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13 Cards in this Set
- Front
- Back
Hand washing Procedure;
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1 Wet hands and apply soap?
2 lather --front and back - hands, wrists, between fingers, cuticles & under nails? 3 friction for min of 15 seconds? 4 Remove soap, rinsing holding fingers lower than wrists? 5 Dry hands with Several paper towels & limit contact of towel to cleansed skin surfaces? 6 Turn off water with paper towel and dispose -towel? 7 Complete task without contaminating hands, such as against sink? |
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Assist resident to use a bedpan:
PART 1 |
1. Greet resident-Use their
name Self Intro 2 Explain Procedure {throughout} 2a. Utilize Standard Precautions 3. Use protective pad over bottom sheet & under buttocks before bedpan 4 Position bedpan under 5 Raise head of bed after positioning on bedpan. 6 Toilet paper within reach before removing bedpan? 7 Lower head of bed before removing bedpan? [SEE PART 2] |
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Bedpan: PART 2
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8 Goves before bedpan Removal
& during emptying & cleaning bedpan? 9 Empty contents into toilet? 10 Rinse, dry & Remove gloves before or use a barrier when storing bedpan? 11. Store bedpan Bottom Shelf Bedside Cabinet 12 Offer resident a damp washcloth/towelette to cleanse hands 13. Utilize Standard precautions & infection control 14 Promote resident comfort & resident rights 16 Promote resident safety |
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Ambulate the resident using a gait belt:
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1. Greet resident, intro-self?
2 Explain procedure? 3 Apply gait belt -@waist Securley [not 2 tight] B4- resident stands. 4 shores or non-slip socks? 5. Properly hold Gait belt while resident to stands 6 Ask about dizziness? 7 Walk slightly behind & 1side Hold gait belt in back 8 Match resident's pace 9 Walk resident a min- 20 steps 10 Ask re: tolerance, comfort, dizziness or fatigue? 11 Assist to turn and position to sit back in chair. 12 Control gentle lowering of resident into chair? 13 Remove gait belt- No harm or shake resident. 14 Use Standard Precautions 15 Promote Comfort, safety & resident rights throughout procedure? |
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Change an occupied bed
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1. Greet resident, intro-self?
2 Explain procedure? 3 Lower head of bed before changing sheet? 4 Move resident safely 2 non working side of bed? 5 Loosen dirty bottom sheet @working side, push dirty sheet& tuck against resident? 6 Place clean bottom sheet@ workside, & secure @ corners 7 Extend clean sheet across bed and tuck under resident? 8 Assist resident 2 roll onto working side of bed? 9 Complete placement of bottom sheet, secure sheet (all four corners)? 10 bottom sheet NOT wrinkled 11 Place clean top sheet? 12 Avoid resid. exposure. 13 Secure top sheet@ bottom of bed create foot pocket. 14 Top sheet untucked on sides (USE hospital corners) 15 Replace pillowcase {NO Pillows on bed/under Chin} 16 Soiled linen in hamper? 17 Resident on top & under bottom sheet& pillow @ head? 18 Use Standard Precautions 19 Promote Comfort, safety & resident rights throughout procedure? |
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Feed the resident who is in bed
Does the candidate: |
1. Greet resident, intro-self?
2 Explain procedure? 3 Raise bed 2 sitting position (minimum 60 degrees) 4 Offer/assist R' to wash hands 5 Eye level contact with R' 6 Apply clothing protector 7 Offer drink before feeding? 8 Use spoon to feed? 9 Offer drink throughout feeding (every3-4 bites of food)? 10 Check 2 see R' swallowed B4 next bite? 11 Encourage R' 4 food intake? 12 Converse with R 13 R' mouth clean and dry? 14 Remove linen/trash 15 Accurately record food intake Use Standard Precautions 16 Promote Comfort, safety & resident rights throughout procedure? |
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Measure and record the contents of urinary drainage bag
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1. Greet resident, intro-self?
2 Explain procedure? 3 Gloves B4 handling urinary drainage bag? 4 Empty bag into graduated container without touching tubing against container? 5 Wipe drain with alcohol swab after emptying urine. 6 Close/protect drain(clamp/tuck) 7 Leave bag secured to bed [No touch Floor] 8 Container on flat surface [use barrier] 9 Read urine @ eye level? 10 Empty urine in2 toilet rinse and dry container? 11 Remove gloves & wash hands B4 recording output? 12 Record output within +/- 50cc’s of nurse’s reading? 13 Record output as urine and indicate the correct time on the I&O Form? 14) Use Standard Precautions Promote Comfort, safety & resident rights throughout procedure? |
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Measure and record the resident’s blood pressure
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1. Greet resident, intro-self?
2 Explain procedure? 3 Expose R's antecubital? 4 Position R's arm-palm up, elbow level of heart? 5 Wrap cuff evenly- bottom of cuff positioned inch above antecubital? 6 Locate the brachial artery B4 stethoscope? 7 Position diaphragm of stethoscope over brachial artery, and place stethoscope earpieces B4 inflating cuff? 8 Inflate cuff safely (e.g., inflate not more than 30mm past point pulse last felt or heard)? 9 Control deflation of cuff? 10 Record systolic blood pressure within +/-4mm of nurse’s readings? 11 Record diastolic blood pressure within +/-4mm of nurse’s readings? 12 Clean earpieces and diaphragm of stethoscope and store equipment at completion of procedure and leave work area tidy? 13 Utilize Standard Precautions and infection control measures throughout procedure? 14 Promote resident comfort throughout procedure? |
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Measure and record the resident’s
pulse and respirations |
1. Greet resident, intro-self?
2 Explain procedure? 3 Support R's forearm - taking pulse? 4 Place fingers over radial pulse? 5 Count pulse for at least one full minute? 6 Record pulse rate? 7 Report pulse within +/- 4 beats per minute of nurse’s measurement? 8 Refrain from telling resident respirations are being counted? 9 Count respirations for at least one full minute? 10 Record respirations within +/- 2 breaths per min of nurse’s measurement? 11 Utilize Standard Precautions and infection control measures throughout procedure? 12 Promote resident comfort throughout procedure? |
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Perform passive range of motion exercises to
resident’s upper extremity (shoulder, elbow, wrist and fingers) |
1. Greet resident, intro-self?
2 Explain procedure? 3 Perform range of motion on the correct side? 4 Support extremity above and below joints throughout ROM exercises? 5 Take shoulder through ROM, raising and lowering straightened arm along side, towards head of bed (HOB) and back to mattress? 6 Take resident’s shoulder through abduction/ adduction ROM exercises? 7 Take resident’s shoulder through rotation ROM exercises? 8 Flex and extend elbow through ROM exercises? 9 Provide ROM exercises to wrist (e.g., gently rotate, or flex/extend and move side to side)? 10 Flex and extend finger and thumb joints through ROM exercises? 11 Provide three repetitions of each ROM exercise? 12 Ascertain resident’s comfort with movement either verbally or by observing resident’s face throughout ROM exercises? 13 Control extremity throughout ROM exercises providing smooth, slow, nonforceful movement? |
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Provide catheter care to the resident who has an
indwelling urinary catheter |
1. Greet resident, intro-self?
2 Explain procedure? 3 Apply gloves before using soapy washcloth to clean around catheter insertion site? 4. Place incontinent pad under buttocks before beginning procedure? 5 Obtain bath basin with water of safe and comfortable temperature? 6 Apply small amount of soap directly to wet washcloth before cleansing? 7 Change spot on soapy washcloth for each washing stroke, wiping inside labia from front to back? 8 Cleanse catheter, washing away from body and down the catheter about 3-4 inches? 9 Use clean wet washcloth to rinse washed areas? 10 Change spot on washcloth for each rinsing stroke, wiping inside labia from front to back? 11 Replace water in basin during procedure if becomes too cool or soapy? 12 Dry perineal area, from front to back after completing cleaning and rinsing? 13 Adjust linen to avoid unnecessary exposure of resident throughout procedure? 14 Avoid tugging or pulling on catheter? 15 Leave tubing free of kinks or obstructions and not t |
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Provide foot care to the resident
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1. Greet resident, intro-self?
2 Explain procedure? 3 Obtain water in bath basin, checking to ensure water is safe and comfortable temperature? 4 Offer resident opportunity to check water temperature before submerging foot in water? 5 Place water filled basin on protective barrier on floor? 6 Place resident’s barefoot in water to soak? 7 Refrain from adding soap directly to basin of water? 8 Wash foot using washcloth with small amount of soap applied directly to wash cloth? 9 Wash top and bottom of foot and between toes? 10 Submerge foot in water in basin to remove soap residue? 11 Remove foot from water and dry entire top and bottom of foot including between toes? 12 Warm lotion in hand before applying to foot? 13 Apply lotion to top and bottom of foot, excluding between toes? 14 Remove unabsorbed excess lotion? 15 Apply sock to foot ensuring sock is smooth and replace shoe? |
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Provide foot care to the resident
PART 2 |
16 Provide support to lower extremity throughout
procedure as needed to avoid strain? 17 Avoid placing resident’s barefeet directly on floor before, during or after foot care? 18 Clean and dry basin, store equipment, and dispose of soiled linen when procedure completed? 19. Utilize Standard Precautions and infection control measures throughout procedure? 20. Promote resident comfort throughout procedure? |