Hygiene and Comfort Flashcards
what direction do you bathe a pt in?
distal to proximal to promote circulation
what is the first thing you should do after report if possible?
physical assessment of pt to validate baselines for yourself
what kind of assessments can you making while bathing a pt
skin, cognitive, pain, mobility
what are the basics of pt bathing
identify pt, have all supplies at bedside, proper bed height for you, clean gloves, basin vs wipes, no soap on face, inside of eye to outside, respect, room temp for pt, safety, assess, cream, and document
what are the basics of bathing infants/children
safety, SUPERVISION, temp control of water/environment, teaching, cleanest area to dirtiest area, limbs first
what are the basic of bathing an obese pt
SAFETY, assistance (device/person), pannus, breasts and thighs, gowns, foot care, sensitivity
how to address sweating in pannus of obese pt
place towels/gauze in folds and change them accordingly; do NOT use powder
what are the basics of bathing elderly pts
dry/fragile skin (pat dry, don’t rub), lots of lotion, water temp, sensitivity to heat, safety
basics of changing unoccupied bed
clean gloves, all linens, hospital/mitered corners
what are special considerations for diabetic patients
discharge education, inspect feet daily, clean with mild soap, don’t soak feet, dab feet dry not rub, sturdy and well-fitting shoes
what are the 5 rights of delegation
right task, right circumstance, right person, right direction/communication, right supervision/eval
what don’t you delegate
eval, assessment, teaching, medication, unstable pts
what is algor mortis
drop in body temp
basic of post mortem care
bathe pt in prep for family, close pt eyes and place dentures in mouth, remove or tape jewelry, remove drains, IVs unless contraindicated,
basic of transport to morgue
place morgue ID on pt toe/ankle and bag, place pt in body bag supine with hands crossed over abdomen, place pt in morgue stretcher and transport to morgue