Nebuliser

UNCONTROLLED WHEN PRINTED

Indications

Contraindications

Patient Factors & Considerations

COVID-19 / Febrile Respiratory Illness

Nebulisation is an aerosol-generating procedure (AGP).
A Metered-dose Inhaler (MDI) + Spacer is very effective in most situations. Avoid nebulisers in all patients unless deemed clinically necessary. Agree treatment plan with your partner and wear full PPE if proceeding (PPE requirements)
Apply maximal distancing between patient and staff when nebuliser is running ensuring you can still adequately monitor the patient
Do not use nebulisers inside the ambulance unless absolutely necessary
- If used en-route, nebulisers must be ceased prior to arrival at ED (before ambulance doors are opened).
Nebulised adrenaline can continue to be used for severe croup as per the current CPG.

Procedure

All relevant infection control methods to be utilised.
Prepare equipment required:
- Nebuliser mask
- Nebuliser pot
- Oxygen
- Oxygen tubing
Select the appropriate mask (adult / paediatric).
Assemble complete mask.
Explain the procedure to the patient and instruct to breathe normally.
Decant medication into nebuliser chamber

Attach to oxygen supply 6 to 8 litres per minute and visualise fine mist formation.
Apply mask to face of patient.
Monitor patient response.
On termination of use:
- Remove mask from face of patient.
- Shut off oxygen supply.

Success

Discontinue

Additional Information

Additional information

References

Colour assist:

Directorate

Clinical Services

Responsible Manager

Head of Clinical Services

Published Date

Review Date