Skills Flashcards
washing hands steps
- introduce yourself to client/resident
- turn both faucets on
- wet hands and wrists thoroughly
- soap
- hands below elbows
5.scrub thoroughly 25 seconds (the 4 areas) - rinse thoroughly
- keep hands below elbows
- one paper towel at a time
- fingers to wrists
- paper towel to turn faucet off
- faucet turn off
- “skill complete”
procedure for applying one knee high stocking
- Explain to Suzy who you are & what you’re going to do
-hand sanitizer
-privacy
-make sure Suzy is laying down (supine)
-make sure the bed is locked (not low)
-lift sheet no further than needed
-turn stocking inside out but stop at the heel
-stretch fabric
-keeping toes loose and aligning the heel (using gentle movements)
-stretch out to wrinkle-free (if using a mannequin, say that it would be wrinkle-free on a live person)
-signal device
-low and locked bed
-remove privacy
-wash hands
Cleaning dentures procedure
- wash hands
-put on clean gloves
-line the bottom of the sink with a towel (or partially fill it with water)
-turn on the water
-open dentures
-apply toothpaste to brush
-put the toothpaste back where you found it
-pick up dentures
-rinse dentures
-brush brush brush
-rinse dentures
-rinse and put down the toothbrush
-rinse out the inside of the cup
-put dentures in
-fill the cup with water
-rinse lid
-put the lid on
-turn off the sink
-remove the liner and dispose appropriately
-NO TOUCH TECHNIQUE take off gloves
-dispose
-wash hands
PPE PROCEDURE
- wash hands
-unfold gown (DO NOT LET IT TOUCH THE FLOOR) (EVER!)
-put on
-tie
-put on gloves OVER gown cuffs
-no touch technique to remove gloves
-dispose gloves
-untie gown
-no touch technique to remove gown
-roll gown away from you leaving a bit at the bottom not lettng it touch you
-dispose appropriately
-wash hands
count radial and respitory pulse
- wash hands
-introduce and explain - count pulse/respirations for one minute
-give the signal device
-wash hands
-record
-skill complete
measure ambulatory client weight
-wash hands
-explain procedure
-make sure feet are flat on the ground beforehand
-set scale to zero
-tell client to step in the middle of weight
-weigh
-ambulate back
-signal devise
-wash hands
-record weight
-skill complete
taking blood pressure
-wash hands
-explain procedure
-wipe bell, diaphragm, and ears of the stethoscope
-find brachial artery
-unscrew the nail thing on the pump machine
-put on equipment
-find pulse again
-put bell on pulse
-screw it up
-inflate to 170
-release sloooowly
-note first hearing of heartbeat
-note last hearing of heart beat
-removes equipment
-signal devise
-wash hands
-record
-skill complete
(if you don’t hear it the first time, start completely over by deflating and repumping to 200)
assisting ambulant client/resident with transfer belt
-introduce and explain what you are doing
-wash hands
-privacy
-make sure bed is locked and at a safe level
-ask person to rise and swing
-put on shoes
-put on transfer belt
-explain a walking path and the signal to stand
-line up toe to toe and make sure feet are flat
-hands grip UPWARDS on both sides of belt
-stand
-walk behind them at all times
-bring back to bed with legs facing the back of bed
-sit
-remove belt
-signaling device, bed locked and low
-wash hands
bedpan procedure
-get supplies (pan, wipes, tissue, two pairs of gloves)
-explain what your doing to client
-wash hands
-provide privacy
-lower head of the bed, make sure it is locked
-put on gloves
-uncover client
-bedpan
-cover client
-take of gloves, wash hands
-raise head of the bed
-give supplies and signaling device to client
-tell em to wipe hands and signal when done
-leave
-signaled? ok. come back and wash hands
-lower head of the bed
-put on glvoes
-uncover cleint
-remove bedpan
-cover client
-empty bedpan into toilet
-fill with water
-emty again into toilet
-put in the designated area
-remove gloves, wash hands
-undo privacy
-signaling device, bed locked and low
-wash hands
dress client with weak arm
-wash hands
-explain and introduce
-privacy
-ask which shirt they would like
-put clothes on bed
-TOSS what they have on without ever uncovering them GENTLY
-dispose soiled clothes
-POW the new clothes without ever exposing them GENTLY
-adjust clothing
-adjust blanket to show proper clothing placement
-signaling device, bed locked and low
-wash hands
feed client
-wash hands
-get food tray, wipes
-introduce and explain
-identify client with name card
-check bed is locked
-put dwon tray on table
-ask client to sit upright with feet flat on the floor
-adjust food tray to be in front of them
-get a chair and sit it in
-wipe their hands (one wipe each)
-introduce food
-“which one would you like first?”
-“here is you ______” as your feeding
“are you ready for the next bite? ok what do you want?”
-“would you like a drink?”
-“would you like anything else?”
-wipe mouth (one wipe) and hands (one wipe each)
-remove food tray
-remove chair
-signaling device, sit upright for at least 30 minutes
-bed locked and low
-wash hands
bed bath
-wash hands
-get supplies (4,2,1 clean gown)
-introduce and explain
-privacy
-bed locked and at safe level
-set up on table (clean vs dirty side)
-remove soiled gwon and dispose immediately
-fill up tub
-check temp
-have client check temp
-gloves
-wet cloth, wipe eyes and face (new part of cloth each wipe)
-dry cloth, PAT eyes and face (new part of cloth each wipe)
-put towel under arm
-wash arm and hands with soap
-rinse arm and hands with water
-pat dry woth towel under arm
-put clean gown on client
-empty, rinse, dry water basin and dispose
-dispose soiled linens AVOIDING YOUR OWN CLOTHES
-take off gloves, wash hands
-remove privacy
-signaling device, bed locked and low
measure urine
-wahs hands
-gloves
-urine into measuring cup
-fill baisn with water, empty in toilet
-dispose pee basin
-see mL for pee and remember it
-empty cup into toilet
rinse and emtpy cup in toilet
-dispose
-remove gloves, wash hands
-record
reocrd weight of ambulatory client
-wash hands
-introduce and explain
-bed locked and at safe level
-feet flat on the floor wearing shoes
-walk to scale
-zero scale
-tell client to step in middle of scale
-weigh
-tell client to get off
-go back to bed
-give signaling device, bed lockekd and low
-wahs hands
-record wieght
PROM exercises for knee/ankle
-wash hands
-explain and intorudce
bed locked AND IN SUPINE
-privacy
-ensure they are in supine
-tell them “if you experience pain let me know”
-uncover only to knee
-three bend the knees whilst holding knee and ankle (DOWN is 1)
-“you good?”
-repeat, “if you experience pain with the ankle”
-three flex and point the foots holidng ankle (DOWN is 1)
-“you good?
-cover up
-signaling device, bed locked and low
-remove privacy
-wahs hands
PROM exercise for shoulder
-wash hands
-explain and intorudce
-bed locked AND IN SUPINE
-privacy
-ensure they are in supine
-tell them “if you experience pain let me know”
-uncover only arm
-three raise the arm to the ears holding elbow and wrist (DOWN is 1)
-“you good?”
-repeat, “if you experience pain with this exercise”
-three flappy birds holding elbow and wrist (DOWN is 1)
-“you good?
-cover up
-signaling device, bed locked and low
-remove privacy
-wahs hands
position on side
-wash hands
-explain and introduce
-bed locked and supine
-get three pillows
-privacy
-raise side rail
-roll client over
-adjust pillow under head
-adjust arm so not lying on arm
-put pillow under arm horizontally
-put pillow behind back
-put pillow between legs vertically (bending the top leg, ensuring knee and ankles are supported)
-give signaling device, bed locked and low
-remove privacy
-wash hands
catheter care
-introduce and explain
-wash hands
-bed locked, supine, safe level
-privacy
-get supplies (3,2,1 linen pad)
-set up supplies (the towel ya’ll)
-fill the basin with water
-check temp
-ask client to check temp
-put gloves on
-linen protector and lift gown (don’t overexpose)
-soap up the WET towel
-drag while holding the meatus
-rinse while holding the meatus
-pat dry while holding the meatus
-flip to side and remove linen protector while pulling down gown
-cover with a blanket too poo
-go empty, rinse, and dry the basin. dispose.
-dispose of linens and linen protectors appropriately (without them touching your clothes)
-take off gloves and wash hands
-signaling device, bed locked and low
-undo privacy
-skill complete
foot care
-introduce and explain
-wash hands
-bed locked, supine, and safe level
-privacy
-get supplies (3,2,1 and lotion)
-set up poo
-fill basin
-check water temp
-ask client to check water temp
-uncover only what is necessary
-put the linen protector down
-put the basin down
-put gloves on
-wet wash cloth and put soap on it
-put foot in water
-remove from water and from basin
-wash foot and toes
-rinse foot and toes
-pat dry foot and toes
-remove basin
-lotion up
-remove protector
-cover up again
-empty, rinse, dry basin, dispose
-dispose of soiled linen and protector
-remove gloves, wash hands
-signaling device
-bed locked and low
-undo privacy
-skill complete
peri care
-introduce and explain
-wash hands
-bed is locked and supine and safe level
-privacy
-get supplies (4,2,1 linen pad)
-set up poo
-fill basin
-check temp
-ask client to check temp
-put on gloves
-uncover
-roll over and put the protector down and fold up gown (not too much. just enough)
-wet towel and apply soap on leaves
-wipe thrice
-rinse thrice
-pat dry thrice
-put aside the towel for the booty use
-wet towel and apply soap BEFORE FLIPPING
-flip onto side
-wipe thice
-rinse thrice
-pat dry thrice with that same towel
-remove linen protector
-pull down gown
-cover with blanky
-“you comfy miss sizy?”. ask it.
-telll em you’ll brb
-empty, rinse, and dry basin
-soiled linen and protector disposal
-take off gloves, wash hands
-come back
-signal device, bed locked and low
-undo privacy
-skill complete
transfer to wheelchair
-introduce and explain
-wash hands
-get the wheel chair and transfer belt
-set up the wheelchair (wheels locked, feet up and out of the way)
-make sure bed is locked and supine and SAFE LEVEL
-privacy
-ask client to rise
-put clients feet flat on floor
-put clients shoes on
-put transfer belt on
-give standing and shuffling instructions to client
-stand with upward grasp
-reposition hands and shuffle till back of legs hit the wheechair
-sit
-butt to the back of wheelchair
-remove transfer belt
-place feet on foot pedals
-give signaling device
-remove privacy
-wash hands
manual blood pressure
-introduce and explain
-wash hands
-get a stethoscope and arm cuff
-wipe down the stethoscope
-find brachial pulse
-put arm cuff on properly (arrows over pulse)
-put the stethoscope in (ears facing eardrums/ forward)
-diaphragm over pulse-
-completely turn the vial
-inflate to 170
-release SLOWLY
-note diastolic and diastolic
-remove stuff
-give a signaling device
-bed locked and low
-wash hands
record diastolic and diastolic
