Basic Patient Care Flashcards
PCTs do tasks assigned by the___.
Nurse
What is the goal of being a PCT?
Foster independence while keeping the patient safe.
Assist patients with ADLs such as…
Bathing, eating, restroom, and oral care.
What does ADL mean?
Activities of Daily Living.
PCT will measure ____, transfer patients from a ___ to a ______, assist with devices and report condition to nurse.
Vital signs
Bed
Wheelchair
Before assisting a patient you must…
Identify patient, introduce yourself, explain what you are doing, and that patients can verbalize their understanding.
What supplies do you need for the bath?
Bath towel, washcloth, skin cleanser, gown, body lotion, powder, and deodorant.
What supplies are needed for a bed bath?
Bath blanket, wash basin, clean bed linen, and a laundry bag.
Water temperature for the bath should be…
37 to 46 C
98.6 to 115 F
Routine baths are 40.5 to 43.3 C (105 to 110 F)
Bathing privacy means you should…
Close the door or curtains and try to keep patient covered with a bath blanket.
Bathing safety means to…
Assist patient in and out bath, never leave patient alone, call light close.
Bed bath keep opposite side of bed rail up so they don’t fall off.
Protect IV sites and surgical incisions from moisture because they can get infected.
Bathing technique means to…
Wash cleanest to dirtiest areas prevent contamination by using long firm strokes in circulation.
Rinse skin because residual cleanser can cause irritation.
Do not rub skin vigorously with towel!!
Gently pat with towel.
Adjust height of bed to not strain your back.
A partial bath means to clean the patients…
Face, neck, hands, back, armpits, buttlocks, and perineal area.
Never raise the drainage bag higher than the patients ___.
Bladder because it can lead to an infection.
When cleaning perineal area with a catheter you…
Cleanse area with soap and water or prescribed microbicidal ointment.
Patients receive catheter care 2 daily.
Sitz bath is another cleansing technique where you…
Fill appliance with warm water placed on toilet so patient sits in it for 20-30 mins.
The warm water will soothe the perineal and anal areas.
Used for after childbirth, vaginal or rectal surgery, and hemorrhoids.
If you find rashes, bleeding, swollen, red areas, unusual odors, excessive drainage or disorientation, burning, pain or itching you….
Report it to the nurse.
Offer oral care to patients when…
They wake up, after food, and before bedtime.
Some conditions like NPO Status or medications can dry out the math so give more frequent care.
Ask nurse before giving oral care because…
Some patients have difficulty swallowing.
Patients with ____ require different oral care.
Dentures
Gently cleanse each tooth in a ___ motion at a 45 angle to the gums from the back of the mouth to the front.
Circular
Supplies needed for oral care:
Tooth brush, toothpaste, water, emesis basin, dental floss, washcloth, and towel.
If you help a patient with dentures you should…
Place it in lukewarm water.
Wear gloves, use thumb and forefinger to break upper denture suction.
Lift up and twist sideways to remove lower denture.
Use denture cleaner.
Place washcloth in sink, denture in one hand, gently brush the surfaces then rinse.
When dentures are not being worn place them in a…
Denture cup labeled with patients name and room number.
Denture cup full of lukewarm water or denture solution.
Oral care for an unconscious patient:
Position them on their side facing you so they do not aspirate fluids,
Place towel under head and emesis basin under chin.
Still explain procedure even if unconscious.
Having a clean bed is an important part of ________, _______, and ____ control.
Comfort
Healing
Infection
The necessary equipment for bed making:
Fitted sheet, mattress pad, flat sheet, pillowcases, life (draw) sheet, absorbent pads, blankets, and linen bag.
Least number of layers under patient, linen compatible with bed.
Always follow proper hand ___ and personal protective ___.
Hygiene
Equipment
Raise the bed to a comfortable height, lower head of bed so it is___.
Flat
Changing linens has _ steps.
7
- Roll patient to one side of bed
- Tuck sheets to be removed under the patient
- Replace sheets on the free side.
- Fresh sheets under patient.
- Roll patient to fresh side.
- Remove old linens.
- Change to new linens.
Bed rails are up and locked so patient does not fall.
(Explain to patient before and during the changing)
Patients who wear their own clothes are ___.
comfortable
(most prefer to choose their own clothing)
Allow patients to have a sense of ___ and _____, for self esteem.
Control
Independence
When a patient has a weak side, you dress what side first?
The weak side first.
When undressing a patient, work with what side first?
The strong side so patient wont use weak side a lot.
Patient with IV line and IV bag, take out unused arm out the gown first, then gently move gown over iv site and tubes then?
Tread tubes and bad through the sleeve.
To put gown on, put iv bag and tubes through arm sleeve then hang iv bag on?
The IV pole, assist IV arm through sleeve, gown is tied at neck and waist.
RN must disconnect patient from infusion pump.
Shower, bath, sink, or bed to wash patient hair, some places have no rinse shampoo shower caps.
Shampoo tray or trough for patient to rest head.
Pillows and towels to comfort and dry patient.
Water to groom hair is 40.5 and 43.3C which is 105 and 110F.
Comb hair before washing, style hair to patient pref.
You are taking gown off patient with IV in right arm, which arm do you take out gown first?
Left arm.
Equipment to help patient in restroom:
Bedpan, urinal, or bedside commode.
Patient going to restroom must have call light near and never leave unstable patient alone.
Patients unable to move for toileting need a ___ or ___.
Bedpan
Urinal
Bedpans can be uncomfortable so, run one under warm water and place baby ____ on seat area after drying it.
Powder
(Can improve comfort slightly)
Measure I&O then empty pan.
Report to nurse if, diarrhea, constipation, blood, mucus, burning, pain, cloudy/bloody pee, frequent pee, difficulty, or incontinence.
Weakness, physical, or neurological deficits can affect patients ____.
Eating
Ask nurse about patients ____ restrictions or precautions, like NPO status or clear ___ diet.
Dietary
Liquid
Check if patient has ___ or difficulty swallowing.
Diabetes
(Nurse might administer insulin, puree, or thicken food)
What position should the bed be in during meal time?
Head of bed is raised or sit in a chair to prevent choking.
