Respiratory Cloud Clinical Skills Library

Skills Assessment Report

Date:

Skill Assessment - Sputum Induction

Notes
  • Shared interskill preparation structure retained from the existing library; clinical and procedure-specific content is supported by peer-reviewed literature.
  • Shared interskill follow-up structure retained from the existing library; follow facility policy, scope of practice, provider orders, and device instructions for use.
Step Pass Unsatisfactory
Knowledge
States Contraindications and Relative Contraindications of procedure.
Preparation
Clinical Standards for Procedures and Interventions.
Confirms the clinical indication, informed-consent requirements, authorized protocol, trained personnel, emergency support, and specimen-handling instructions.
Performs a documented risk assessment for airflow obstruction, cardiopulmonary instability, hemoptysis, inability to protect the airway, recent relevant surgery, and other procedure-specific hazards.
Uses the designated aerosol-generating-procedure environment, ventilation controls, personal protective equipment, and room turnover process required for the suspected pathogen and facility policy.
Assessment
Obtains baseline symptoms, respiratory rate, heart rate, oxygen saturation, breath sounds, and FEV1 or peak expiratory flow when feasible and required by protocol.
Preparation
Administers bronchodilator pretreatment when indicated by the risk assessment or protocol and confirms recovery or stability before saline nebulization.
Prepares the protocol-specified sterile isotonic or hypertonic saline, approved nebulizer, sterile leak-proof specimen container, labels, rescue medications, oxygen, and monitoring equipment.
Implementation
Collects a spontaneous deep-cough specimen first when possible, then administers saline in the concentration, duration, and stepwise sequence specified by the validated protocol.
Coaches deep breathing and effective coughing and collects lower-airway sputum rather than saliva into the sterile container without contaminating the exterior.
Monitoring & Modifications
Monitors symptoms, oxygen saturation, respiratory rate, heart rate, breath sounds, and FEV1 or peak expiratory flow at protocol-defined intervals and after bronchodilator rescue.
Stops the procedure and provides appropriate treatment for clinically significant airflow decline, bronchospasm, respiratory distress, desaturation, chest pain, syncope, severe dizziness, or hemoptysis.
Post-Intervention
Seals, labels, and transports the specimen promptly according to laboratory and biohazard requirements and records whether the sample appears to be sputum rather than saliva.
Completes room-air clearance, equipment disposal or reprocessing, hand hygiene, post-procedure reassessment, and documentation of saline dose, duration, lung-function change, adverse effects, and specimen disposition.
Post-Intervention Management Steps.
References

Summary Performance Evaluation

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