Skill 09[1]..nasopharyngeal Swab
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SKILL 9
Nasopharyngeal Swab
EQUIPMENT Gloves, nonsterile Penlight Nasopharyngeal applicator (swab or flexible wire) in sterile culture tube Bulb syringe (for infant) GENERAL GUIDELINES FOR SPECIMEN COLLECTION 1. Check physician’s order. Ensures appropriate specimen obtained from the correct child. 2. Check child for allergies to any materials used, e.g., povidone-iodine. 3. Prepare child and family. Enhances cooperation/participation; reduces anxiety/fear. NOTE: Have an assistant hold/comfort the child as necessary and in accordance with agency policy. 4. Gather equipment. Promotes organization and efficiency. 5. Wash hands. Don gloves. Reduces transmission of microorganisms. PROCEDURE 1. Steps 1–5 of General Guidelines. 2. Put on nonsterile gloves. Protects the nurse from contact with respiratory secretions. 3. Position child for easy access to nose. 4. Prepare applicator for use by loosening the top of the container. Avoids contamination of applicator. 5. Have child blow nose. Use bulb syringe for an infant. Clears nasal passage of mucus containing resident bacteria. 6. Ask child to tilt head back. Promotes visualization.
FIGURE 11 Obtaining a nasopharyngeal specimen.
10. Rotate applicator quickly and remove without touching adjacent structures. Minimizes child’s discomfort. Prevents contamination with normal nasal flora resulting in erroneous culture results. 11. Place applicator in culture tube. Crush ampule at the bottom. Place applicator tip in culture medium to preserve bacteria. 12. Secure top to culture tube. Label specimen and place in appropriate bag or container along with laboratory requisition slips. 13. Dispose of any used materials in appropriate container. Is consistent with body fluid precautions.
7. Check nostrils for patency using the penlight or ask child to occlude one nostril and then the other and exhale. Determines which nasal passage optimal for obtaining specimen.
14. Remove gloves. Wash hands. Reduces transmission of microorganisms.
8. Bend nasopharyngeal applicator into a curve and remove from package. Facilitates insertion of applicator from nares into pharyngeal area.
DOCUMENTATION
9. Insert applicator into nostril gently until it reaches inflamed area. Ensures collection of appropriate exudate. (Figure 11)
15. Send specimen to lab.
1. Time, source/site, specimen sent to lab (specify for what test). 2. Record results of any test performed on the unit.
Copyright © 2007 by Thomson Delmar Learning, a division of Thomson Learning, Inc. All rights reserved.
SKILL 9
Nasopharyngeal Swab
EQUIPMENT Gloves, nonsterile Penlight Nasopharyngeal applicator (swab or flexible wire) in sterile culture tube Bulb syringe (for infant) GENERAL GUIDELINES FOR SPECIMEN COLLECTION 1. Check physician’s order. Ensures appropriate specimen obtained from the correct child. 2. Check child for allergies to any materials used, e.g., povidone-iodine. 3. Prepare child and family. Enhances cooperation/participation; reduces anxiety/fear. NOTE: Have an assistant hold/comfort the child as necessary and in accordance with agency policy. 4. Gather equipment. Promotes organization and efficiency. 5. Wash hands. Don gloves. Reduces transmission of microorganisms. PROCEDURE 1. Steps 1–5 of General Guidelines. 2. Put on nonsterile gloves. Protects the nurse from contact with respiratory secretions. 3. Position child for easy access to nose. 4. Prepare applicator for use by loosening the top of the container. Avoids contamination of applicator. 5. Have child blow nose. Use bulb syringe for an infant. Clears nasal passage of mucus containing resident bacteria. 6. Ask child to tilt head back. Promotes visualization.
FIGURE 11 Obtaining a nasopharyngeal specimen.
10. Rotate applicator quickly and remove without touching adjacent structures. Minimizes child’s discomfort. Prevents contamination with normal nasal flora resulting in erroneous culture results. 11. Place applicator in culture tube. Crush ampule at the bottom. Place applicator tip in culture medium to preserve bacteria. 12. Secure top to culture tube. Label specimen and place in appropriate bag or container along with laboratory requisition slips. 13. Dispose of any used materials in appropriate container. Is consistent with body fluid precautions.
7. Check nostrils for patency using the penlight or ask child to occlude one nostril and then the other and exhale. Determines which nasal passage optimal for obtaining specimen.
14. Remove gloves. Wash hands. Reduces transmission of microorganisms.
8. Bend nasopharyngeal applicator into a curve and remove from package. Facilitates insertion of applicator from nares into pharyngeal area.
DOCUMENTATION
9. Insert applicator into nostril gently until it reaches inflamed area. Ensures collection of appropriate exudate. (Figure 11)
15. Send specimen to lab.
1. Time, source/site, specimen sent to lab (specify for what test). 2. Record results of any test performed on the unit.
Copyright © 2007 by Thomson Delmar Learning, a division of Thomson Learning, Inc. All rights reserved.
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