Always address the patient by name and tell him what you are going to
(3) Refrain from any conversation about the patient's condition while in the
d. Regularly observe and record the patient's vital signs and level of
Always take a rectal temperature.
Report changes in vital signs to the professional nurse.
Note changes in response to stimuli.
(4) Note the return of protective reflexes such as blinking the eyelids or
e. Keep the patient's room at a comfortable temperature. Check the patient's
skin temperature by feeling the extremities for warmth or coolness. Adjust the room
temperature if the patient's skin is too warm or too cool.
2-23. AIRWAY AND BREATHING
a. Maintain a patent airway by proper positioning of the patient. Whenever
possible, position the patient on his side with the chin extended. This prevents the
tongue from obstructing the airway.
This lateral recumbent position is often referred to as the "coma
It is the safest position for a patient who is left unattended.
b. Suction the mouth, pharynx, and trachea as often as necessary to prevent
aspiration of secretions.
c. Reposition the patient from side-to-side to prevent pooling of mucous and
secretions in the lungs.
d. Administer oxygen as ordered.
e. Always have suction available to prevent aspiration of vomitus.