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WESLEYAN UNIVERSITYPHILIPPINES

College of Nursing and Allied Medical Sciences

PERFORMANCE EVALUATION TOOL

NCM 106 NURSING SKILLS

Heimlich Maneuver

PROCEDURE 1 2 3 4 5 REMARK

1. ESTABLISH scene safety. Activate medicalassistance. Call for help

Conscious Adult and Child

2. Assess client for signs of choking, ask if thepatient is choking to confirm or if patient tries to

expel obstruction by means of coughing

forcefully.

*If patient is able to cough forcefully, do not

interfere but remain with the patient while

continuously observing the patients status.

3. Stand behind the patient. Make a fist and place it1 fingerbreadth above the navel. Give 5

abdominal thrust by supporting the balled fist

with the other hand while providing upward

inward thrust.

4. Reassess patients status. Check if the obstructionwas expelled. If still choking, repeat step 3 untilpatient is relieved from choking.

Unconscious Adult and Child

5. Assess clients consciousness. If unresponsive,open airway by head tilt, chin lift maneuver.

6. Remove obstruction if visible by finger sweeping.If not seen, do not attempt.

7. Assess for pulse and breathing for seven seconds(1, 1002, 10031007)

*If with pulse but breathless, give 2 rescue

breaths by pinching the nose, ensuring adequatechest rise. If air bounces back for the first RB,

retilt and reposition the head for the second RB. if

still air bounces back proceed with chest

compression.

8. Perform 30 chest compressions (1, 2, 3, 4, 530)9. Check for the obstruction. If seen, do finger

sweep, otherwise, do not attempt to do so.

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