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Skills Flashcards

1
Q

Hand Hygiene (hand washing)

A
  1. Introduces self by name, addresses patient by name
  2. Turns on water
  3. Wets hands and wrists thoroughly
  4. Applies soap to hands
  5. LATHERS WRISTS HANDS AND FINGERS FOR 20 SECONDS KEEPING FINHERS LOWER THAN WRISTS WHICH ARE LLWER THAN ELBOWS
  6. Rubs fingernails against other hand
  7. RINSE AND KEEP FINGERS LOWER
  8. Use clean dry paper towels to dry hands starting at fingers
  9. Use paper towel to turn off water
  10. Do not touch sink at any time
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2
Q

Applies one knee high elastic stocking

A
  1. Introduction, explain procedure
  2. Privacy
  3. Supine position while stocking is put on
  4. Turns stocking inside out at least to heel
  5. Places foot of stocking over toes, foot and heel
  6. Pulls top of stocking over foot heel and leg
  7. FINISHES WITH NO WRINKLES OR TWISTS, HEEL IS OVER HEEL, TOE AREA IS CORRECTLY PLACED
  8. Signaling device
  9. Wash hands
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3
Q

Assists to ambulate using transfer belt

A
  1. Introduce and explain
  2. Privacy
  3. BEFORE ASSISTINH TO STAND PATIENT IS WEARING NONSKID FOOTWEAR
  4. Before assistinh to stand bed is at safe level and wheels are locked
  5. ASSISTEF TO SITTING POSITION WITH FEET FLAT ON FLOOR
  6. Applies gait belt over gown with no gaps in gown before standing
  7. Explains how to stand with countdown
  8. Hold gait belt on the sides and help stand (knees to knees) and countdown
  9. Walks slightly behind and to side of patient for a count of 10
  10. Walks back to bed with patient and removed gait belt
  11. Call button and bed in low position
  12. Wash hands
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4
Q

Cleans dentures

A
  1. Puts on gloves
  2. Sink is lined with towel and water is running
  3. Rinsed dentures in moderate temp before brushing
  4. Brushing
  5. Rinses
  6. Rinses cup and lid
  7. Put dentures in cup
  8. Rinses toothbrush and puts away
  9. Sink liner is removed and put in dirty linens
  10. Removed gloves and washed hands
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5
Q

Counts and records radial pulse

A
  1. Introduce and explain
  2. Privacy
  3. Count beats for 1 full minute
  4. Call button
  5. Washes hands
  6. RECORD RATE
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6
Q

Records and counts respiration

A
  1. Introduce and explain
  2. Privacy
  3. Counts respirations for one minute
  4. Call button
  5. Washes hands
  6. RECORD RATE
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7
Q

Donning and removing PPE (gown and gloves)

A
  1. Picks up gown and unfolds and puts on
  2. Tie neck
  3. Tie back
  4. Gloves
  5. TAKE OFF GLOVES PORPERLY
  6. Throw away gloves
  7. Unties gown
  8. Removes gown without touching outside and holding gown away from body
  9. Disposes of gown
  10. Washes hands
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8
Q

Dresses with weak (right) arm

A
  1. Introduce and explain
  2. Privacy
  3. Asks which shirt they prefer
  4. Avoid overexposure and ensure chest is covered
  5. Remove gown strong first and then weak
  6. Old gown in soiled linens
  7. ASSISTS RO PUT SHIRT ON WEAK ARM FIEST THEN FINISH STRING
  8. Put clothing in place
  9. Call button
  10. Washes hands
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9
Q

Gives modified bed bath (face, arm, hand, underarm)

A
  1. Introduce and explain
  2. Privacy
  3. Remove gown and put soiled linens
  4. Checks water temp
  5. Put on gloves
  6. WASHES EYES FIRST THEN FACE WIGJ WET RAG NO SOAP USINH CLEAN AREA IF WASHCLOTH FOR EACH STROKE
  7. Dries face with dry washcloth
  8. Exposes arm and puts towel underneath arm
  9. Washes fingers, hand, arm, and underarm with soapy wet washcloth
  10. Rinses arm with wet washcloth
  11. Dried arm with dry washcloth
  12. Put clean gown on
  13. Empties, rinses, and dries basin
  14. Places basin is designated dirty supply area
  15. Disposes of dirty linen in dirty linens container
  16. Avoids contact of patient and self clothing with dirty linen
  17. Removes gloves
  18. Washes hands
  19. Signaling device
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10
Q

Measures and records electronic BP

A
  1. Introduce and explain
  2. Privacy
  3. Comfy lying or sitting position
  4. Arm is palm up and at heart level
  5. Appropriate cuff size selected
  6. Find brachial artery and place cuff correctly on arm
  7. Turns on machine and on correct adult function and hits start
  8. If cuff inflates to more than 200mgHg stop machine and use other arm
  9. Reads recording
  10. Signaling device and wash hands
  11. RECORD
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11
Q

Measures and records urinary output

A
  1. Clean gloves before handling bedpan with ONE HAND WHOLE TIME
  2. Pours contents into measuring container
  3. Rinses bedpan and pours into toilet
  4. Measures container (round up to nearest 25ml/cc
  5. After measuring empty container into toilet
  6. Rinsed container and dumps into toilet
  7. Removes gloves and wash hands
  8. RECORD
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12
Q

Measures and records weight of ambulatory client

A
  1. Introduce and explain
  2. Nonskid footwear
  3. Before stepping on scale scale is set to zero
  4. Asks patient to step on center of scale and weighs
  5. Asks patient to step off scale
  6. Wash hands
  7. RECORD
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13
Q

Modified PROM for one knee and ankle

A
  1. Introduce and explain
  2. Privacy
  3. Supine in bed and tells patient to say if pain is felt
  4. SUPPORT KNEE AND ANKLE AND BEND KNEE 3X UNLESS PAIN IS VERBALIZED
  5. SUPPORT FOOT AND ANKLE DO DORSIFLEXION AND PLANTAR FLEXION 3X EACH UNLESS ÑAIN IS VERBALIZED
  6. Signaling device and bed in low position
  7. Wash skills
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14
Q

Modified PROM for one shoulder

A
  1. Introduce and explain
  2. Privacy
  3. Tells patient to verbalize pain at any
    point
  4. SUPPORT ELBOW AJD WRIST AND RAISE ARM TO EAR 3X UNLESS PAIN IS CERBALIZEF
  5. SUPPORT EL OW AND WRIST AND DO ABDUCTION/ADDUCTION 3X UNLESS ÑAIN IS VERBALIZED
  6. Signaling device and bed in low position
  7. Washes hands
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15
Q

Positions on side

A
  1. Introduce and explain
  2. Privacy
  3. Supine position
  4. Raises side rail to face turned position
  5. Rolls patient to face side rail
  6. Pillow under head for support
  7. Positions arm and shoulder so patient is not on arm
  8. Supports top arm with pillow
  9. Pillow behind back
  10. Pillow between knees and ankles with top knee bent
  11. Signaling and low position
  12. Wash hands
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16
Q

Catheter care for female

A
  1. Introduce and explain
  2. Privacy
  3. Checks water temp for patient
  4. Clean gloves
  5. Linen protector
  6. Exposes area for cleaning OBLY BETWEEN HIP AJD KNEE
  7. Soap to wet washcloth
  8. HOLD CATHETER AT MEATUS WITH ONE HAND AND CLEAN CATHETER AWAY FEOM MEATUS AND USE CLEAN SIDE EVERYTIME
  9. HOLDINH CATHETER WITJ SALE HAND USE WET WADHCLOTH TO RINSE CLEAN SIFE EQCH TIME
  10. Holding catheter with same hand dry with dry washcloth clean side each time
  11. Empties, rinses, and dries basin
  12. Basin in dirty supply area
  13. Used linens in soiled linen container
  14. Avoids contact between patients and selfs clothing with dirty linens
  15. Removes gloves and washes hands
  16. Signaling device and low position
  17. Wash hands again
17
Q

Foot care on one foot

A
  1. Introduce and explain
  2. Privacy
  3. Checks water temp for patient
  4. Basin is in comfortable position for patient and there is a towel underneath basin
  5. Clean gloves
  6. Foot in water
  7. Lifts foot from water and washes with soapy washcloth
  8. Rinsed
  9. Dries
  10. Lotion except for in between toes then remove excess with dry washeclotj
  11. Always supporting foot and ankle
  12. Empties rinses and dries basin
  13. Basin in dirty uppmies
  14. Used in linen in soiled linen container
  15. Remove gloves and wash hands
  16. Signaling device
18
Q

Mouth care

A
  1. Introduce and explain
  2. Privacy
  3. High fowlers position
  4. Clean gloves
  5. Towel across chest
  6. Moisten toothbrush in cup of water and then apply toothpaste
  7. COEANS MOUTH INCLUDINH TONGUE
  8. Place toothbrush on towel over table
  9. Emesis basin
  10. Wipes mouth
  11. Rinse toothbrush and Rinse empty and dry basin and put into dirty supplies
  12. Remove gloves and wash hands
  13. Signaling device
19
Q

Perineal care

A
  1. Introduce and explain
  2. Privacy
  3. Check water temp for patient
  4. Clean gloves
  5. Towel in between patient and bed
  6. Exposed perineal area in between bips and knees
  7. WASH FRIM FRONT TO BSCK USINH CLEAN SIDE OF SOAPY WASHCLOTJ FOR EACH STROKE
  8. RINSE FRONT TL BACK WITJ CLEAN SIDE ESCH STROKE
  9. Dries front to back
  10. Turns to side and washes rectal area from front to back with clean side each time
  11. Rinse front to back with clean side each time
  12. Dries front to back
  13. Repositions patient
  14. Empties rinses and dries basin
  15. Basin in dirty supplies
  16. Used linen in dirty linens
  17. Removes gloves and wash hands
  18. Signaling device
20
Q

Bed to wheelchair using gait belt

A
  1. Introduce and explain
  2. Privacy
  3. Wheelchair next to bed without footrests
  4. LOCKED WHEELS OF WHEELCHAIR
  5. Bed is at sage level and locked wheels
  6. AZSISTEF TO SITTINH POSITION WITJ FEET CLAT ON FLOOR
  7. Client is wearing shoes
  8. Applies gait belt over gown
  9. Gives instructions with prearranged signal
  10. Knees to knees toes to toes
  11. Assists to stand and walks to wheelchair until back of patients legs are against wheelchair
  12. Lowers into wheelchair
  13. Patient sitting with hips touching back of wheelchair and gait belt is removed
  14. Positions feeet on footrests
  15. Signaling device and wheels unlocked
21
Q

Assist with bedpan

A
  1. Introduce and explain
  2. Privacy
  3. Supine
  4. Clean gloves
  5. Bedpan under patient (patient can bridge)
  6. Removes gloves and wash hands
  7. High fowler’s
  8. Tp, hand wipes, and signaling device in reach gives instructions
  9. Clean gloves
  10. Supine
  11. Removes bedpan
  12. Empties into toilet and rinses and empty rinse into toilet
  13. Bedpan into dirty supplies
  14. Removes gloves and wash hands
  15. Signaling device and bed is supine

CNA (5 decks)

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