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CPT Checklist

The document outlines the steps and procedures for performing chest physiotherapy on students. It includes 26 tasks to be trained on and reviewed, covering things like identifying the procedure, positioning the student, percussion techniques, and documentation. Signatures are required to confirm training.

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0% found this document useful (0 votes)
364 views1 page

CPT Checklist

The document outlines the steps and procedures for performing chest physiotherapy on students. It includes 26 tasks to be trained on and reviewed, covering things like identifying the procedure, positioning the student, percussion techniques, and documentation. Signatures are required to confirm training.

Uploaded by

philippeprean
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Plano Independent School District

Benefits and Risk Management


School Health Service

Chest Physiotherapy Training Checklist

Employee Name Campus


Instructor Date of Training Review Date

In order to perform chest physiotherapy on a student, employees must complete training and demonstrate the
ability to perform the following tasks:

TRAINED REVIEWED
Review doctors orders, IHP, PISD guidelines, and parent
1
consent.
2 Identify where procedure is done.
3 Identify and explain procedure to student.
4 Assemble equipment.
5 RN to perform a baseline respiratory assessment.
6 Place vest airway clearance system on student,if prescribed.
7 Place student in one of the 11 positions.
8 Percuss over selected area for 1-2 minutes.
9 If ordered, use vibration over specific area.
Instruct student to cough into tissue following percussion of
10
each location.
11 See guidelines for students over 40 lbs
12 a) Position 1 Upper Lobe Apical Segments
13 b) Position 2 Upper Lobes Posterior Segments
14 c) Position 3 Upper Lobes Anterior Segments
15 d) Position 4 - Lingula
16 e) Position 5 Middle Lobe
17 f) Position 6 Lower Lobes Anterior Basal Segments
18 g) Position 7 Lower Lobes Posterior Basal Segments
19 h) Position 8 & 9 Lower Lobes Lateral Basal Segments
20 i) Position 10 Lower Lobes Superior Segments
21 See guidelines for students under 40 lbs
22 j) Sitting position
23 Wash hands.
24 Put on gloves.
25 Bag contents of wastebasket and discard.
26 Document CPT.

I have received instructions on the procedures to be followed for chest physiotherapy at school following Plano ISD
guidelines and understand my responsibilities.

Employee Signature Date


Instructor Signature Date

Plano Independent School District 2013

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