DOT Procedure: Inhaled Medication via Diskus - PDF

Client Name: DOB: PHN: CC#: Belkt lteal!h. fraserhealt...

Client Name: DOB: PHN: CC#: Belkt lteal!h. fraserhealth Best in heallh earn, DOT PROCEDURE Inhaled Medication via Diskus Home Health/Home Support Office: DATE: _ GOAL: To assist with safe and consistent inhaled medication administration. SUPPLIES: SCHEDULE: Diskus medicated inhaler See client specific instructions. Glass of water REPORTABLE CONCERNS: STORAGE SPACE: 1) Inability to complete task. □ Cupboard - Location: 2) Change in client condition. □ Med-lock box (if required) 3) Client &/or family member(s) requesting change □ Other: in the DOT procedure. 4) Increased shortness of breath. 5) Diskus is damaged in any way. 6) Diskus has been wet (must be kept dry at all times.).· < PROCEDURE RATIONALE.·.· 1) Wash hands. 1) To maintain cleanliness as per standard precautions. 2) Gather supplies and assemble on a clean, dry 2) To complete task in an organized manner. surface. 3) Check #1 Identify the Rights of Medication 3) To ensure the correct medication is given as Assistance. ordered. 4) If dose counter reads 'O', start a new Diskus. 4) To ensure medication is used within a safe Remove the new Diskus from the box and remove time period. the foil over-wrap pouch. Write the "pouch opened" and "use by" dates in the space provided on the label on the Diskus. The "use by" date is one month from date of opening.  Client Name: DOB: PHN: CC#: 5) If new Diskus is started, repeat step 3. 5) To ensure medication is correct. To ensure medication is available. 6) Open the Diskus by holding it in one hand and 6) To access the mouthpiece and medication putting the thumb of your other hand on the inside the Diskus. thumb grip. Push your thumb away from you as far as it will go until the mouthpiece appears and snaps into position. 7) Check #2 -Identify the Rights of Medication To ensure the correct medication is given as Assistance ordered.. 8) Tell client: "Just before you inhale the medication, 8) To help the client understand how to use the you should breathe out as far as is comfortable. I will Diskus properly. then place the mouthpiece of the Diskus to your lips and ask you to breathe in quickly and deeply through the Diskus, not through your nose. I will then remove the Diskus from your mouth. Try to hold the medication in by holding your breath for 10 seconds, or as long as is comfortable, then breathe out slowly. Do not breathe out through the Diskus." 9) Check #3 Identify the Rights of Medication 9) To ensure the correct medication is given as Assistance ordered. 10) Check dose counter for number of doses remaining and document this number. 10) To ensure there is medication available. 11) NOTE: Once the Diskus is loaded, it must be kept in a flat, level, horizontal position, and must not be shaken. Load the Diskus by holding it in a flat, 11) To prepare a dose of medication for inhaling. level, horizontal position with the dose counter facing up. Slide the lever away from the mouthpiece towards the dose counter as far as it will go. You will hear a click. The Diskus is now loaded. 12) Look at the dose counter to make sure that it reads one number less than prior to loading. If the dose number has not gone down by one, note 12) To ensure a dose of medication is loaded. the number on the dose counter and repeat steps 11 and 12. 13) Ask the client to breathe out as far as possible. 13) To prepare client to receive medication. 14) Put the mouthpiece of the Diskus to the client's 14) To prepare the client to receive medication. lips. 15) Ask the client to breathe in quickly and deeply 15) To ensure the client receives the full dose of through the Diskus, not through the nose. As medication. To keep the Diskus dry. soon as the client finishes breathing in, remove the Diskus from the client's lips. Remind the client to hold his/her breath for 10 seconds, or as long as is comfortable, then to breathe out slowly. 16) Close the Diskus by putting your thumb on the 16) To reset the Diskus and make ready for the thumb grip and sliding it towards the mouthpiece next dose. as far as it will go, until the Diskus clicks shut. 17) Instruct the client to rinse his/her mouth with 17) To prevent mouth sores. water and spit water out. 18) Return the Diskus to the storage space. 18) To ensure safe storage of medication. 19) Sign MAR/flow sheet. Report and record any 19) To maintain accurate records. reportable concerns. CLIENT SPECIFIC INSTRUCTIONS: Administer medication in order listed below: 1) Name of Diskus: Number of puffs: □ breakfast □ lunch □ supper □ bedtime 2) Name of Discus: Number of puffs: □ breakfast □ lunch □ supper □ bedtime NAME OF NURSE: (please print) SIGNATURE OF NURSE: _