRUCTOR

Name: __________________________________________ Date: ____________________

JOURNAL READING
REFLECTION

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

12
_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Name: _________________________________ Date: ____________________

(2 day)

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

13
 LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

AREA

14
 CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

(2nd Week)

General Objective:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

15
 LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

AREA

16
 CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

(2nd day)

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

17
 LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

AREA

18
 CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

(3rd Week)

General Objective:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

19
 LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

20
 AREA

CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

(2nd day)

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

21
 LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

22
 AREA

CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

(4th Week)

General Objective:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

23
 PLAN OF THE ACTIVITY

Time Activity

LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

24
 AREA

CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

(2nd day)

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

25
 LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

26
 AREA

CLINICAL INSTRUCTOR

Name: __________________________________________ Date: ____________________

JOURNAL READING
REFLECTION

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

27
_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Name: _________________________________ Date: ____________________

(5th Week)

General Objective:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

28
 3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

29
 AREA

CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

(2nd day)

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

30
 Time Activity

LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

31
 AREA

CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

(6th Week)

General Objective:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

32
 3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

33
 AREA

CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

(2nd day)

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

34
 LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

PEERS

35
 AREA

CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

Community 1st week

General Objective:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Specific Objective:

At the of 8 hours Pedia/Gyne Ward exposure, I will be able to:

36
 1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

37
 PEERS

AREA

CLINICAL INSTRUCTOR

Name: __________________________________________ Date: ____________________

JOURNAL READING
REFLECTION

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

38
_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Name: _________________________________ Date: ____________________

(2nd day)

Specific Objective:

At the of 8 hours Community exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

39
 PLAN OF THE ACTIVITY

Time Activity

LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

40
 PEERS

AREA

CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

Community 2nd week

General Objective:

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

41
_____________________________________________________________________________________
_____________________________________________________________________________________

Specific Objective:

At the of 8 hours Community exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

42
 PEERS

AREA

CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

(2nd day)

Specific Objective:

At the of 8 hours Community exposure, I will be able to:

1. ___________________________________________________________________________

43
 2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

44
 PEERS

AREA

CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

Community 3rd week

General Objective:

45
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Specific Objective:

At the of 8 hours Community exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

SELF

46
 PEERS

AREA

CLINICAL INSTRUCTOR

Name: _________________________________ Date: ____________________

Community 3rd week

Specific Objective:

47
 At the of 8 hours Community exposure, I will be able to:

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

PLAN OF THE ACTIVITY

Time Activity

LEARNING FEEDBACK DIARY

COMPONENT LEARNED PROBLEM ACTION TAKEN

ENCOUNTERED

48
 SELF

PEERS

AREA

CLINICAL INSTRUCTOR

CONVERSION FACTORS

1 kg = 2.2 lb

1 gallon = 4 quart

49
 1 tsp = 5 mL

1 inch = 2.54 cm

1L = 1,000 mL

1 kg = 1,000 g

1 oz = 30 mL = 2 tbsp.

1g = 1,000 mg

1 mg = 1,000 mcg

1 cm = 10 mm

1 tbsp = 15 mL

1 cup = 8 fl oz

1 pint = 2 cups

12 inches = 1 foot

1L = 1.057 qt

1 lb = 16 oz

1 tbsp = 3 tsp

60 minute = 1 hour

1 cc = 1 mL

2 pints = 1 qt

8 oz = 240 mL = 1 glass

1 tsp = 60 gtts.

1 pt = 500 mL = 16 oz.

1 oz = 30 mL

4 oz = 120 mL (Casey, 2018)

Drug Dosage & IV Rates Calculations

Drug Dosage Calculations

Formula:

50
 Amount DESIRED (D)
----------------------------- X Quantity (Q) = Y (Tablets Required)
Amount on HAND (H)

D (desired dose)
---------------------------- X V (volume) = Dose
H (amount on hand)

Calculation of Intravenous Drip Rates

Drop factor

Microdrop = 60 – Pedia
Macrodrop = 15 – Adult

Formula:

IV Drip Rate = (Volume/Time) X Drop Factor

(gtts/min) (mL) (minutes) (gtts/mL)

Time (hours) = Volume (mL)

Drip Rate (mL/hour)

(ml/hours) = Total Volume of Solution in mL

Total Number of Hours to Run

51
 MEDICATION TIMING AND COLOR SCHEME
COLOR CODE TIMING DESCRIPTION
OD 6AM ONCE A DAY
BEFORE MEAL :
WHITE AC BF 6AM BREAKFAST
(ante cibum)
PC LUNCH 1PM AFTER MEAL ; LUNCH
(post cibum)
Q24 TIME THE MEDICATION STARTED EVERY 24 HOURS
(EVEN #S ONLY)
STAT/NOW IMMEDIATELY BY THE TIME ORDERED
BID 6AM-6PM 2 TIMES A DAY
YELLOW Q12 12MN-12NN
2AM-2PM EVERY 12 HOURS
6AM-6PM
10AM-10PM
TID 8AM-1PM-6PM
BLUE
GREEN TID PRE-MEAL 5AM-11AM-5PM 3 TIMES A DAY

ORANGE QID 6AM-10AM-2PM-6PM 4 TIMES A DAY

Q4 2AM-6AM-10AM-2PM-6PM-10PM EVERY 4 HOURS
PINK Q6 12AM-6AM-12PM-6PM EVERY 6 HOURS
2AM-10AM-6PM
Q8 6AM-2PM-10PM EVERY 8 HOURS
(BASED ON 1ST DOSE)
RED PRN WHEN NECESSARY

52
List of Medical and Nursing Abbreviations & Acronyms

A/G albumin / globulin ratio

AAL anterior Axillary Line

ABG arterial blood gases

AC before eating

ACE angiotensin converting enzyme

ACL Anterior Cruciate Ligament

ACLS advanced cardiac life support

ACTH adrenocorticotropic hormone

ADH antidiuretic hormone

ADL activities of daily living

ADSF Anterior Decomposition Spinal Fusion

AFB acid-fast bacilli

AFP alpha-fetoprotein

AGA appropriate for gestational age

AGN Acute Glomerulonephritis

AI aortic insufficiency

AIDS acquired immune deficiency syndrome

AKA Above Knee Amputation

AKA above knee amputation

ALD alcoholic liver disease

53
ALL acute lymphocytic leukemia

ALP alkaline phosphatase

ALT alanine transaminase, alanine aminotransferase

APR Abdominoperineal Resection

ARF Acute Renal Failure

ASA Acute Surgical Abdomen

ATN acute tubular necrosis

AU both ears

AV atrioventricular

ad lib as much as needed

B.S. Bachelor of Science

B/K below knee

BAT Blunt Abdominal Trauma

BIH Bilateral Inguinal Hernia

BKA Below Knee Amputation

BM bowel movement or breast milk

BX biopsy

c with

C/O complaining of

CA calcium, cancer, carcinoma

CAA crystalline amino acids

CABG coronary artery bypass graft

CAD coronary artery disease

CAPD continuous ambulatory peritoneal dialysis

CAT computerized axial tomography

CA Cancer

CBC complete blood count

CBD common bile duct

54
CBDE Common Bile Duct Exploration

CBD Common Bile Duct

CBG capillary blood gas

CBI continuous bladder irrigation

CBS capillary blood sugar

CC chief complaint

CCK cholecystokinin

CCPD continuous cyclic peritoneal dialysis

CCU clean catch urine or cardiac care unit

CCV critical closing volume

CF cystic fibrosis

CHF congestive heart failure

CHO carbohydrate

CI cardiac index

CKD Chronic Kidney Disease

CLEA Continuous Lumbar Epidural Anesthesia

CLT Clinical Laboratory Technician

CML chronic myelogenous leukemia

CN cranial nerves

CNS central nervous system

CO cardiac output

COM Chronic Otitis Media

COPD chronic obstructive pulmonary disease

CP chest pain, cleft palate

CPD cephalo-pelvic disproportion

CPK creatinine phosphokinase

CPP cerebral perfusion pressure

CPR cardiopulmonary resuscitation

55
CRCL creatinine clearance

CRF chronic renal failure

CRT capillary refill time

CSF cerebrospinal fluid

CT computerized tomography

CVA cerebral vascular accident, costovertebral angle

CVP central venous pressure

D3 Distal Third

D5W 5% dextrose in water

DAT diet as tolerated

DC (dc) discontinue

DIC disseminated intravascular coagulopathy

DIH Direct Inguinal Hernia

DKA diabetic ketoacidosis

DL Direct Laryngoscopy

DM diabetes mellitus

DNA deoxyribonucleic acid

DNR do not resuscitate

DOA dead on arrival

DOE dyspnea on exertion

DPT diphtheria, pertussis, tetanus

DTR deep tendon reflexes

DVT deep venous thrombosis

DX diagnosis

EAA essential amino acids

EBL estimated blood loss

EBV Epstein-Barr Virus

ECCE Extra Capsular Cataract Extraction

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ECF extracellular fluid, extended care facility

ECG electrocardiogram

ECT electroconvulsive therapy

EDC Extensor Digitorum Communis

EDH Epidural Hematoma

EEA End to end Anastomosis

EEL Emergency Exploratory Laparotomy

EENT eye, ear, nose and throat

EFAD essential fatty acid deficiency

EGD Esophagogastroduodenoscopy

EMG electromyogram

EMV eyes, motor, verbal response (Glasgow coma scale)

ENT ears, nose, and throat

EOM extraocular muscles

ERCP Endoscopic Retrograde Cholangiopancreatography

ESR erythrocyte sedimentation rate

ESRD end stage renal disease

ET endotracheal tube

ETT endotracheal tube

EUA examination under anesthesia

FBE Foreign Body Extraction

FBS fasting blood sugar

FCU Flexor Carpi Ulnaris

FDA Food & Drug Administration

FDP Flexor Digitorum Profundus

FDS Flexor Digitorum Superficial

FESS Functional Endoscopic Sinus Surgery

FEV forced expiratory volume

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FFP fresh frozen plasma

FIA Fistula in Ano

FNP Family Nurse Practitioner

FTSG Full Thickness Skin Grafting

GB gallbladder

GC gonorrhea

GCS Glascow Coma Scale

GERD gastroesophageal reflux disease

GETA General Endotracheal Anesthesia

GFR glomerular filtration rate

GI gastrointestinal

GSW Gunshot Wound

GTT glucose tolerance test

GU genitourinary

HB hemoglobin

HBP high blood pressure

HCG human chorionic gonadotropin

HCO3 bicarbonate

HCT hematocrit

HD hemodialysis

HDL high density lipoprotein

HEENT head, eyes, ears, nose, throat

HPT Hemoperitoneum

I&D Incision & Drainage

IBG Iliac Bone Graft

ICS Intercostal Space

IIH Indirect Inguinal Hernia

IJ Intrajugular

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IOC Intraoperative Cholangiogram

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