Nursing Safely: Client Safety, Infection Control, Hygiene, Mobility/Immobility

Question 1

Proper Donning PPE

Answer 1

Hand hygiene
Gown
Mask
Eyewear
Gloves

Question 2

Proper doffing PPE

Answer 2

Take off gloves using proper method
Hand hygiene
Take off gown
Hand hygiene
Take off eye wear (vocalize this but don’t take eye wear)
Hand hygiene
Take off Mask (vocalize this but don’t take mask off)
Hand hygiene

Question 3

Proper Hand hygiene

Answer 3

• Roll sleeves up and take off watch or put your watch above the wrist
• turn the tap on carefully to prevent splashing; make sure water is warm
• Make sure the hands are below the chest level to avoid contamination by microbes
• wet hands, then apply soap
• latter the soap in fingers and rub palms and back of hands with circular motion at least five times each
• rub the knuckles of one hand into the palm of the other
• rub thumb on one hand with the palm of the other hand, repeat with other hand
• work the fingertips on one hand into the palm of the other
• massage soap into nail spaces
• clean underneath fingernails
• include the wrist wash
• rinse hands thoroughly
• grab a few paper towels to dry hand, and discard
• grab a paper towel to turn off tap

Question 4

Common bed positions and their benefits

Answer 4

• Fowler’s
  
  • HOB raised 45 degrees; foot of bed may be raised as well
  • preferred while patient eats, used during NGT, and nasotracheal suction
  • promotes lung expansion
• Semi-Fowler’s
  
  • HOB raised at 30 degrees; foot can also be raised
  • promotes lung expansion
  • used when pts receive gastric feedings to reduce regurgitation and risk of aspiration
• Trendelenburg’s
  
  • entire bed frame tilted with HOB down
  • for postural drainage
  • facilitates venous return in pts with poor peripheral perfusion
• Reverse Trendelenburg’s
  
  • entire frame of bed tilted with foot of bed down
  • used infrequently
  • promotes gastric emptying
  • prevents esophageal reflux
• flat
  
  • for pts with vertebral injuries and cervical traction
  • for pts who are hypotensive
  • generally preferred for sleeping