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SPEECH NURSING ROUND
Good morning. I am students nurse Siti Zulaikha Binti Mazlan. Today I will
conduct nursing round with nurse instructor and others student nurse.Start with the nearer room.
Firstly nock the door and wish good morning and introduce self to the patients. The objective of
nursing round are to observe patients current condition and to check the ward environments.
The things I will observe when do the nursing round are patients general
condition such as stable , calm, conscious and patients complain. Then , observe post-operative
wound if present within the patients. Other than that, check the intravenous site such as phlebitis,
the drip running well or not , ensure no pain and swelling at venofix site
Prepared By ,
(STN SITI ZULAIKHA BINTI MAZLAN)
Management Students
DOCTOR’S ROUND REQUIMENTS
Patient’s case note Medication/Drug chart Doctor’s charges All results to be noted Lead doctors to the correct patient’s room
Stethoscope – To check the respiration & heart beat
Sphygmomanometer –To check the blood pressure
Ophthalmoscope – To examine the internal ear
Pen Torch - To examine the inside mouth (multi-function)
After rounds,reconfirm regarding changes in treatment or medications ordered by doctor prepare the necessary form to be write and filled u p and inform staff nurse in-charge regarding the changes or condition.
Prepared By,
(STN SITI ZULAIKHA MAZLAN)
Management Student
DATE
TIME
NAME
GROUP
DESIGNATION HOSPITAL
WARD
PROCEDURE
SUPERVISED BY
FEEDBACK
PROCEDURE FEEDBACK
SIGNATURE : PREPARED BY :
DATE : (STN SITI ZULAIKHA MAZLAN)
TIME:
FEEDING PATIENT VIA A NASOGASTRIC TUBE
1. Check doctor’s written order
Type of feed
Amount
Frequency
Consistency
2. Greet and explain the procedure to the patients
3. Assess patient’s toleration to feed to prevent aspiration
Presence of nausea and vomiting
Abdominal discomfort
Diarrhea
4. Position patient into semi-fowlers or fowlers position
5. Check intake and output chart to confirm feeds not yet given
6. Wash hand and wear disposable glove
7. Place protective sheet over the patients chest
8. Assess gastric emptying
Aspirate and measure residual contents
Re-instill the aspirated contents
Hold feeding if residual volume is more than 50-100ml or confirm the doctor in
charge .
9. Clamp or pinch tubing
10. Remove spigot and place inside clean receiver
11. Connect syringe without plunger to nasogastric tube
12. Pinch the tube while connecting the syringe
13. Feed patient through the nasogastric tube
Flush the nasogastric with little water
Fill the syringe with formula
Unclamp or release pinch to allow the formula to flow in
Adjust the height in which the syringe is held to control the flow .
Refill the syringe when it is three-quarters empty
Do not allow the syringe to be empty during feeding
Flush the nasogastric tube with about 20mls of cooled boiled water to prevent
blockage
14. Observe patient during feeding
Cyanosis , coughing , vomiting
15. Pinch the tube and disconnect the syringe
16. Spigot the nasogastric
17. Instruct patients to remain in the same position for 30 minutes
18. Ensure patient comfortable
19. Documents the date ,time, amount of feeding in intake and output chart .
DATE
TIME
SHIFT
INFORMER
Prepared by ,
(STN SITI ZULAIKHA MAZLAN)