Analgesic Gases and Oxygen Provider Level 2 (VTQ)

62 videos, 2 hours and 49 minutes

Course Content

Entonox kit assembly

Video 57 of 62
2 min 35 sec
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Now we are going to assemble the Entonox kit itself. Notice it comes as a self-contained kit in a bag, the bag will always be blue. When we open up the bag, inside, we should have everything we require to actually use the gas on a patient who needs it. There is, first of all, the regulator. Secondly, there is the mouthpiece, which clips on to the regulator. And finally, there is the set of the bottle itself with the Schrader valve. The Schrader valve and the pipe Schrader valve are pushed together and twisted until you get a click. When you get the click, it is locked in place. The Entonox set then is given to the patient, once it is turned on. And as the patient sucks on the tube, the Entonox will be dispatched.

So, once the Entonox is finished with, we disassemble it, clean it and put it away. The mouthpiece is pulled off the regulator, one use only and that one is disposed of. The next thing we do is we turn the bottle off, so the bottle is disabled and turned off. Finally, the actual valve, or the flush valve, is depressed to allow the pressure to go from the pipe and the regulator itself, before we turn the little white key to allow the pipe to come away. If we don't do it that way and the pipe is still pressurised, when you turn the key, the Schrader valve flies out under high speed and can actually injure the patient or yourself, so it must be de-pressurised before disassembly. This is then cleaned, wiped down with sterile wipes, the cylinder is checked with the regulator for the amount left in the cylinder itself, and then stowed back in its bag with the pipe and re-assembled for the next patient.

And finally, when Entonox or Nitronox has been used on a patient, whether it was effective or ineffective, no matter how long it was used for, it must be documented. You've administered a drug and that needs to be documented on your patient report form and verbally handed over to the crew that take the patient away from you.