| Knowledge |
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States Contraindications
and Relative Contraindications
of procedure.
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| Preparation |
| Clinical Standards for Procedures and Interventions. |
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| Verifies provider order or protocol; reviews the chart for indications, goals, contraindications, and recent response to therapy. |
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| Identifies and gathers required equipment: CPT table or bed, pillows for positioning, percussor (manual or mechanical), towels or drape, sputum container, and PPE as indicated. |
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| Assessment |
| Assesses Vital Signs and evaluates baseline respiratory status before intervention. |
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| Evaluates tolerance to positioning and inspects for lines, drains, or ports that may require adjustment prior to the procedure. |
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| Implementation |
| Positions the patient for postural drainage based on lobar or segmental involvement, ensuring the affected lobe is placed superior for optimal drainage. |
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| Ensures the percussed area is covered to protect the skin; avoids percussion over bone, incisions, drains, lines, jewelry, buttons, or below the ribs. |
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| Applies percussion and vibration over targeted lung segments for 3 to 5 minutes per lobe, coordinating with the patient's breathing pattern. |
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| Encourages Directed Cough (DC) or Forced Expiratory Technique (FET) Huff Cough between positions to facilitate secretion clearance. |
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| Monitoring & Modifications |
| Monitors patient tolerance, work of breathing, and oxygenation/ventilation response throughout the intervention. |
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| Adjusts technique or device settings as needed; discontinues therapy and notifies the provider if adverse reactions occur. |
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| Collects and evaluates sputum or secretions (amount, color, consistency) and documents patient response. |
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| Post-Intervention |
| Post-Intervention Management Steps. |
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