Pleural Decompression
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What class is the student in?
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A
C
Evening
A Shift
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Badstibner
Garcia
Heflin
Horchar
Mathison
Mcdonald
Miller
ODell
PerezAlbela
Seggel
Smith
Tastaca
B Shift
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CarrollK
Hedges
Hsiung
Latchaw
Magee
Patterson
Ramirez
Rechen
Snell
C Shift
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Clark
Costin
Craig
Denaburg
Eaton
Idem
Jarian
Knopf
Price
Scavitto
Stagnitto
Willey
Evening Class
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Coutroulis
Hartel
LeGoff
Williams
Park
Kornfeld
Gold
Samson
Schermerhorn
Reed
Coxson
Pfeifer
Stine
Basen
Humeida
Kinney
Russo
Who is the Evaluator?
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Instructor
A Shift Student Evaluator
C Shift Student Evaluator
Evening Class Student Evaluator
Instructor
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Burkhammer, Michele
Cleveland, Susan
Cordero, Jennifer
Cousins, Robert
Dugan, Pete
Gorodetsky, Nelly
Hayunga, Joe
Herman, Geoffrey
Hutchinson, David
Kauffman, Mike
Kinna, Donald
Le Renard, Yann
Leigh, Michael
Lipp, Troy
Lofland, Larry
Luger, Brian
Newman, David
Ney, Kirk
Nosbisch, Nick
Oliveira, Rae
Ruff, Greg
Scott, Tony
Shawl, Jon
Singer, Arye
Stottlemyer, Ty
Sweder-Gold, David
Touzeau, Chris
Turcotte, Jeremy
Weinstock, Sam
Wooden, Andrew
Zea, Alejandro
A Shift Student Evaluator
*
Please Select
Badstibner
Garcia
Heflin
Horchar
Mathison
Mcdonald
Miller
ODell
PerezAlbela
Seggel
Smith
Tastaca
B Shift Student Evaluator
*
Please Select
CarrollK
Hedges
Hsiung
Latchaw
Magee
Patterson
Ramirez
Rechen
Snell
C Shift Student Evaluator
*
Please Select
Clark
Costin
Craig
Denaburg
Eaton
Idem
Jarian
Knopf
Price
Scavitto
Stagnitto
Willey
Evening Class Student Evaluator
*
Please Select
Coutroulis
Hartel
LeGoff
Williams
Park
Kornfeld
Gold
Samson
Schermerhorn
Reed
Coxson
Pfeifer
Stine
Basen
Humeida
Kinney
Russo
Selects, checks, assembles equipment
14 – 16 ga. X 3.25 inch over-the-needle catheter (adult) or 16 – 18 ga. X 1½ – 2 inch over-the-needle catheter (pediatric)
10 mL syringe
4x4s
Antiseptic solution
Tape
Prepares patient
Takes or verbalizes appropriate PPE precautions
Manages the patient’s airway with basic maneuvers and supplemental oxygen; intubates as necessary
Appropriately recognizes signs of tension pneumothorax
Palpates the chest locating the second and third rib on the midclavicular line (the second rib joins the sternum at the angle of Louis, the second intercostal space is located between 2nd & 3rd ribs)
Properly cleanses the insertion site with appropriate solution
Performs Needle Thoracostomy
Reconfirms the site of insertion and directs the needle over the top of the rib on the midclavicular line
Listens for a rush of air
Removes needle/syringe leaving only the catheter in place
Disposes of the needle in proper container
Stabilizes the catheter hub with 4x4s and tape
Reassesses adequacy of ventilation, lung sounds, blood pressure and pulse for improvement in patient condition
Affective
Accepts evaluation and criticism professionally
Shows willingness to learn
Interacts with simulated patient and other personnel in professional manner
Critical Criteria
Failure to take or verbalize appropriate PPE precautions
Failure to dispose of the needle in proper container
Failure to correctly locate the site for insertion
Failure to properly cleanse site prior to needle insertion
Incorrect procedure relating to needle insertion (inserting below the rib, incorrect anatomical location, etc.)
Failure to assess the need for needle decompression (diminished or absent breath sounds, signs of hemodynamic compromise, etc.)
Failure to reassess patient condition following procedure
Evaluator Comments
Was the student successful or unsuccessful in this skill?
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Successful
Unsuccessful
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