Initial Steps

Question 1

List the steps of the Initial Steps procedure

Answer 1

1. Ask nurse about resident’s needs, abilities and limitations, if necessary, and gather necessary supplies.
2. Knock and identify yourself before entering the resident’s room. Wait for permission to enter the resident’s room.
3. Greet the resident by name per resident preference.
4. Identify yourself by name and title.
5. Explain what you will be doing and encourage the resident to help as able.
6. Gather supplies and check equipment.
7. Close curtains, drapes, and doors. Keep resident covered, expose only the area of the resident’s body necessary to complete the procedure.
8. Wash your hands.
9. Wear gloves as indicated by Standard Precautions.
10. Use proper body mechanics. Raise bed to appropriate height and lower side rails if raised.

Question 2

What is the rationale for step “1. Ask nurse about resident’s needs, abilities and limitations, if necessary, and gather necessary supplies.”?

Answer 2

Prepares you to provide the best possible care to the resident.

Question 3

What is the rationale for step “2. Knock and identify yourself before entering the resident’s room. Wait for permission to enter the resident’s room.”?

Answer 3

Maintains the resident’s right to privacy.

Question 4

What is the rationale for step “3. Greet the resident by name per resident preference.”?

Answer 4

Shows respect for the resident.

Question 5

What is the rationale for step “4. Identify yourself by name and title.”?

Answer 5

The resident has the right to know the identity and qualifications of their caregiver.

Question 6

What is the rationale for step “5. Explain what you will be doing and encourage the resident to help as able.”?

Answer 6

Promotes understanding and independence.

Question 7

What is the rationale for step “6. Gather supplies and check equipment.”?

Answer 7

Organizes work and provides for safety.

Question 8

What is the rationale for step “7. Close curtains, drapes, and doors. Keep resident covered, expose only the area of the resident’s body necessary to complete the procedure.”?

Answer 8

Maintains resident’s right to privacy and dignity.

Question 9

What is the rationale for step “8. Wash your hands.”?

Answer 9

Provides for infection control.

Question 10

What is the rationale for step “9. Wear gloves as indicated by Standard Precautions.”?

Answer 10

Protects you from contamination by bodily fluids.

Question 11

What is the rationale for step “10. Use proper body mechanics. Raise bed to appropriate height and lower side rails if raised.”?

Answer 11

Protects you and the resident from injury.