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23 Cards in this Set
- Front
- Back
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Lighting
- areas should have lighting adequate to perform ___ and prevent ___ and ___ - good lighting is need for ___ and ___ - a ___ room is cheerful - ___ light is better for relaxing and rest - keep the light controls ___ - soft lights decrease ___ and helps the patient ___ |
- tasks , accidents , injury
- safety and comfort - bright - dim - within the patient's reach - agitation , relax |
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Neatness and Privacy
~ Neatness - straighten the patient's unit after ___ and whenever ___ - remove ___ and ___ promptly after meals - keep the ___ clear of unnecessary clutter or equiptment ~ Privacy - always ___ before entering thr patient's room and close the patient's ___ before bathing - ____ is having the means to be completely free from public view |
- making the bed , appropriate
- trays and dishes - over the bed table - knock , curtains - Full Visual Privacy |
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Room Furniture and Equiptment
~ The bed - beds are raised ___ to give care - the ___ ___ position lets the patient get out of bed with ease - list 5 basic bed positions - ___ are attached to patient's bed for safety |
- horitonzally
- lowest horizontal - flat, Fowler (45-60 deg), Semi-Fowler (30 deg), Trendelenburg (flat downright), Reverse Trendelenburg (flat upright) - side rails |
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Bedmaking
~ a clean, dry, and wrinkle free bed - increases ___ - helps prevent ___ and ___ ~ keep beds neat and clean - straighten lines whenever they become ___ or ___ - change linens whenever they become ___, ___, or ___ |
- comfort
- skin breakdown and pressure ulcers - loose or wrinkled - wet, soiled, or damp |
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Bedmaking
~ 6 types of beds - all beds can be made firm for ___ 1.) ___ : manual hand cranked bed 2.) ___ : operated by electricity; control on bed or seperate hand control 3.) ___ : bed frame placed within circular frame; aids in position change when patient cannot be moved in a normal manner; never use one without assistance 4.) ____ : manual bed frame placed within a circular frame; never use one without assistance 5.) ___ : air mattress 6.) ___ : sand; handheld control and foor peddle to adjust bed |
- CPR
- 1.) Gatch bed - 2.) Electric bed - 3.) CircOletric bed - 4.) Stryker frame - 5.) Air bed - 6.) Clinitron bed |
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Bedmaking
~ beds are made in these ways 1.) ___ : is a bed not in use; unoccupied - top linens are ___ back; towards ___ of bed 2.) ___ : is a bed in use - top linens are ___ back; towards ___ of bed 3.) ___ : is bed made with a patient in it; linens are ___ 4.) ___ : is a bed made to transfer a patient from a stretcher to the bed; linens folded towards ___ of bed |
- 1.) closed bed: not folded ; head
- 2.) open bed: folded ; foot - 3.) occupied bed ; cuffed - 4.) surgical bed ; center |
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Where to get Clean Linen
- 2 locations - stack linenes according to ___ ~ Do's - only take linens to change ___ bed(s) - remember to bring ___ or ___ ~ Do Not's - never put anything on the ___ - keep unused linen ___ if it is on a cart - do not bring ___ cart in room - place ___ cart outside of room |
- clean linen closet/cabinet or clean linen cart
- use - one - dirty linen bag or hamper - floor - covered - clean linen cart - dirty linen cart |
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Items Needed to Make a Bed
- 7 items used when making a bed |
1.) fitted or flat sheet for bottom sheet
2.) draw sheet = turning sheet 3.) protective pads 4.) top sheet 5.) bed spread / comforter 6.) pillow case 7.) dirty linen hamper- if not available use a pillow case |
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Making the Bed
- always ___ , use ___ is necessary - do not let ___ come in contact with your uniform - use proper ___ at all times - when removing linen fold ends toward the ___ - make sure to remove your ___ and ___ before leaving the room |
- wash hands, PPE
- clean or dirty linens - body mechanics - middle - PPE , wash hands |
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Making the Bed
- ___ linen while removing it making sure no items have been left in the bed - never place soiled linen on the ___ or on any ___ - soiled linens must be placed immediately in a ___ hamper - dirty linen hamper must be kept ___ - if a pillowcase is used for dirty linen make a ___ at the top of the bag - never fill a dirty linen hamper more than ___ full - never ___ or ___ linens which can spread germs - remove ___ and ___ after disposing of dirty linen or before touching clean linen - work on ___ side of the bed at a time |
- check
- floor , surface - dirty linen - closed - cuff - 2/3 full - shake or fan - PPE , wash hands - one |
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Oral Hygiene
~ unconscous patient - protect unconscious patients from ___ and ___ - always assume that unconscious patients can ___ - oral care is given every ___ - mouth care is given every ___ |
- choking , aspiration
- hear - 8 hours - 2 hours |
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Shaving
- shaving a patient with a safety razor is not advised if the patient is on ___, ___, or high doses of ___, or is ___ - you may not shave off a beard or mustache without ___ - shave in the direction of ___ - beards and mustaches need ___ - always ___ before trimming a beard or mustache |
- anticoagulants, chemotherapy, asprin, immunocompromised
- written consent - hair growth - daily care - ask |
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Nail and Foot Care
- nail and foot care prevents ___, ___, and ___ - nails are easier to trim and clean after ___ or ___ - use ___, never ___ to cut fingernails - when trimming nails cut ___ - foot care is not to be done on ___, only ___ are allowed to preform care |
- infection, injury, odors
- soaking or bathing - nail clippers , scissors - straight across - diabetics , podiatrist |
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Hair Care
- always watch out for ___ when giving hair care ~ brushing or combing hair - let the patient ___ how to brush, comb, or style hair - long hair: start at the ___ and slowly move towards the ___ - short hair: start at the ___ and slowly move towards the ___ - when shampooing set the water temp at ___ degrees and use a ___ |
- lice (head, body, pubic)
- choose - ends , scalp - scalp , ends - 105 deg , shampoo tray |
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Perineal Care
- involves cleaning the ___ and ___ areas - prevents ___ and ___ - promotes ___ ~ perineal care is done - daily during the ___ - whenever the area is ___ - by the ___ if able to - by the ___ if not able to ~ methods - ___ to ___ and ___ to ___ - women: open ___ , start by cleaning the ___ to ___ - men: start by cleaning the ___, use ___ motions around the ___ |
- genital and anal
- infection and odors - comfort - bath - soiled - patient - nursing staff - front to back , clean to dirty - women: labia , urinary meatus , anus - men: urinary meatus, clean circular motions , head of penis |
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Changing Clothing / Gowns
- remove clothing from the ___ side first - put clothing on the ___ side first ~ IV patients - remove clothes on the ___ side of the IV first - put clothing on the ___ side of the IV first |
- remove: strong
- put on: weak - iv remove: opposite (strong side) - iv put on: same (weak side) |
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Odor
- ___ and ___ bedpans, urinals, commodes, and kidney basins ___ - change soil linens and clothing ___ - ___ old flowers and stagnant water - use room ___ as needed - check ___ patients often |
- empty and clean ; promptly
- promptly - remove - deodorizers - incontinent |
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Noise
- the main source of noise in a hospital is ___ - noise makes patients ___ and contributes to ___ |
- people
- anxious , discomfort |
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AM Care
- is known as ___ - is preformed in the ___ - it consists of 10 activities |
- routine care
- morning - bathing, perineal care, oral care, hair care, shaving, elimination, dressing, positioning for breakfast, making the bed, and straightening the unit |
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PM Care
- is preformed in the ___ - it consists of 6 activities |
- evening
- elimination, cleaning incotinent persons, changing soiled linens or garments, hygiene, dressing for bed, straightening the bed and unit |
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Sleep
- sleep is a ___ - allows the ___ and ___ to rest - allows the body to save ___ - time when ___ slows - time when ___ and ___ occur - sleep lowers ___, ___ and ___ - sleep ___ and ___ the person |
- basic need
- mind and body - energy - body functions - healing and repair - stress, tension, and anxiety - refreshes and renews |
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Factors Affecting Sleep
- ___ increases the need for sleep - foods with ___ prevent sleep - ___ tends to help sleep - exercise should be avoided ___ hours before bed - ___ problems also affect sleep |
- illness
- caffiene - L-Tryptophan - 2 hours - emotional |
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Sleep Disorders
- ___: is a chronic condition in which a person can not fall asleep, stay asleep, awakens early and can not fall back asleep - ___: when the amount and quality of sleep are decreased - ___: when the sleeping person leaves the bed and walks about |
- Insomnia
- Sleep Deprivation - Sleepwalking |
