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National Registry of Emergency Medical Technicians Paramedic Psychomotor Competency Portfolio Manual PLEURAL DECOMPRESSION NEEDLE THORACOSTOMY SKILLS LAB Student Name Date Instructor Evaluator Student Evaluator Signature SCORING N/A Not applicable for this patient Unsuccessful required critical or excessive prompting inconsistent not yet competent Not yet competent marginal or inconsistent this includes partial attempts Successful competent no prompting necessary Actual Time Started Manages...

How to fill out pleural decompression needle thoracostomy

How to fill out pleural decompression needle thoracostomy:

1. Gather the necessary equipment, including a pleural decompression needle, sterile gloves, antiseptic solution, sterile drapes, and local anesthetic.
2. Ensure the patient is in a suitable position, either sitting up or lying on their side with the affected side elevated.
3. Cleanse the puncture site with the antiseptic solution and drape the area with sterile drapes.
4. Put on sterile gloves and apply local anesthesia around the puncture site to minimize pain.
5. Hold the pleural decompression needle with a firm grip and insert it into the chest wall just above the rib in the midclavicular line on the affected side. Advance the needle at a 45-degree angle towards the thoracic cavity.
6. Once the needle reaches the pleural space, you may feel a sudden release of air or fluid, indicating successful entry.
7. Connect the needle to a closed drainage system or attach a One-Way Flow Valve to allow air or fluid to escape from the pleural cavity.
8. Monitor the patient's vital signs and the drainage system for any abnormalities or complications.
9. Follow proper infection control measures and dispose of any contaminated materials appropriately.

Who needs pleural decompression needle thoracostomy:

1. Individuals with tension pneumothorax, a life-threatening condition where air accumulates in the pleural space and compresses the lungs, leading to respiratory distress.
2. Patients with hemothorax, a condition characterized by the accumulation of blood in the pleural cavity, often resulting from trauma or injury.
3. Those with pleural effusion, an abnormal accumulation of fluid in the pleural space due to various causes such as infection, cancer, or congestive heart failure.

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What is pleural decompression needle thoracostomy?

Pleural decompression needle thoracostomy is a medical procedure used to relieve pressure in the pleural space, which can accumulate due to conditions such as tension pneumothorax. It involves inserting a needle through the chest wall to remove excess air or fluid.

Who is required to file pleural decompression needle thoracostomy?

Healthcare professionals, particularly those in emergency medicine and trauma care, such as physicians and paramedics, are typically required to perform or document pleural decompression needle thoracostomy when treating patients with respiratory distress caused by pleural pressure.

How to fill out pleural decompression needle thoracostomy?

To fill out documentation for pleural decompression needle thoracostomy, include the patient's identification, the date and time of the procedure, the indication for the procedure, the technique used, the amount and nature of fluid or air removed, and any complications encountered during the procedure.

What is the purpose of pleural decompression needle thoracostomy?

The purpose of pleural decompression needle thoracostomy is to relieve life-threatening pressure in the pleural space, allowing for improved lung expansion, oxygenation, and ventilation in patients experiencing tension pneumothorax or other similar conditions.

What information must be reported on pleural decompression needle thoracostomy?

Information that must be reported includes the patient's name and identification, the procedure performed, the date and time, the clinical indications for the procedure, the technique used, findings during the procedure, any complications, and the patient's response to the intervention.