BOLD skills Flashcards
Hand Hygiene
- 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
Apply One Knee High Stocking
- 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)
Assists to ambulate using transfer belt
- 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
Assists with use of bedpan (has no bold steps)
- 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
Cleans Upper and Lower Denture (has no bold steps)
- 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
Counts and Records Radial Pulse
- Counts for 1 FULL Minute
- With in 4 beats of evaluator’s
Counts and Records Respirations
- Counts for 1 FULL Minute
- with in 2 breaths of evaluator’s
Dresses Client with Affected (weak) Right Arm
- Always dress the Weak arm first when putting clothes ON
Measures and Records Urinary Output (has no bold steps)
- 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
Measures and Records weight of ambulatory client
- 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
Extension vs flexion
Dorsiflexion vs plantar flexion
Shoulder flexion/ extension
PROM for one knee and ankle
- 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
PROM for one shoulder
- 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)
Postions on Side (has no bold steps)
- 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
Provides Foot Care on One Foot (has no bold steps)
- 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
Transfer from Bed to Wheelchair Using Transfer Belt
- 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)
Measures and Records Manual Blood Pressure
- Clean stethoscope (ear piece and diaphragm) with rubbing alcohol
- Wash hands before recording
- RECORDS WITH IN 8mm of evaluator’s
Abduction vs adduction
First steps before starting any skill?
1) introduce self
2) Explain what skill we’re doing
3) pull privacy curtain
4) gloves
What are end steps for all skills?
1) call light
2) lower bed
3) wash hands
