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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 - - |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 |
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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 - |
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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 |
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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 |
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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 - |
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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 |
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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 |