SKILL 20: Provide mouth care

WHAT EQUIPMENT DO U NEED?

Toothbrush

Toothpaste

Washcloth

Cup of water

Spit bowl (emesis basin)

STEP 1:

What is the first thing you do?

Tell the patient you are here to brush their teeth

PUT EQUIPMENT ON TABLE

SINCE THIS IS MOUTH CARE, RAISE THE HEAD OF THE BED

Since this is mouth-care, you need to raise…

YOU NEED TO RAISE THE HEAD OF THE BED

STEP 2:

After raising the head of the bed..

• KEEP IN MIND:

YOU ARE GOING BRUSH ALL SURFACES OF THE TEETH, AND THE TONGUE

DO IT GENTLY

• FOLD WASHCLOTH ON PATIENT LIKE A BIB

• GLOVE UP

STEP 3:

AFTER GLOVING UP..

• TAKE THE TOOTHBRUSH OUT OF THE PLASTIC SLEEVE

  DO NOT TOUCH THE BRISTLES

  
  

• BEFORE YOU PUT TOOTHPASTE ON THE TOOTHBRUSH, U WET IT INSIDE THE CUP OF WATER

• PUT A BIT OF TOOTHPASTE ON THE BRUSH

  
  

REMEMBER, YOU DO NOT

YOU DO NOT TOUCH THE BRISTLES

STEP 4:

AFTER PUTTING TOOTHPASTE ON THE TOOTHBRUSH..

• HOLD THE KIDNEY BOWL UNDER THE PATIENT

• YOU’LL HOLD THE TOOTHBRUSH TO THE PATIENT’S MOUTH

AND REMEMBER, YOU NEED TO GIVE INSTRUCTIONS TO THE PATIENT IN ORDER TO PASS THIS SUCCESSFULLY

• ASK THE PATIENT TO DO “CHEESE”

STEP 5:

After asking the patient to do “cheese” and giving them instructions..

• GENTLY BRUSH THEIR TEETH

• AFTER YOU DO THE OUTER TEETH, YOU DO THIS:

DO LOWER AND UPPER

BEFORE BRUSHING THE PATIENT’S TEETH…

YOU MUST ASK THEM TO DO “CHEESE”

AND GIVE THEM INSTRUCTIONS

STEP 6:

AFTER BRUSHING OUTER TEETH…

• BRUSH LOWER PART OF TONGUE

  
  

  DON’T GO ALL THE WAY TO THEIR THROAT

• NOW PUT TOOTHBRUSH IN EMESIS BASIN

• ASK THEM TO RINSE THEIR MOUTH WITH WATER AND SPIT INTO EMESIS BASIN

STEP 7:

AFTER HAVING THEM SPIT INTO THE EMESIS BASIN..

• WIPE THEIR FACE WITH WASHCLOTH

REMEMBER YOU DAB, NOT RUB

• ONCE DONE, YOU DISPOSE OF TOOTHBRUSH AND PUT WASHCLOTH INTO HAMPER

  ALSO CARRY EMSIS BASIN WITH U

• 
  
  

STEP 8:

AFTER DONE BRUSHING THE TEETH..

• THE EMSIS BASIN AND TOOTHBRUSH WILL BE RINSED

• POUR CONTENTS OF SPIT BOWL INTO THE SINK

• RINSE IT

  
  

STEP 9:

After rinsing emesis basin…

• RINSE TOOTHBRUSH TOO

• DRY THE EMESIS BASIN WITH TWO PAPER TOWELS

• THEN PUT THE EMESIS BASIN IN THE DESIGNED DIRTY AREA (INSIDE THE BIG BASIN)
  

AND THEN DE-GLOVE

STEP 10 (FINAL STEPS):

After discarding gloves..

TELL THE EXAMINER THAT YOU ARE GOING TO WASH YOUR HANDS

PUT PATIENT BED DOWN, RECLINE IT

After washing your hands..

Recline the patient bed