Skills Flashcards
when washing hands, its important to not…
touch the sink, paper towel dispenser, or anything
even after washing hands, its important to use…
a paper towel to turn sink off if needed in order to not contaminate your hands
how long should you wash your hands?
20 seconds
how do you clean your nails when hand washing?
rub them in palm of other hand
its important to do hand hygiene…
before and after every task
when removing the 1st glove, its important to..
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!
when removing the 2nd glove, it’s important to..
with ungloved hand, reach 2 fingers inside the cuff, not touching the outside
pull down, turning glove inside out
what do you need to make an unoccupied bed?
fitted and flat sheets, incontinent pad, blanket, pillowcases, gloves
when working with a resident in a bed, it’s important to..
lock bed wheels
provide privacy
adjust bed as needed
when making an unoccupied & occupied bed, you..
make one side of the bed at a time
where is the incontinent pad placed in a bed?
above fitted sheet and in-between top sheet
one of the last few steps to making beds is…
making hospital corners!
closed bed
resident not coming back to bed (keep blankets at top of bed)
open bed
resident will come back (fold blankets and sheets down so resident can get into bed)
where to keep supplies when making beds?
close and accessible
when making an occupied bed, how do you ensure the residents safety?
put bed rails up as the resident is facing away from you
how do you ensure the residents privacy when making an occupied bed?
keep bath blanket on them at all times
what do you do with dirty linen when making an occupied bed?
roll them towards the resident, dispose of them when done
place down fitted sheet and pad, then place blankets over resident when making an ________ _______
occupied bed
when positioning a resident in the supine position…
make sure head in line with spine
resident lying on their back, legs straight
bed in low position
when positioning a resident in a side-lying position..
make sure head in line with spine
one knee bent
pillows under head, back, between legs, and under top arm
bed in low position
before having a resident move/walk anywhere, you should…
put non-skid footwear on the resident
have robe or privacy ready for resident
when doing range of motion on a resident..
they’re in the supine position (on back)
repeat 5 times
range of motion on shoulder
flexion/extension: raise arm over head and back down to side
abduction/adduction: raise arm to the side, then back down to the body
range of motion on elbow
flexion: bent arm so hand touches shoulder
extension: straightening the arm
range of motion on wrist
flexion/extension: bend hand down, then bend it backwards
when assisting with oral care…
have water for resident and basin to spit
wipe with towels
clean upper teeth first
use gentle back and forth strokes
when cleaning dentures
line sink/basin with a towel so the dentures don’t break in case they’re dropped
do not use ______ _______ when cleaning dentures
hot water
when done with dentures…
clean out denture cup before using, fill cup up with warm water and place dentures in there
oral care for an unconscious resident
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
supplies for a partial bath?
soap, washcloths/towels, basin, bath blanket, clean clothes, gloves
where should you wash in a partial bath (in order)
eyes and face
arms
hands in basin
chest/ abdomen
peri area
complete bed bath is completed in what order?
eyes/face
arms
hand in a basin
chest
abdomen
legs/feet
back
peri care
complete bed bath: eyes/face
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
complete bed bath: arms
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
how to take respiration rate?
do while taking pulse
watch chest rise and fall and count how many times it happens in a minute
complete bed bath: washing hand in basin
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
supplies for a complete bed bath
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
complete bed bath: chest
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
complete bed bath: abdomen
cover pubic area with blanket
wash with 4 corner towels
rinse and pat dry
complete bed bath: legs & feet
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
complete bed bath: back
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
complete bed bath: peri care female
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
complete bed bath: peri care male
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
complete bed bath closing
make sure call light is within reach
dispose of gloves
hand hygiene
return bed to low position
nail care supplies
orange wood stick
emery board (nail file)
done while giving a bed bath
nail care
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
bedpan
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
what to do after every skill
hand hygiene
remove and throw away gloves
bed in lowest position
call light within reach
what to do before every skill
introduce self, identify resident by name, explain
provide privacy, lock bed wheels
adjust bed
hand hygiene, put on gloves
unoccupied bed
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
transfer resident from bed to chair
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
undress/dress resident
remove one arm of shirt at a time
dress affected arm/leg first
brush hair starting at ends
urinal for male resident
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
tympanic temp
ear
cover with sheath
pull up and back on outside of the ear to straighten out
axillary temp
armpit area
digital thermometer: cover with sheath, leave until it blinks/beeps
electric thermometer: probe cover needed
BP
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
intake
everything the resident drinks
total the whole amount after your shift
output
amount of urine resident secretes
measure urine then hand hygiene
catheter care
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
emptying catheter drainage bag
open spout OVER container in case of a spill
clean with alchohol wipe
stockings/ted-hose
turn stocking inside out to heel area
slowly put sock on, making sure the heel is correct
repeat
