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16 Cards in this Set
- Front
- Back
Hand Hygiene
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1. address client by name and introduce self
2. wash hands 3. dry hands completely 4. use paper towel to turn off faucet |
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Apply Knee-High Stocking
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1 kneel-high stocking
1. provide privacy 2. client is in supine position 3. turn stocking inside out to the heel 4. place foot of stocking on foot, then pull up leg 5. ENSURE THERE ARE NO WRINKLES 6. signaling device within reach, bed in low position 7. wash hands |
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Ambulate With Gait Belt
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1 gait belt
1. raise bed to safe level 2. make sure bed wheels are locked 3. sit client up in bed 4. swing legs over bed, feet firmly on floor 5. make sure client is wearing shoes 6. apply gait belt 7. 1-2-3 up 8. walk client 10 feet 9. client gets back in bed, remove gait belt 10. signaling device, bed in low position 11. wash hands |
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Cleaning Dentures
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gloves, emesis basin, denture brush, toothpaste
1. put on gloves 2. spread paper towels to put equipment on 3. line bottom of sink, and fill with water 4. rinse denture cup and lid 5. rinse and brush denture, and rinse toothbrush 6. place denture in cup with water 7. remove sink liner, drain sink 8. remove gloves, wash hands |
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Counts and Records Radial Pulse
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pen, paper
1. locate pulse, count for one minute 2. signaling device within reach, bed in safe position 3. wash hands 4. write down pulse |
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Counts and Records Respirations
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pen, paper
1. count respirations for one minute 2. signaling device within reach, bed in safe position 3. wash hands 4. write down respirations |
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Donning and Removing PPE
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yellow gown, gloves
1. put arms through gown sleeves 2. tie the neck ties 3. tie the waist ties 4. put on gloves 5. remove gloves and throw in trash 6. untie neck and waist ties 7. remove gown 8. roll up gown and discard it 9. wash hands |
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Dresses Client with Affected Right Arm
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2 shirts
1. provide privacy 2. ask which shirt s/he would like to wear 3. put sheet up over torso and arms 4. remove gown from left arm first, then right arm 5. dispose of gown in soiled linen container 6. put right arm through shirt sleeve, then left arm 7. signaling device within reach, bed low 8. wash hands |
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Feeds Client Who Cannot Feed Self
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handwipes, tray of food, waste container close to pt.
1. look at name card and ask client to state name 2. client is sitting upright on edge of bed 3. clean client's hands 4. describes foods, ask client which s/he wants to eat, offering water between bites, and asking if client is ready for each new bite or sip 5. wipe client's mouth and hands 6. signaling device within reach 7. wash hands |
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Measures and Records Urinary Output
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1. put on gloves
2. pour contents of bedpan into measuring container 3. measure amount of urine at eye level 4. empty contents into toilet 5. rinse measuring container into toilet 6. rinse bedpan into toilet 7. remove gloves 8. wash hands 9. write down amount of urine |
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Weigh Ambulatory Client
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1. client has shoes on
2. zero the scale 3. assist client onto scale 4. assist client off of scale 5. wash hands 6. write down weight |
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PROM For Leg and Ankle
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1. provide privacy
2. tell client to say if they feel pain 3. bend and straighten leg at least three times 4. flex and extend ankle at least three times 5. signaling device within reach, bed low 6. wash hands |
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PROM For Shoulder
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1. provide privacy
2. tell client to say if they feel pain 3. raise arm in front three times 4. abduct/adduct arm three times 5. signaling device within reach, bed in low position 6. wash hands |
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Foot Care
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bath basin with warm water, gloves, soap, lotion, 2 wash cloths, 1 hand towel, 1 bath towel
1. provide privacy 2. check water temperature, and have client check 3. put basin on bed with bath towel under it 4. put on gloves 5. place foot in water 6. apply soap to wash cloth and wash foot (including between toes) 7. rinse foot with other wash cloth (including between toes), and put basin on table with paper towel under 8. dry foot with hand towel (including between toes) 9. apply lotion to foot 10. put remaining linen in soiled linen container 11. signaling device within reach, bed low 12. put away lotion and soap, rinse and dry basin and put away 13. remove gloves 14. wash hands |
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Mouth Care
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emesis basin (with gloves, toothbrush, toothpaste, 1 cup of water), 1 hand towel, paper towel
1. provide privacy 2. client is sitting upright 3. put on gloves 4. place hand towel across client's chest 5. put toothpaste on moistened brush, and clean teeth and tongue 6. have client rinse mouth and spit into emesis basin 7. wipe client's mouth and remove clothing protector 8. dispose of soiled linen 9. signaling device within reach, bed in low position 10. throw away cup and paper towels 11. rinse toothbrush and emesis basin, put away basin and toothpaste 12. remove gloves 13. wash hands |
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Transfer From Bed to Wheelchair
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gait belt, wheelchair
1. provide privacy 2. position wheelchair 3. fold up footrests 4. lock wheelchair 5. bed is at safe level 6. lock bed wheels 7. client is sitting upright 8. sweep legs over edge of bed, client's feet firmly on floor 9. client is wearing shoes 10. apply gait belt 11. 1-2-3 up 12. have client sit down in wheelchair 13. remove gait belt 14. place feet on footrests 15. signaling device within reach 16. wash hands |