Skills Checks

Skills Checks - simplified steps but definitely including bold points with separate cards for supplies needed.

Demo PPE

Don: Gown (tie neck, then waist), Mask, Goggles, Gloves (cuff inside gloves)
Doff: Remove gloves (correctly, two fingers under cuff 2nd hand), Goggles, Gown (waist then neck, roll away from you, do not allow gown to touch your uniform), Mask (remove without touching front)

Handwashing Skill

1. Prepare paper towels. Don’t let clothes touch counter.

2. Turn on one side of faucet, it will be easier

3. Wet hands and don’t flick

4. Apply generous amount of soap

5. Use 20 seconds of friction on all surfaces

6. Rinse hands by letting water fall from wrists

7. Dry fingers, then move up to back of hand (use opposite hand to dry)

8. Use paper towel to turn off faucet

Demo Temperature

Supplies - gloves, thermometer, wipe to clean thermometer

1. WIPES

2. Apply gloves

3. Insert probe cover onto probe

4. Ask patient to open mouth and raise tongue

5. Place probe at base of tongue and to one side

6. Ask patient to lower tongue and close mouth without biting probe

7. Hold the probe in place until you hear beep

8. Read thermometer

9. Remove probe and clean thermometer

10. Return probe to thermometer

correct don order of ppe

gown (tie neck then waist)

mask (secure nose piece, tie top then neck)

eyewear

gloves, insert cuff into gloves

correct doff order of ppe

Respiration Demo

1. WIPES

2. Tell patient you’ll be taking their pulse. Put hand on back if you need to.

3. Ask about their comfort

4. Check that they’re in good positioning

5. Count respiration for one full minute. Record within 2 breaths of observer.

6. Check for comfort, safety

7. WIPES

if you need to stall

ask if they’re comfortable, check they’re away from rails

Radial Pulse

1. WIPES

2. Support resident’s arm to avoid dangling

3. Check they’re in good position with legs uncrossed, been seated for 5 minutes

4. Use finger and not thumb to take pulse

5. Locate correct site.

6. Count pulse for one full minute and record within 4 beats of observer.

7. Ask resident about comfort, preferences

Blood Pressure Demo

Supplies: Multiple wipes, BP Cuff, Stethoscope (practice with yours too in case!)

1. WIPES

2. Wipe stethoscope ear pieces and diaphragm

3. Warm diaphragm in hands

4. Position arm level with heart palm up

5. Position self so that gauge is at eye level

6. Expose arm and expel remaining air

7. Place BP cuff on arm. Locate brachial artery.

8. Inflate cuff until you no longer feel the pulse. Note this number

9. Place stethoscope in ears and diaphragm over brachial artery. Do not place under cuff.

10. Inflate the cuff 30mmHg beyond the point where you no longer feel the pulse.

11. Slowly and steadily deflate at a rate of 2-4mm per second

12. Note the point you hear the systolic number.

13. Note the point where the sound disappears.

14. Continue to deflate, then remove cuff from patient’s arm.

15. Record findings.

16. Clean and replace equipment.

17. WIPES

Blood Pressure Supplies Needed

Wipes, BP Cuff, Stethoscope

Upper Body Range of Motion Demo

1. WIPES

2. Ensure bed is locked

3. Raise to safety level to protect your back

4. Support limb distal and proximal to joint being exercised

5. Neck: flexion and extension, then lateral flexion (ear to shoulder)

6. Shoulder: flexion and extension, abduction and adduction, internal and external rotation, circumduction

7. Elbow: flexion and extension, supination and pronation

8. Wrist: flexion, extension, hyperextension, abduction and adduction (radial and ulnar flexion)

9. Fingers: Flexion and Extension (make fist), abduction and adduction, flexion and extension of thumb across hand, opposition

10. Ask about patient comfort

Lower Body Range of Motion Demo

x

Supplies needed for Occupied Bed

bath blanket, fitted sheet, pull pad, pillowcase, flat/top sheet, spread

Occupied Bed Demo

1. WIPES

2. Gather supplies and hold away from body

3. Side rails should be up!!! Raise the bed to protect your back.

4. Lower patient’s back to resting position.

5. Provide bath blanket

6. Put gloves on

7. Remove top blankets from under bath blanket, dispose correctly with foot pedal

8. Rails still up, have patient turn on side. Check that they are safe distance from rails.

9. Can put rail down now. Start with dirty bedsheet and roll that and dirty pull pad underneath them.

10. Then take new bed sheet and hook onto bed, but leave rest on their body. Take clean pull pad and roll those together, tuck it under. Now you’ll have a dirty roll and a clean roll. Put rail up! Important if you’re going to be throwing pillow case away.

11. Now’s a good time to change the pillow case, just make sure to hold it away from you.

12. With rails up, ask patient to turn.

13. Go to other side of the bed and take the dirty roll with bed sheet and pull pad, dispose with rail still up.

14. Clean roll out, bed sheet down with no creases

15. Have patient roll back, rails up!

16. Put sheet and top blanket on, tag at bottom and no seam towards them.

17. Pull out the bath blanket!!!

18. Make sure everything’s even, then make the mitered corners.

19. Set their bed height down again, make sure rails are down

20. Take off gloves, call bell, WIPES

Perineal Care Supplies

Basin, Soap, Pull pad, 4 washcloths, 3 towels, 1 pull pad, bath blanket