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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

DOCTORS ROUND REQUIMENTS

Patients case note


Medication/Drug chart
Doctors charges
All results to be noted
Lead doctors to the correct patients 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 doctors written order


Type of feed
Amount
Frequency
Consistency
2. Greet and explain the procedure to the patients
3. Assess patients 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.

14.

15.
16.
17.
18.
19.

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
Observe patient during feeding
Cyanosis , coughing , vomiting
Pinch the tube and disconnect the syringe
Spigot the nasogastric
Instruct patients to remain in the same position for 30 minutes
Ensure patient comfortable
Documents the date ,time, amount of feeding in intake and

output chart .

DATE
TIME
SHIFT
INFORMER

Prepared by ,
(STN SITI ZULAIKHA MAZLAN)

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