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ADMISSION TO PACU |
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Initial Assessment |
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Proper Positioning |
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Vital Signs |
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Neurological Deficits/Neurological |
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Airway Management |
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Skil Color, Temperature, Turgor |
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AGE SPECIFIC COMPETENCE |
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Neonates/Newborns (Birth-30 Days) |
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Infants (30 Days - 1 Year) |
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Toddler (1- 3 Years) |
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Preschooler (3-5 Years) |
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School Age Children (5-12 Years) |
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Adolescents (12-18 Years) |
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ANESTHESIA EQUIPMENT |
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Dinamap |
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Omeda |
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Defibrillator |
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SA02 Monitor |
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Nitrogen Controls: Tanks |
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Nitrogen Controls: Wall Units |
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Blood Warmer |
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BP Monitor |
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Thermia Blankets |
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CARDIOVASCULAR |
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Placement and care of a patient on a cardiac monitor |
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Arrhythmia Analysis |
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Assist with the Insertion of a Temporary Pacemaker |
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Use of Non-Invasive Temporary Pacing Equipment |
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Identify Usual Dosage, Actions and Side Effects for: Vasopressors |
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Identify Usual Dosage, Actions and Side Effects for: Muscle Relaxants |
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Cardioversion and Defibrillation |
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Care of Patient with a Permanent or Temporary Pacemaker |
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Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Pulmonary Artery Catheters |
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Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Arterial Catheters |
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Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Swan-Ganz Catheters |
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Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Central Venous Catheters |
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Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Subclavian Lines |
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Care of the Patient with Intravascular Hemodynamic Monitoring Equipment: Epidural Catheters |
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Hemodynamic Monitoring: Equipment Maintenance |
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Hemodynamic Monitoring: Dressing Changes |
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Hemodynamic Monitoring: Prevention of Complications |
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Hemodynamic Monitoring: Leveling Waveform Analysis |
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Obtain and Interpret: Cardiac Output |
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Obtain and Interpret: PA Pressure |
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Obtain and Interpret: PCWP/PAWP |
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Obtain and Interpret: CVP |
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Obtain and Interpret: LAP |
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Identify Usual Dosage, Actions and Side Effects for: Antiarrhythmics |
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Identify Usual Dosage, Actions and Side Effects for: Ionotropes |
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Identify Usual Dosage, Actions and Side Effects for: Vasodilations |
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Identify Usual Dosage, Actions and Side Effects for: Reversal Agents |
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Identify Usual Dosage, Actions and Side Effects for: Betablockers |
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Identify Usual Dosage, Actions and Side Effects for: Calcium Channel Blockers |
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Identify Usual Dosage, Actions and Side Effects for: Inhalation Agents |
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Calculate Infusion Rates in Dosages Ordered |
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Cardiac Care: Advanced |
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Cardiac Care: Basic |
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CARE OF PATIENT WITH: CHEST TUBE |
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Set Up Closed Drainage System |
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Recognize Air Leak |
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Assess for Subcutaneous Emphysema |
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Measure Drainage |
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Troubleshoot Problems |
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CARE OF PATIENT WITH: TUBES/DRAINS |
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Penrose Drain: Salem |
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Davol: Colostomy |
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Davol: Jejunostomy |
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Foley Catheter: Cystotomy |
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Ileostomy: Jackson-Pratt |
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T-Tube |
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Foley Catheter: Urethral |
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Foley Catheter: Suprapubic |
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NG Tube |
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Penrose Drain: Sump |
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CHARTING |
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Discharge Criteria |
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Computer |
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DARE |
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APIE |
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SOAPIE |
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FOCUS |
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Discharge Planning |
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Utilization Review |
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Chart Review/Audit |
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EXPERIENCE |
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Admission to PACU |
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Pulmonary/Abnormal Breathing |
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O2 Administration |
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Care of Patient with Chest Tube |
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Cardiovascular |
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Operate and Monitor Unit Equipment |
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Anesthesia Equipment |
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Immunocompromised Care |
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Physical Assessment of Body Systems |
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Perform Suctioning |
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Post-Operative/Surgery Patient Care |
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Care of Patient with Tubes/Drains |
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Liver Disease |
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Liver and/or Intestinal Transplant Recipient |
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Thermoregulation/Hypothermia |
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Malignant Hyperthermia Crisis |
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PIV Management |
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Safe Patient Handling |
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Blood Sampling from CVC |
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Maintaining Catheter Patency |
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Venous Port Management |
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Nurse to Nurse Handoff |
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CVC Dressing Change |
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Nimbus Pump |
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PCA Pump |
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Alaris Pump |
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Blood/Blood Products Administration and Exchange |
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Anesthesia: Agents and Adjuncts |
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Anesthesia: Pre-Operative/Pre-Procedural |
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IMPLEMENT APPROPRIATE NURSING INTERVENTION FOR ABNORMAL BREATH SOUNDS |
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Airway Insertion/Management |
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Respiratory Distress Utilizing Mechanical Support |
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Reposition Patient |
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Pulmonary Toilet |
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Bronchodiliations, Diuretics |
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Suction, O2 |
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MONITOR RECOVERY PATIENT FROM.. |
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Regional Anesthesia |
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Local Anesthesia |
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General Anesthesia |
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O2 ADMINISTRATION |
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Face-Trach Mask |
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Nasal Cannula |
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T-Piece |
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ETT Mechanical Ventilator |
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OPERATE AND MONITOR UNIT EQUIPMENT |
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Pee-Wee Weighing Scale |
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Hyper/Hypothermia Blanket |
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Blood Warmer |
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PACU Stretcher |
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IV Pumps |
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Invasive Pressure Monitors |
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Collaborate with surgeon, anesthesiologist with regard to patient care |
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Document interventions, outcomes, lab studies, MD notifications and follow-up care |
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Perform Discharge Physical Assessment: Level of Consciousness |
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Perform Discharge Physical Assessment: Pupillary Reactions |
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Perform Discharge Physical Assessment: Motor and Sensory Function |
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Perform Discharge Physical Assessment: Muscular Strength; Hand Grasps, Head Lift |
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Portable Suction Machine |
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Transport Monitor |
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Automatic BP Monitor |
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Blanket Warmer/Bair Hugger |
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Sequential Compression Device |
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Pulse Oximeter |
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Utilizes appropriate infection control measures |
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Practice Universal Precautions |
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Implements Physican Orders |
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PERFORM SUCTIONING |
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Oral |
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Nasal |
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Endotracheal |
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Tracheal |
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PHYSICAL ASSESSMENT OF BODY SYSTEMS |
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Intergumentary |
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Cardiovascular |
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Neurologic |
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Gastrointestinal |
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Genitourinary |
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Respiratory |
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POST OPERATIVE CARE FOR THE FOLLOWING PATIENT POPULATIONS: |
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Genitourinary Surgery: Hypospadias |
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Post-Angiogram |
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Liver Biopsy |
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Cardiac Surgery |
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Genitourinary Surgery |
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Breast Surgery |
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Thoracic Surgery |
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Vascular Surgery |
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Orthopedic Surgery |
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Neurosurgery |
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Tonsillectomy/P.E. Tubes |
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Gynecological Surgery |
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Eye Surgery |
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Major Abdominal Surgery |
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ENT Surgery |
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Genitourinary Surgery: Circumcision |
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PULMONARY |
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Auscultate Breath Sounds |
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Recognize Abnormal Breath Sounds; Rales, Rhonchi |
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RECOGNIZE ABNORMAL BREATHING |
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Assess Respiratory Rate, Rhythm, Depth and Symmetry |
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Labored, Dyspneic |
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Obstructed |
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Laryngospasm |
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Insufficient Reversal |
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Respiratory Compromise |
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