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19 Cards in this Set

  • Front
  • Back

Hand Hygiene

-Introduction


-Explains Procedure


-Wets hands and wrists thoroughly


-Applies 4 pumps of soap


-Lathers ALL surfaces for 25 seconds keeping fingertips down and lower than elbows


-Cleans fingertips and fingernails in circular motion of palm with opposite hand


-Rinse ALL surfaces


-Dry with paper towel


-Dispose of properly


-With another paper towel turn off faucet

Applies one knee-high elastic stocking

-Explains Procedure


-Privacy curtain


-Client in supine (Laying Down)


-Lifts up pant leg


-Turns stocking inside-out to the square of the heel in your palm


-Finishes procedure with no twists or wrinkles, toes loose


-Wash Hands


-Signal device


-Wash Hands


Cleans Upper and Lower Denture

Supplies: Gloves, Medium towel, Washcloth, Emesis Basin, Denture Brush and Cream


-Lines sink with washcloth


-Turns on water


-Tests water temperature


-Puts on gloves


-Sets up supplies setting dentures on dirty side


-Takes off lid and rinses off sets on clean side


-Empties container placing dentures on washcloth liner


-Rinses container then filling halfway, placing on clean side


-Picks up Dentures(Says Cleaning All Surfaces)


-Rinses ALL surfaces, sets brush on liner, places dentures in container sets off to side


-Rinses of brush, places on clean side


-Rinses and dries off Emesis Basin


-Places brush and denture paste in basin


-Rings out liner one hand, picking up basin in other


-Setting liner on towel rolling away from you, setting dirty in bin


-Taking basin to designated dirty area


-Removes gloves


-Washes hands


-Skill Complete

Provides Mouth Care

Supplies: Gloves, clothing protector, small towel, Emesis Basin, toothbrush, tooth paste, cup of water


-Introduction


-Explains Procedure


-Privacy


-Sit client upright


-Sets up supplies


-Puts on gloves


-Places clothing protector


-Moistens toothbrush


-Applies Toothpaste


-Cleans mouth (Inner, Inner, Outer, Outer, Bite, Smile, Tongue 3x's)


-Places toothbrush on towel


-Holds Emesis Basin to chin and rinses mouth


-Wipes mouth


-Removes clothing protector rolling away from client placing in dirty bin


-Taking supplies empties and disposes off cup, sets toothbrush on sink, rinses and dries Emesis Basin, rinses toothbrush, sets all in designated dirty area


-Removes gloves


- Washes hands


-Signal device


-Sets bed in lowest position


-Curtain


-Washes hands


-Skill Complete

Modified Bed Bath

Supplies: , Yellow basin, Soap, Gloves, Large towel, Small towel, 3 washcloths, Clean gown


-Introduction


-Explains Procedure


-Privacy


-Sets up supplies


-Fills basin with water, tests temperature, has resident test


-Removes gown, avoiding overexposure


-Gloves


-Wets washcloth


-Wipes one eye, flips washcloth, wipes other eye, throws in dirty bin


-Wipes inner, flips washcloth, outer, flips, nose


-Dries face with towel inner, flips, outer, flips, nose


-Turns small towel inside out


-Exposes arm, avoiding overexposure, places large towel under arm


-Applies soap to wet washcloth


-Starting at top of arm, washes down to hand, in between fingers, flips arm and washcloth


-Washes fingers, up arm, armpit, dirty bin


-Rinses and dries with same procedure


-Puts on clean gown, avoiding overexposure


-Takes supplies, dump, rinse, dump, dries, places basin in designated dirty area


-Removes gloves


-Washes hands


-Signal device


-Curtain


-Hands


-Skill Complete


Provides Foot Care

Supplies: Yellow basin, Soap, Lotion, Gloves, 3 washcloths, 2 large towels


-Introductions


-Explains Procedure


-Privacy


-Fills basin with water, checks temperature, has resident check


-Set Towel, place basin on bed


-Gloves


-Place bare foot in water


-Applies soap to wet washcloth


-Lifts foot, cupping ankle, washes side/top/side/toes (flip washcloth) toes/down/heel, dirty bin


-Rinses and dries using same procedure


-Applies lotion to top and bottom of foot (NOT TOES) removing excess with towel


-Taking supplies empties, rinses, dries basin, places in designated dirty area


-Removes gloves


-Washes hands


-Signal device


-Curtain


-Washes hands


-Skill Complete

Perineal Care

Supplies: Yellow basin, Soap, Gloves, Chux, 4 washcloths, 2 small towels


-Introduction


-Explains Procedure


-Privacy


-Fills basin with water, checks temperature, has resident check


-Gloves


-Places Chux


-Exposes Perineal area avoiding overexposure


-Applies soap to wet washcloth


-Washes genital area front to back flip, front to back, dirty bin


-Rinse front to back, flip, front to back, dirty bin


-Dry front to back, flip, front to back


-Gently lifts arm above head and turns to side to clean rectal area same procedure


-Tucks, removes, and disposes of chux in trash


-Repositions Resident


-Takes supplies empties, rinses, dries, places basin in designated dirty area


-Removes gloves


-Washes hands


-Signal device


-Curtain


-Wash Hands


-Skill Complete


-



-

Catheter Care

Supplies: Yellow basin, Soap, Gloves, Chux, 2 washcloths, 1 small towel


-Introduction


-Explains Procedure


-Privacy


-Fills basin with water, checks temperature, has resident check


-Gloves


-Places chux


-Exposes catheter avoiding overexposure


-Applies soap to wet washcloth


-Holding catheter cleans, rinses, and dries each twice without tugging


-Takes supplies empties, rinses, dries, and places basin in designated dirty area


-Removes gloves


-Washes hands


-Signal device


-Curtain


-Washes hands


-Skill Complete


Dresses client with affected (weak) right arm

Supplies: 2 shirts, gown (for resident)


-Introductions


-Explains Procedure


-Privacy


-Ask which shirt he/she would like to wear, throwing other shirt in dirty bin


-Removes gown, avoiding overexposure, beginning with the unaffected arm


-Not allowing to contaminate yourself rolling gown away underneath sheet


-Disposing of in laundry bin


-Assists to put the right affected arm through the right sleeve of the shirt, not letting garment touch the ground


-Ask resident if they can sit up, helping place garment on left (unaffected)


-Help resident lay back down


-Adjusts clothing properly, buttoning first two buttons


-Signal device


-Washes hands


-Skill Complete

Assists with use of bed pan

Supplies: Multiple pairs of Gloves, Tissues, Wipes, Bed pan


-Puts on gloves, before handling bed pan


-Introduction


-Explains Procedure


-Privacy


-Before placing bed pan, lowers head of bed , Bed is in lowest position


-Puts on clean gloves


- Has resident lift legs into triangle


-Lifts sheet, making window


-Places bedpan directly under client's buttocks


-Removes gloves


-Raises head of bed


-Puts toilet paper and wipes within reach


-Instruct resident to clean hands and wipe when finished


-Washes hands


-Signal device


-HOB is lowered before bedpan removed


-Puts on clean gloves


-Avoids overexposure


-Taking bedpan and toiletries to designated dirty area


-Empties in toilet, rinses, empties in toilet, designated dirty area


-Removes and disposes of gloves


- Washes hands


-Signal device


-Washes hands


-Skill Complete

Assists to ambulate using transfer belt

Supplies: Gait Belt



-Introductions


-Explain Procedure


-Make sure bed is in lowest position and locked


- Sit up client, make sure client at edge of bed


-Put on shoes


-Secure belt


-Ask client to place on arms


-On count of 3 , toe to toe knee to knee, stand client


-Grasping transfer belt on both sides,


Walking slightly behind, taking 5 steps, pivot, 5 steps to the bed


-Assist client to bed removes transfer belt


-Washes hands


-Signal device


-Washes hands


-Skill Complete


Transfers from bed to wheelchair

Supplies: Gait Belt, Wheelchair



-Introduction


-Explains Procedure


-Privacy


-Position wheelchair


-Foot rests folded up


-Wheelchair is locked


-Bed is in lowest position and locked


-Assist to sitting position with feet flat on floor


-Before Assisting to stand client's shoes


-Transfer belt secured


-Provides instructions, grasping belt, toe to toe knee to knee, stability


-Assisting client to wheelchair, Ask when at wheelchair, Lowers client into chair


-Positions client with hips touching back of wheelchair


-Removes Belt


-Positions foot on foot rest


-Washes hands


-Signal device


-Washes hands


-Skill Complete

Donning and Removing PPE (Gown and Gloves)

Supplies: Gloves, Gown



-Introduction


-Explains Procedure


- Picks up gown and unfolds


-Facing the back opening and places arms through each sleeve


- Fastens the neck opening


- Secures gown at waste making sure that the back of clothing is covered by gown as much as possible


- Puts on gloves


- Cuffs of gloves overlap cuffs of gown


-Before removing gown, with one gloved hand, grasp the other glove at palm, remove glove


-Slip fingers from ungloved hand underneath cuff of remaining glove at wrist, and removes glove turning it inside out as it is removed


-Disposes of gloves


-After removing gloves, removes gown without touching outside of gown


-While removing gown, holding gown away from body without touching ground, turns gown inward rolls away from body


-Disposes of gown in designated container without contaminating self


-Washes hands


-Skill Complete

Measures and Records Blood Pressure

Supplies: Stethoscope, Blood Pressure Cuff, 3 Alcohol Wipes



-Introduction


-Explains Procedure


-Before using stethoscope, hands one alcohol wipe to state clean bell and earpieces with other


-Puts bell in pocket


-Client's arm is positioned with palm up and upper arm is exposed


-Feels for brachial artery on inner aspect of arm, at bend of elbow


-Places blood pressure cuff snugly on client's upper arm, with sensor/arrow over brachial artery site


-Earpieces of stethoscope are in ears, bell is over brachial artery site


-Candidate inflates cuff between 160 to 180


-Deflates cuff slowly and notes the first sound (Systolic) and last sound (Systolic)


-Removes cuff


-Washes hands


-Signaling Device


-Washes hands


-Record


-Skill Complete



-

Counts and Records Radial Pulse

-Introduction


-Explains Procedure


-Places fingertips on thumb side of client's wrists to locate radial pulse


-Count beats for one full minute


-Washes hands


-Signal device


-Washes hands


-Records


-Skill Complete

Counts and Records Respirations

-Introduction


-Explains Procedure


-Asks if candidate can place hands on stomach


-Count beats for one full minute


-Signal device


-Washes hands


-Records


-Skill Complete

Measures and Records Weight of Ambulatory Client

-Introduction


-Explains Procedure


-Bed is locked and in lowest position


-Assists client to sit up, edge of bed


-Assists with shoes, before walking


-Before client steps on scale, candidate sets scale to zero


-Never taking hand off client, client steps up


-Obtains weight


-Assists client to bed


-Signal device


-Washes hands


-Records


-Skill Complete


-

Measures and Records Urinary Output

Supplies: Gloves



-Introduction


-Explains Procedure


-Puts on clean gloves


-Pours the contents of bedpan into measuring container without spilling or splashing urine outside of container


-Measures the amount of urine at eye level with container on flat surface


-After measuring urine, empties contents of measuring container into toilet


-Rinses measuring container, pours rinse into toilet, designated dirty


-Removes and disposes of gloves


-Washes hands


-Records


-Skill Complete

Performs modified passive range of motion (PROM) for one knee and one ankle

-Introduction


-Explains Procedure


-Privacy


-Instructs client to inform candidate if pain is experienced during exercise


-Support leg at knee and ankle while performing range of motion for knee


-Bends the knee and returns leg to client's normal position (Extension/Flexion) ( At least 3 times unless pain is verbalized)


-Supports foot and ankle close to the bed while performing range of motion for ankle


-Pushes/Pulls foot toward head (dorsiflexion), and Pushes/Pulls foot down, toes point down (plantarflexion) (at least 3 times unless pain verbalized)


-While supporting the limb, moves joints gently, slowly, and smoothly through the range of motion, discontinuing exercise if client verbalizes pain


-Signal device


-Washes hands


-Skill Complete