RESPIRATORY ASSESSMENT

Name: CODERA, SHARINA MARIE E. Grade: _______________________

Year and Section: BSN 1E Date: 04/03/2022

DEFINITION:

It is the measurement of the breathing pattern of a person.

PURPOSE:

Provides valuable information regarding the rate, depth and rhythm of ventilator movement.

EQUIPMENT NEEDED:

Watch with second hand

Stethoscope, if needed Legend: 1. Excellent

2. Very Satisfactory

3. Satisfactory

4. Needs Improvement

5. Poor
STEPS RATIONALE 1 2 3 4 5

PREPARATION

1. Wash hands. To remove dirt and to avoid

transmission of
microorganisms.

2. Prepare equipment. To save time and to have

more convenient access to
the
equipment.

COUNTING RESPIRATIONS

3. Wash hands. To avoid transmission of

microorganisms.

4. Be sure chest movement To have a clear view of the

is visible. Client may client’s chest wall and its
need to movements. Move the bed
remove heavy clothing. linen if necessary.
5. Observe one complete
respiratory cycle. If it is
easier, place the client’s
hand across her abdomen
and your hand over the
client’s wrist.
6. Start counting with first
inspiration while looking
at the second hand of
the
watch.
7. Observe character of
respirations like depth of
respirations by degree of
chest wall movement and
rhythm or cycle.
8. Replace client’s gown if
needed.
POST-PROCEDURE ACTIVITY
9. After care.
10. Wash hands.
11. Record by rate and
character of respirations.
ATTITUDE OF THE STUDENT
12. Accepts constructive
criticisms and suggestion.
It would be comfortable for the
patient and have an easier
reading of pulse.
Sufficient time is needed to asses
client’s respiration especially for
an irregular rate.
Kids normally have irregular
and more rapid rate. A more
careful assessment is required
for adults with irregular rate
which include the rhythm and
depth of
respiration.
To prevent further infection
and maintain cleanliness and
order.
Gather equipment and keep it
safe for the next use.
To avoid transmission of
microorganisms.
To provide information about
patient characteristics and
care outcomes; to promote
patient safety.
To improve and practice
the procedure.
 13. Assumes accountability. To provide continuity of care and
witness progress in patient’s
quality .

Source:
Daniel, Ricks. Nursing
Fundamentals: Caring and
Clinical Decision Making.
Thomson Asian Edition. United
states: Delmar, 2004, p 579

Scoring:

1 X ________ = ________

2 X ________ = ________
3 X ________ = ________

4 X ________ = ________

5 X ________ = ________

Total divided by no. of items = ________

Comments:___________________________________________________________________________
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________________________________ ____________________________________ Student’s

Signature over Printed Name Clinical Instructor’s Signature and Date over Printed Name