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Skills Assessment Report

Date:

Skill Assessment - Chest Physiotherapy (CPT)

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

Summary Performance Evaluation

Evaluator

Student Signature

Evaluator Signature