140 / 222
140
EMR
EMT
AEMT
Paramedic
Extended
Nebulizer
Scope of Practice Notes:
AEMTs have standing orders to administer nebulized bronchodilators.
EMTs must obtain a verbal order from online medical direction or the direct supervision of a Paramedic on scene.
Steps
Performed?
Yes No
1.
Gather the necessary equipment
Mask or Pipe Nebulizer setup
Oxygen tubing
DuoNeb Bullet
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2.
Assemble the nebulizer kit.
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3.
Instill the contents of the bullet into the reservoir of the nebulizer.
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4.
Connect the nebulizer device to oxygen at 6-8 liters per minute.
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5.
Instruct the patient to breathe calmly, deeply, and evenly throughout the treatment. If
using a pipe nebulizer, ensure the patient has a good lip seal around the mouthpiece and
observe the mist at the end of the reservoir to make sure it disappears with inspiration.
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6.
The treatment should last until the solution is depleted. Tapping the reservoir well near
the end of the treatment will assist in utilizing all of the solution.
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7.
Monitor the patient for medication effects. This should include the assessment of the
patient’s response to the treatment and reassessment of vital signs, ECG, and breath
sounds.
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8.
Document the treatment, dose, and route on/with the patient care report.
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Nebulizer