Skilled nasal and sinus assessment and epistaxis control with firm timed pressure and positioning.
Cannula-skin surveillance and offloading or padding to prevent pressure injury, with coordination to Wounds if breakdown occurs.
Humidification and mucosal-moisture measures to prevent recurrent bleeding, especially on oxygen or anticoagulation.
Recognition and escalation of uncontrolled, posterior, or large-volume epistaxis and of sinusitis with cellulitis.
Skilled teaching of epistaxis control, cannula skin care, and humidification, to competence with return demonstration.
Coordination with the provider and, for oxygen management, Respiratory and the COPD overlay; apply the Anticoagulation and Hypertension overlays for bleeding risk.
