Content Information
Steps
Wash your hands and check the 5 rights
Gather the needed supplies, including the medication and follow the steps in the EAP (if applicable)
Follow the instructions for medication administration and use of the nebulizer and supplies
Have the student sit comfortably next to the nebulizer compressor (you can explain the procedure if not an emergency and provide a quiet activity to pass the time)
Ensure the delegatee places the nebulizer on a clean level surface, hose is connected to the compressor and the machine is plugged into the outlet
Review the 5 rights again
Put on gloves and prepare the medication by pouring it into the nebulizer medication cup
Attach the hose and T-mouthpiece or mask to the medicine cup, ensuring the cup keeps upright to prevent spills
Turn the nebulizer machine power switch on and check for a mist from the mouthpiece or mask
Place the mask gently over the students nose and mouth or hand the student the mouthpiece to have them place it in their mouth
Have the student inhale through the mouthpiece or mask until the medication is completely gone. (gently tap the cup as needed, this may take up to 10 to 15 minutes)
Encourage the student to rinse their mouth with water after using the nebulizer
Follow any additional steps in the student’s emergency action plan (if applicable)
Disconnect the mouthpiece or mask from the tubing and unscrew the medication top, clean according to the manufacturer’s recommendations
Remove your gloves, wash hands and place the nebulizer and supplies away as directed and secure medications back into secure location
If this is part of the emergency action plan, communicate with the school nurse
Ensure the delegatee has demonstrated competency with the school nurse on the 6th right of delegation with all delegated care: documentation