Annual check-list | ||||||
---|---|---|---|---|---|---|
Patient’s name | YEAR | |||||
ITEMS | Date | yes/no | Date | yes/no | date | yes/no |
Have the objectives of aerosol therapy been clarified? | ||||||
Has the action of the individual drugs been explained? | ||||||
Does the person agree on the prescribed therapy? | ||||||
Have the drugs in the prescription been checked? | ||||||
Have the type of dilutions been checked? | ||||||
Has the patient’s nebulizer equipment been checked? | ||||||
It has been asked if they are used? | ||||||
Have they been checked by the physiotherapist? | ||||||
Were verbal instructions given? | ||||||
Has the patient been given the opportunity to directly show how to manage and use the devices? | ||||||
Written instructions: have they been delivered? | ||||||
Written instructions: have they been understood? | ||||||
Has the patient been given time and means to reformulate the educational and technical aspects, express doubts, ask for clarification? | ||||||
Was the opinion on the feeling of effectiveness of the drug asked? | ||||||
Has the duration of aerosol therapy with individual drugs been asked? | ||||||
Is the aerosol completely taken? | ||||||
Has the logic of the drug intake sequence in relation to physiotherapy been clarified? | ||||||
Has the last replacement of the hose, filters, head, nebulizer, engineering review, etc. been checked? | ||||||
Is the difference between cleaning and disinfection clear? | ||||||
Has it been investigated how cleaning and disinfection are done? | ||||||
And the frequency of cleaning and disinfection? | ||||||
Operator signature |