Date Performed: Final Grade:

Clinical Instructor:

ADMINISTERING NEBULIZER MEDICATIONS

Definition:

Objectives:

Principles:

Equipment:

STEPS GRADE REMARKS

1. Check doctor’s order.
Rationale:

2. Assemble the equipment needed and observe 12 rights of

medication.
Rationale:

3. Identify the patient carefully which may be done in three

ways:
a) Comparing the medication ticket to the patient’s
identification wristband and bed tag.
b) Asking the patient his/her name.
c) Verifying the client’s identification with a staff member
who knows the patient or the watcher.
Rationale:

4. Perform hand hygiene and don clean gloves if necessary.

Rationale:

5. Provide privacy.
Rationale:

6. Introduce yourself and explain the procedure to the patient.

Rationale:

7. Assess the client’s condition.

Rationale:
8. Replace the top of the medication cup and connect it to the
mouthpiece or face mask.
Rationale:

9. Connect the disposable tubing to both the nebulizer and the

medication cup.
Rationale:

10. Add prescribed medication by pouring the medicine into the

nebulizer cup or using the dropper or syringe and diluent to
administer the medication.
Rationale:

11. Place the client in sitting position.

Rationale:

12. Turn on the nebulizer, and the mist should be visible in the
mouthpiece or face mask.
Rationale:

13. Instruct client to exhale, take in a deep breath from the

mouthpiece, and hold his breath briefly and then exhale.
Instruct client to breathe slowly and deeply.
Rationale:

14. Instruct the client to remain the breathing pattern until the
medicine is completely nebulized. Usually, this may take up to
10 minutes.
Rationale:

15. Do the after care. Discard properly the used equipment.

Rationale:

16. Wash hands.

Rationale:

17. Document and evaluate the needed medication.

Rationale:

Ability to answer questions:

Definition
Objectives
Principles
Total Score:
Equivalent Grade:

Name and Signature of Clinical Instructor: ______________________________________