BOLD skills Flashcards

1
Q

Hand Hygiene

A
  • Lathers all surfaces of wrists, hands and fingers producing friction for 20 SECONDS keeping hands lower than elbows and finger tips down
  • Rinse all surfaces of wrists, hands and fingers keeping hands lower than the elbows and the fingertips DOWN
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2
Q

Apply One Knee High Stocking

A
  • Stocking has no twists or wrinkles. Heel of stocking is correctly positioned Toe opening is either over or under toe area. (If using a mannequin, state that the sock is wrinkle free)
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3
Q

Assists to ambulate using transfer belt

A
  • before assisting to stand client is wearing non skid socks
  • before assisting to stand client is assisted to sitting position with feet flat on floor
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4
Q

Assists with use of bedpan (has no bold steps)

A
  • places bedpan correctly under client
  • REMOVE GLOVES WASHES HANDS
  • raise head of bed
  • give TP, handwipes & signal device
  • PUT ON CLEAN GLOVES
  • LOWER HEAD OF BED before removing pan
  • Keep clients body covered
  • empty/ rinse bedpan
  • put bed pan in dirty supplies
  • Remove and trash the Gloves
  • WASH HANDS AGAIN
  • give signal device lower bed
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5
Q

Cleans Upper and Lower Denture (has no bold steps)

A
  • gloves
  • line bottom of sink
  • scrub all surfaces of dentures with toothpaste
  • rinses cup lid and dentures with running water
  • place dentures in cup with water in it
  • rinses toothbrush and basin
  • clean up
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6
Q

Counts and Records Radial Pulse

A
  • Counts for 1 FULL Minute
  • With in 4 beats of evaluator’s
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7
Q

Counts and Records Respirations

A
  • Counts for 1 FULL Minute
  • with in 2 breaths of evaluator’s
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8
Q

Dresses Client with Affected (weak) Right Arm

A
  • Always dress the Weak arm first when putting clothes ON
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9
Q

Measures and Records Urinary Output (has no bold steps)

A
  • pour urine into measuring container (no spilling or splashing)
  • rinse off bedpan
  • measure the amount of urine AT EYE LEVEL with container ON FLAT SURFACE
  • Clean up
  • remove gloves and wash hands BEFORE recording output
  • Records with in 25ml of evaluator’s
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10
Q

Measures and Records weight of ambulatory client

A
  • gait belt and skid
  • scale is zeroed before client steps on
  • Client steps on center of scale
  • Client steps off
  • WASH HANDS
  • Records weight plus or minus 2lbs
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11
Q

Extension vs flexion

A
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12
Q

Dorsiflexion vs plantar flexion

A
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13
Q

Shoulder flexion/ extension

A
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14
Q

PROM for one knee and ankle

A
  • Support the knee and ankle
  • bend knee return to normal postion (3 TIMES)
  • ASK PT IF IN PAIN
  • Hold foor and ankle make ankle flex with toes up then point toes down (3 TIMES)
  • ASK PT IF IN PAIN
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15
Q

PROM for one shoulder

A
  • Support arm at wrist and elbow
  • extension arm (straight down)
  • flexion arm (Straight up near head)
  • ARE YOU IN PAIN?

(Repeat 3 times)

  • Support arm at elbow and wrist
  • adduction arm (closest to body think add)
  • abduction arm (away afrom body)
  • ARE YOU IN PAIN?

(Repeat three times)

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16
Q

Postions on Side (has no bold steps)

A
  • lowers head of bed
  • side rail is up
  • slowly roll client onto side
  • fix head pillow
  • Ensure patient is not laying on arm
  • provide patient with back and side supports
  • give patient pillow to “hug”
  • place pillow between knees and ankles
17
Q

Provides Foot Care on One Foot (has no bold steps)

A
  • place water basin on a towel in front of resident
  • Put on clean gloves
  • Check water temp before washing foot (confirm with patient)
  • Place patients foot in the water basin
  • soap up washcloth lift foot out of basin, scrub foot & inbetween toes
  • rinse foot and inbetween toes
  • dry foot and toes
  • apply lotion (exlcude between toes)
  • Clean up
18
Q

Transfer from Bed to Wheelchair Using Transfer Belt

A
  • Make sure wheels on chair are locked
  • Before patient stands ensure they’re in sitting postion with feet flat on floor
  • (Not bold: make sure we use a signal on count of three etc)
19
Q

Measures and Records Manual Blood Pressure

A
  • Clean stethoscope (ear piece and diaphragm) with rubbing alcohol
  • Wash hands before recording
  • RECORDS WITH IN 8mm of evaluator’s
20
Q

Abduction vs adduction

A
21
Q

First steps before starting any skill?

A

1) introduce self
2) Explain what skill we’re doing
3) pull privacy curtain
4) gloves

22
Q

What are end steps for all skills?

A

1) call light
2) lower bed
3) wash hands