Republic of the Philippines TARLACSTATEUNIVERSITY COLLEGE OF NURSING Lucinda Campus, Brgy. Ungot, Tarlac CityPhilippines 2300 Tel. No.

: (045) 493-1865 Fax: (045) 982-0110 website: www/tsu.edu.ph

Performance Evaluation Checklist C h o k i n g T r e a t m e n t

Name of Student: _______________________________________ Year/Clinical Group: ___________________________________ School Year: ____________________ Term: ___First Semester ____Second Semester ___ Summer Inclusive Dates of Clinical Rotation: __________________ Instructor: _____________________________________________

Core Competency A. Safe and quality nursing care 1. Check the surroundings for safety and make sure unnecessary wires and furnitures are remove from the actual setting 2. Stay with the person and encourage him or her to cough until the obstruction is cleared. 3. Ask, "Are you choking?" If the person is able to answer you by speaking, it is a partial airway obstruction.

SCORE 2 1 0

REMARKS

4. Do not give the person anything to drink because fluids may take up space needed for the passage of air. Note :Someone who cannot answer by speaking and can only nod the head has a complete airway obstruction and needs emergency help.

1. Place your hand on his forehead and gently tilt his head back

2. Keeping the airway open, look, listen, and feel for normal breathing. 3. Look for chest movement. 4. Listen at the victim's mouth for breath sounds. 5. Feel for air on your cheek. 6. In the first few minutes after cardiac arrest, a victim may be barely breathing, or taking infrequent, noisy, gasps. This is often termed agonal breathing and must not be confused with normal breathing. 7. Look, listen, and feel for no more than 10 seconds to determine if the victim is breathing normally. If you have any doubt whether breathing is normal, act as if it is not normal. 8. If he is breathing normally: Turn him into the recovery position. 9. Summon help from the ambulance service by mobile phone. If this is not possible, send a bystander. Leave the victim only if no other way of obtaining help is possible. 10. Continue to assess that breathing remains normal. If there is any doubt about the presence of normal breathing, start

B. Management of Resources ,Environment and Equipments 1. Someone who cannot answer by speaking and can only nod the head has a complete airway obstruction and needs emergency help. 2. The treatment for a choking person who begins to turn blue or stops breathing varies with the person's age.

3. The treatment for a choking person who begins to turn blue or stops breathing varies with the person's age. 4. In adults and children older than one year of age, abdominal thrusts (formerly referred to as the "Heimlich maneuver") should be attempted. 5. This is a thrust that creates an artificial cough. It may be forceful enough to clear the airway.

6. The quick, upward abdominal thrust forces the diaphragm upward very suddenly, making the chest cavity smaller. 7. This has the effect of rapidly compressing the lungs and chokeforcing air out. The rush of air out will force out whatever is causing the person to

8.

IV.HEALTH EDUCATION Compression-only CPR 1. If you are not trained to, or are unwilling to give rescue breaths, give chest compressions only. purposefully AND starts to breathe normally; otherwise do not interrupt resuscitation. 2. If chest compressions only are given, these should be continuous at a rate of 100 - 120 min-1. is causing the person to choke.

V.LEGAL RESPONSIBLITIES

1. Choking is an emergency. Call 911 emergency medical services. 2. Do not attempt to drive a choking person to a hospital emergency department. 3. Reports accurately and honesty the gender, time of the actual incidence
4. Ensures proper identification of the client 5. Documents all pertinent data correctly and completely VI. ETHICO-MORAL RESPONSIBILITY 1. Do not attempt to drive a choking

person to a hospital emergency department.

2. Although it only takes one person to administer first aid to the choking victim, there are other duties to perform 3. While waiting for the ambulance, do not leave the client. 4. Ensures privacy and confidentiality VII. PERSONAL AND PROFESSIONAL DEVELOPMENT 1. Updates oneself with the latest trends and development in Basic Life Support 2. Maintain professionalism ethics in administering CPR 3. Accepts criticism and recommendation

VIII. QUALITY IMPROVEMENT 1. Identifies deviation of practice from the standards 2. Participates in audit practices in emergency Basic life support 3. Recommends corrective and preventive measures for the identified deviations IX. RESEARCH 1. Identifies researchable problems related to basic life support 2. Initiates a research study on an identified researchable problems 3. Participates as a member of a research team in the conduction of a research study. 4. Ulitize findings of research studies in Basic life support X.RECORD MANAGEMENT 1.Documents accurately relevant data about the clients 2.. Maintain an organized system of filing and keeping records of the client XI. COMMUNICATION 1. Utilizes appropriately all forms of communication, verbal. Non-verbal, electronic 2. Informs clients significant other of the progress.

3. Listen attentively to clients and families queries and request XII. COLLABORATION AND TEAMWORK 1. Functions effectively as a team player in the delivery room/lying in. 2. Communicates the progress of the CPR to significant others or to the health team 3.Establishes collaborative relationship with the members of the health team and family members TOTAL SCORE:

Evaluated by:

________________________________ Signature over Printed Name Clinical Instructor

________________________________ Signature over Printed Name Student