Skills Flashcards

1
Q

when washing hands, its important to not…

A

touch the sink, paper towel dispenser, or anything

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2
Q

even after washing hands, its important to use…

A

a paper towel to turn sink off if needed in order to not contaminate your hands

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3
Q

how long should you wash your hands?

A

20 seconds

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4
Q

how do you clean your nails when hand washing?

A

rub them in palm of other hand

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5
Q

its important to do hand hygiene…

A

before and after every task

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6
Q

when removing the 1st glove, its important to..

A

only touch the outside of one glove at wrist level w/ the other gloved hand
avoid touching skin
turn glove inside out and place in gloved hand!

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7
Q

when removing the 2nd glove, it’s important to..

A

with ungloved hand, reach 2 fingers inside the cuff, not touching the outside
pull down, turning glove inside out

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8
Q

what do you need to make an unoccupied bed?

A

fitted and flat sheets, incontinent pad, blanket, pillowcases, gloves

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9
Q

when working with a resident in a bed, it’s important to..

A

lock bed wheels
provide privacy
adjust bed as needed

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10
Q

when making an unoccupied & occupied bed, you..

A

make one side of the bed at a time

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11
Q

where is the incontinent pad placed in a bed?

A

above fitted sheet and in-between top sheet

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12
Q

one of the last few steps to making beds is…

A

making hospital corners!

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13
Q

closed bed

A

resident not coming back to bed (keep blankets at top of bed)

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14
Q

open bed

A

resident will come back (fold blankets and sheets down so resident can get into bed)

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15
Q

where to keep supplies when making beds?

A

close and accessible

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16
Q

when making an occupied bed, how do you ensure the residents safety?

A

put bed rails up as the resident is facing away from you

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17
Q

how do you ensure the residents privacy when making an occupied bed?

A

keep bath blanket on them at all times

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18
Q

what do you do with dirty linen when making an occupied bed?

A

roll them towards the resident, dispose of them when done

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19
Q

place down fitted sheet and pad, then place blankets over resident when making an ________ _______

A

occupied bed

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20
Q

when positioning a resident in the supine position…

A

make sure head in line with spine
resident lying on their back, legs straight
bed in low position

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21
Q

when positioning a resident in a side-lying position..

A

make sure head in line with spine
one knee bent
pillows under head, back, between legs, and under top arm
bed in low position

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22
Q

before having a resident move/walk anywhere, you should…

A

put non-skid footwear on the resident
have robe or privacy ready for resident

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23
Q

when doing range of motion on a resident..

A

they’re in the supine position (on back)
repeat 5 times

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24
Q

range of motion on shoulder

A

flexion/extension: raise arm over head and back down to side
abduction/adduction: raise arm to the side, then back down to the body

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25
Q

range of motion on elbow

A

flexion: bent arm so hand touches shoulder
extension: straightening the arm

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26
Q

range of motion on wrist

A

flexion/extension: bend hand down, then bend it backwards

27
Q

when assisting with oral care…

A

have water for resident and basin to spit
wipe with towels
clean upper teeth first
use gentle back and forth strokes

28
Q

when cleaning dentures

A

line sink/basin with a towel so the dentures don’t break in case they’re dropped

29
Q

do not use ______ _______ when cleaning dentures

A

hot water

30
Q

when done with dentures…

A

clean out denture cup before using, fill cup up with warm water and place dentures in there

31
Q

oral care for an unconscious resident

A

raise head of bed and turn their face towards you
still talk and explain procedure like they can hear you
place swab/toothette in solution (mouthwash and water) and go over

32
Q

supplies for a partial bath?

A

soap, washcloths/towels, basin, bath blanket, clean clothes, gloves

33
Q

where should you wash in a partial bath (in order)

A

eyes and face
arms
hands in basin
chest/ abdomen
peri area

34
Q

complete bed bath is completed in what order?

A

eyes/face
arms
hand in a basin
chest
abdomen
legs/feet
back
peri care

35
Q

complete bed bath: eyes/face

A

have resident check water before getting started
towel on chest, using no soap wash eye furthest away FIRST (inner to outer)
wash face from middle outward
wash neck and ears

36
Q

complete bed bath: arms

A

towel under arm
soapy washcloth, long strokes from shoulder to wrist (4 corner towels)
upper and under arm
rinse, pat dry
repeat to other arm

37
Q

how to take respiration rate?

A

do while taking pulse
watch chest rise and fall and count how many times it happens in a minute

38
Q

complete bed bath: washing hand in basin

A

get in between fingers and palms of hands
clean under nails w orangewood stick
rinse, pat dry
use 4 corner towels
lotion to hands, elbows, and arms if ordered
repeat for other hand

39
Q

supplies for a complete bed bath

A

protective barrier to set all of this on (incontinence pad)
bath blanket
basin
soap
washcloths (more is better)
towels (more is better)
clean gown
gloves
orangewood stick (nails)
lotion
brush
deodorant

40
Q

complete bed bath: chest

A

place towel across residents chest, pull blanket down to waist
clean under breasts
use for corner towels
lift only enough to wash
rinse and pat dry

41
Q

complete bed bath: abdomen

A

cover pubic area with blanket
wash with 4 corner towels
rinse and pat dry

42
Q

complete bed bath: legs & feet

A

place towel under leg
wash thigh, then knee to ankle using long strokes
rinse it the same way you washed it and pat dry
place another towel under foot
wash foot and in-between toes
rinse foot the same way you washed it and pat dry
repeat for other leg
use 4 corner towels

43
Q

complete bed bath: back

A

move resident to center of bed
ask resident to turn so their back is facing to you
raise bed rails on the side they’re facing
apply towel long ways next to back
wash back in long strokes (using 4 corner towels)
rinse and dry

44
Q

complete bed bath: peri care female

A

switch gloves
front to back
wipe each side
wipe center of perineum (girl gooch)
spread lips then wipe front to back
rinse the same way you washed
pat dry
ask resident to turn to side, making sure bed rails are up on their side and wash their anal area and butt
rinse same way you wash

45
Q

complete bed bath: peri care male

A

switch gloves
wash from the tip down
pull back foreskin if uncircumcised
rinse and dry
wash scrotum and groin
rinse same way you washed and dry
turn resident on their side, make sure bed rails are up
wash butt and anal area
rinse and pat dry

46
Q

complete bed bath closing

A

make sure call light is within reach
dispose of gloves
hand hygiene
return bed to low position

47
Q

nail care supplies

A

orange wood stick
emery board (nail file)
done while giving a bed bath

48
Q

nail care

A

introduce self, explain procedure, hand hygiene
fill basin w warm water, have resident check water
soak fingers for 5 mins
wash (soap), rinse, and pat dry hands w washcloth
put on gloves, place residents hand on towel
wipe stick on towel after each nail
shape nails w emery board
apply lotion

49
Q

bedpan

A

hand hygiene, gloves
adjust bed
cover resident w bath blanket
put towel under hips then place bedpan under hips
remove gloves
give tissues and wipes within reach,
leave
put gloves on when resident is done
remove bed pan and cover it, empty and clean

50
Q

what to do after every skill

A

hand hygiene
remove and throw away gloves
bed in lowest position
call light within reach

51
Q

what to do before every skill

A

introduce self, identify resident by name, explain
provide privacy, lock bed wheels
adjust bed
hand hygiene, put on gloves

52
Q

unoccupied bed

A

one side at a time
fitted sheet
pad
top sheet and bed spread, tuck under end of bed and make hospital corners
fold down top sheet over the blanket
put on clean pillow cases

53
Q

transfer resident from bed to chair

A

move chair to bedside
move bed so resident can sit up then move them to edge of bed, feet touching floor
make sure they have non slip socks on
place GAIT BELT over clothing, not too tight
put leg next to resident, facing the direction you want to go

54
Q

undress/dress resident

A

remove one arm of shirt at a time
dress affected arm/leg first
brush hair starting at ends

55
Q

urinal for male resident

A

elevate head of bed
place pad under residents buttocks
once resident is done, wash hands and gloves
cover urinal after use, dispose and rinse with cold water

56
Q

tympanic temp

A

ear
cover with sheath
pull up and back on outside of the ear to straighten out

57
Q

axillary temp

A

armpit area
digital thermometer: cover with sheath, leave until it blinks/beeps
electric thermometer: probe cover needed

58
Q

BP

A

find brachial pulse
wipe ear pieces and circle with alcohol wipe
inflate cuff 30 mmhg past 180
slowly unflat cuff, listening for pulse
first sound heard: systolic
last sound or point of change: diastolic

59
Q

intake

A

everything the resident drinks
total the whole amount after your shift

60
Q

output

A

amount of urine resident secretes
measure urine then hand hygiene

61
Q

catheter care

A

resident should flex knees
place pad under butt
cover resident as needed
hold catheter near meatus to avoid tugging
clean with soap catheter, stroking away from meatus, then rinse

62
Q

emptying catheter drainage bag

A

open spout OVER container in case of a spill
clean with alchohol wipe

63
Q

stockings/ted-hose

A

turn stocking inside out to heel area
slowly put sock on, making sure the heel is correct
repeat