The Respiratory System Module 11 & 12

Yes the Respiratory System gets two modules. This is a big topic and I am amazed that it can be done in just two modules.


First the Respiratory system and general principles discuses the mechanics of the respiratory system and the equipment we use in nursing. There is an amazing array of equipment from nasal cannulas, masks, intubation tubes, tracheotomy tubes, and chest tube with water seal drainage. The basic principles that I learned and used several years ago while working with critically ill patients still applies. The equipment may look a little different. The newer models are improved and are less time consuming to set up.

I like the new patient care process for helping the patient clear secretions with the use of suctioning. Of course, I am thinking about the patient on mechanical ventilators. The patient is hyperventilated for 1 minute or uses 100% oxygen for a minute. The suction catheter is attached to the side of the endotracheal tube or tracheotomy tube. The suction catheter is enclosed in a sterile plastic sleeve. The catheter is fed through the plastic sleeve and withdrawn without the catheter ever being exposed outside the sterile environment. I actually used this device before I left nursing. It is nice because a closed system is maintained and the patient is not removed from the ventilator for the suctioning procedure. This procedure is less invasive and less traumatic for the patient.

The AHEC offered a hands-on class on respiratory equipment and patient care before we started our practicum. The class cost extra but was well worth the extra expense. Students played with the equipment and received instruction in a safe environment. We asked questions and practiced on life like dummies that came complete with a respiratory system. If you are a returning nurse and you have the opportunity to take more classes I would definitely recommend the class on respiratory care delivery and equipment.

Module 12 will be discussed in the next blog.

Module 10 - Infection Control

Yes you guessed it the next module is on protecting the Nurse and the patient. Hospital–Acquired infections are a big threat to both staff and patients. The proper use of gloves, hand washing, and protecting patients as well as self is very important. Hospitals now have hand sanitizers mounted on the wall at several locations including every patient room and patient care areas. I noticed during my practicum that bar soap is no longer provided in patient care equipment. Patients are encouraged to use shower gel for cleansing.


Dressing change techniques are specified in the Working Practice and Nursing Procedures. IV lines and CPV lines care is also specified and must be adhered to rigorously. Infection Control is now a department and any infection must be reported as soon as suspected. The Infection Control committee will determine how much barrier protection will be implemented (gown, gloves, mask, and environmental air control). Signs are posted with the correct precautions specified. The amount of protection or shielding is determined by Infection Control Protocol.

Controlling infections in the hospital is a priority these days. Evidence Based Practice is implemented in all nursing units. Instructions on hand washing are posted everywhere. This section also discusses the correct procedure for donning protective attire. Preventing antibiotic resistant infection is a concern for all levels of patient care.

It makes you feel good to know that if you were a patient your safety and protection is given such a high priority by all members of the staff.