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5 Cards in this Set

  • Front
  • Back
BEGINNING PROCEDURE ACTIONS
1. Wash hands thoroughly prior to entering room or when in room
· Hand Washing: Demonstrating hand washing is necessary and is evaluated as part
of the critical criteria.
2. Assemble needed equipment
3. Go to resident’s room, knock, and pause before entering
4. Introduce self by name and title
5. Identify the resident by facility policies and address them by name
6. Ask visitors to leave the room and inform them where they may wait
7. Provide privacy throughout procedure; pull curtains, shut door, properly cover patient as needed
8. Explain procedure to resident; speak clearly, slowly and directly to resident, maintaining face to face
contact whenever possible
9. Answer resident’s questions about the procedure
10. Allow resident to assist as much as possible
11. Raise the bed to a comfortable working height
ENDING PROCEDURE ACTIONS
1. Position resident comfortably and in a position of safety
2. Return bed to lowest position
3. Leave signal cord, telephone and water within reach
4. Perform a general safety check
5. Open curtains
6. Care for equipment following policy
7. Wash hands
8. Let visitors know they may return
9. Report completion of task & observation of any abnormalities
10. Document action and observations
PRESSURE ULCER PREVENTION
1. Demonstrate 2 ways to prevent pressure ulcers:
a. Proper use of bed cradle
b. Elbow/heel protector
c. Using pillows to reduce skin to skin contact
2. Explain 2 other ways to prevent pressure ulcers
a. Changing position frequently
b. Good nutrition and hydration
c. Provide good perineal care (keep resident clean and dry)
d. Be careful of the resident’s skin (no shearing or friction)
e. Check resident’s skin carefully-provide good skin care
f. Assist your resident to the bathroom frequently
g. Encourage mobility
h. Use pressure reducing devices
POSITION FOLEY CATHETER/BAG/TUBING
1. Secure tubing to resident’s inner thigh or abdomen
2. Place tubing over leg
3. Position tubing to facilitate gravitational flow, no kinks
4. Attach to bed frame (not over or on side rail) always-below level of bladder
5. Keep catheter bag from touching floor
OXYGEN
1. Demonstrate correct placement of O2 mask or nasal cannula (place prongs following the contour of the
nasal passage)
2. Demonstrate how to check the oxygen flow meter and verbalize actions needed if flow rate is not accurate
3. Verbalize 3 oxygen use guidelines
a. Avoid lighting matches or smoking around oxygen use
b. Ensure that all electrical equipment is in good repair
c. No kinks in the tubing
d. Make sure the device is placed correctly on the resident
e. Do not adjust the flow of oxygen-if incorrect, alert nurse
f. Do not remove the mask or nasal cannula, unless you are specifically told to do so by a nurse
g. Make sure the water level in the humidity bottle does not get too low
h. Provide oral care frequently
i. Watch for signs of skin irritation behind the person’s ears, over his or her cheeks, or around his or her ears.