Entry skills sheets

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Author:
shanhada
ID:
102523
Filename:
Entry skills sheets
Updated:
2011-09-18 15:04:19
Tags:
adn145
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Description:
pre skills
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  1. Basic Steps for All Skills
    • 1. Checks health care provider's (HCP's) order's for order, contraindications, etc.
    • 2. Gathers supplies.
    • 3. Greets client and introduces self.
    • 4.Identifies client by checkin name band &asking client name and birth date.
    • 5. Explain procedure.
    • 6. Performs hand hygiene before and after contact.
    • 7.Uses Standard Precautions as appropriate.
    • 8. provides privacy
    • -closes door, closes curtains around bed, asks visitors to step out, keeps clients covered as much as possible.
    • 9.Performs procedure,
    • 10. Cleans up supplies.
    • --discards disposable supplies, cleans reuseable, return supplies.
    • 11.Leaves the client safe and comfortable.
    • --room neat, call light in place, bed lowered, raises side rails.
    • 12. Document procedure
    • 13. report significant findings
  2. Handwashing
    • 1. Remove all rings
    • 2. Remove watch or slide up to elbow
    • 3. wet hands under warm water
    • 4.applies cleansing agent to hands
    • 5.cleans fingers, hands, and wrists(up to forearm) using vigorous rubbing action for a min of 15 sec.
    • 6.rinse wrist hands and fingers under warm water
    • 7. holds hands lower than elbows at all times during wash and rinse.
    • 8.Dries fingers, hands, and wrists with fingers up from finger tips to wrist.
    • 9.Uses medical asepsis without contamination of self or environment.
  3. To Remove contaminated gloves w/o contaminating self or environment.
    • 1. Does not contaminate work area by touching with contaiminated surfaces of gloves.
    • 2.Grasp outside of first glove with second gloved hand.
    • 3.Pull first glove gently down, turning inside out.
    • 4.holds removed glove in second gloved hand.
    • 5.Pulls off remaining glove gently, touching only inside surface of contaminated glove, turning inside out.
    • 6. Performs hand hygiene.
  4. Oral Hygiene
    • 1. Explain procedure to client.
    • 2.performs hand hygiene before and after contact.
    • 3.Uses standard precuations as appropriate.
    • 4. places client in sitting positon.
    • 5.holds brush at 45* angle to gum line
    • 6. brushes all tooth surfaces using cleansing agent
    • 7.brushes tongue.
    • 8. rinses mouth
    • 9 removes glove
    • Record data relevant to procedure including.
  5. to cleanse the perineal area
    • 1. Explain procedure to client.
    • 2.performs hand hygiene before and after contact.
    • 3.Uses standard precuations as appropriate.
    • 4. Provide for privacy
    • 5. protects bed linens from moisture.
    • 6 uses correct water temp.
    • 7. Works from clean to dirty
    • 8. Washes, rinses and dries entire perineal area
    • --a. Female: separates labia, washes perineum form front ot back using correct sequence( labia majora, labia minora, down middle) uses clean surface for each stroke.
    • --b. Male: retracts foreskin as appropriate, washes penis beginning with glans( in circular motion) and then down shaft, uses clean surface for each stroke, replaces foreskin.
    • 9. Removes standard precation garb.
    • 10.positions client appropriately
    • 11. Documents data relevant to procedure
  6. Passive range of motion exercises
    • 1. Explain procedure to client.
    • 2.performs hand hygiene before and after contact.
    • 3.Uses standard precuations as appropriate.
    • 4. Provides for privacy.
    • 5. Support above and below joint.
    • 6. put joint through full range of motion to point of resistance but not pain, 3 to 5 times.

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