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Skill Sheet
Needle Decompression of Tension Pneumothorax
Objective: DEMONSTRATE the appropriate procedure for needle decompression of a
tension pneumothorax.
References:
PH TLS (Military Version)
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How to fill out 010404 needle decompression skill

How to fill out 010404 needle decompression skill:
01
Locate the proper spot: Identify the appropriate location for needle decompression, which is usually in the second intercostal space, mid-clavicular line. This can be identified by feeling for the second rib and the clavicle.
02
Prepare the site: Cleanse the area with an antiseptic agent, such as an alcohol swab, to reduce the risk of infection. Allow the area to dry before proceeding.
03
Assemble the equipment: Gather all necessary supplies, including a sterile decompression needle, a catheter, a syringe, and a sterile gauze pad.
04
Perform hand hygiene: Cleanse your hands thoroughly using soap and water or an alcohol-based hand sanitizer to maintain proper infection control protocols.
05
Position the patient: Ensure the patient is in a comfortable and accessible position. It is often ideal to have the patient sitting or lying down with their arm raised, exposing the targeted area.
06
Administer local anesthesia: If necessary and within your scope of practice, you may consider administering local anesthesia to minimize discomfort for the patient. Always adhere to proper dosage guidelines and protocols when utilizing anesthesia.
07
Insert the needle: Holding the needle at a 90-degree angle, swiftly pierce the skin and advance through the intercostal muscles until you reach the pleural space. This is typically achieved by inserting the needle along the mid-clavicular line, aiming towards the patient's feet.
08
Confirm placement: Once the needle has been inserted, pull back on the syringe plunger to check for the presence of air or fluid in the syringe. This confirms successful placement within the pleural space.
09
Secure the needle: If the needle is correctly placed, stabilize it by using a catheter or needle thoracostomy kit. This will help prevent accidental dislodgement and maintain proper drainage.
Who needs 010404 needle decompression skill?
01
Healthcare professionals: Medical personnel such as doctors, nurses, and paramedics require the 010404 needle decompression skill as they often deal with patients who may need emergency needle decompression in cases of tension pneumothorax or other related conditions.
02
Emergency response teams: First responders, including firefighters and emergency medical technicians (EMTs), should possess the 010404 needle decompression skill to effectively treat patients who experience traumatic injuries or respiratory distress.
03
Combat medics: Military medical personnel, especially combat medics, must be trained in 010404 needle decompression to provide life-saving interventions on the battlefield.
In summary, knowing how to correctly fill out the 010404 needle decompression skill involves understanding the steps to perform the procedure and having the necessary equipment. This skill is essential for healthcare professionals, emergency response teams, and combat medics who may encounter patients requiring emergency needle decompression.
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What is 010404 needle decompression skill?
010404 needle decompression skill is a medical procedure used to relieve tension pneumothorax by inserting a needle into the pleural cavity to allow trapped air to escape.
Who is required to file 010404 needle decompression skill?
Medical professionals such as doctors, nurses, and paramedics who have been trained in the procedure are required to perform and file 010404 needle decompression skill.
How to fill out 010404 needle decompression skill?
To fill out 010404 needle decompression skill, the medical professional must document the date and time of the procedure, the patient's information, the reason for performing the procedure, and any complications or outcomes.
What is the purpose of 010404 needle decompression skill?
The purpose of 010404 needle decompression skill is to quickly and effectively relieve tension pneumothorax, a life-threatening condition where air gets trapped in the pleural cavity, causing the lung to collapse.
What information must be reported on 010404 needle decompression skill?
Information that must be reported on 010404 needle decompression skill includes the date and time of the procedure, patient's vital signs, the size of the needle used, the location of insertion, and any follow-up care provided.
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