NOCTI Prep Practical l HRT

Handwashing

• Turn on faucet with power towel

• Adjust water temp and wet hands/wrists

• Point fingertips down

• Apply soap and lather

• Rub fingers back and forth/clean wrists (15 sec)

• Rinse hands, pointing fingertips down

• Dry hands and dispose of paper towels

• Turns off faucet with dry paper towel and discards

  • DO NOT LEAN AGAINST SINK NOR TOUCH INSIDE OF SINK DURING PROCEDURE

PPE on (don)

gown, gloves, mask Apply gown

• Lifted gown away from table

• Stepped away from table

• Held gown @ shoulder level

• Guided arms into sleeves

• Secured gown at neck and then waist

• Apply mask

• Apply clean gloves

  • Make sure to cover gown cuff with gloves

PPE off (doff)

gloves, mask, gown, and then wash hands

Transferring pt to w/c (left sided hemiparesis)

• Ask pt name and check wristband

• Explain procedure

• Place bed in lowest position

• Assure brakes are on bed and wheelchair

• Apply gait belt and non slip footwear

• Place pt feet on floor

• POSITION WHEELCHAIR CORRECTLY

• Count off/communicate

• Pivot on strong side

• Lower pt to w/c with ease

• Place feet in footrests

• Check for safety, comfort, body alignment

• Wash hands Check bed wheels are locked

• Place bed in lowest position

• Lock w/c, explain procedure

• Apply gait belt and non skid footwear

• MAKE SURE W/C IS ON CORRECT SIDE OF BED

• Move foot rest, assure pt is pivoting on strong side

• Pt placed in bed correctly

• Removed footwear, gait belt, and covered with blanket

• Check for safety, comfort, and body alignment

• Make sure to give pt call bell

• Clean up, remove equipment and wash hands

Change a pt gown (right sided hemiparesis)

• Wash hands 

• ID patient (check both name and wristband)

• Introduce yourself, explain procedure

• Retrieve clean gown

• Provide privacy (pull curtain and cover pt with bath blanket)

• remove it from the strong side then weak side 

• put it on weak side then strong side

Vital signs

• Wash hands and gather equipment

• Identify patient

  • Name, write it down

  • DOB, write it down

  • Explain procedure

Radial pulse

• Locate it

• Palpate for 60 seconds

• Verbalize and record result

Respirations

• Make sure pt is not aware

• Verbalize start and end time of 60 seconds

• Verbalize and record result

Blood pressure

• Clean stethoscope

• Locate brachial pulse

• Make sure cuff is placed correctly

• Make sure stethoscope is placed correctly

• Verbalize and record result

Height

• Assist pt to turn around

• Lift height bar

• Assist off platform PRN

• Verbalize and record result

Weight

• Zero scale

• Stand still, do not remove shoes

• Adjust large and small weights

• Verbalize and record result

IMPORTANT

ASSURE FOR COMFORT AND SAFETY THROUGHOUT PROCEDURES AND CLEAN WORK AREA AT END OF EACH SKILL