Comprehensive Nursing Skills: Resident Care Procedures and Safety
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183 Terms
What is the first step in applying an anti-embolic stocking?
Cover all surfaces of hands with hand sanitizer.
How should you ensure the resident's privacy while applying an anti-embolic stocking?
Expose only one leg.
What should you do after rolling the stocking down to the heel?
Place the foot of the stocking over the resident's toes, foot, and heel.
What is the final step in ensuring the anti-embolic stocking is applied correctly?
Leave the resident with the stocking that is smooth and wrinkle-free.
What should you do after assisting a resident to ambulate using a gait belt?
Remove the gait belt.
What is the purpose of the gait belt during ambulation?
To stabilize the trunk of the resident.
What should you check for after tightening the gait belt?
Check for tightness by slipping fingers between the gait belt and the resident.
What is the first step before assisting a resident with the use of a bedpan?
Perform hand hygiene.
What should you do to ensure the bedpan is positioned correctly?
Make sure the pan is not upside down and is centered.
What should you do after measuring urine output in a graduate?
Empty the equipment used into the designated toilet or commode.
What is the procedure for disposing of gloves after assisting a resident?
Remove gloves turning inside out and dispose of them in the trash container.
What should you do with soiled linen after assisting a resident?
Place it in the designated laundry hamper.
What should you do after pouring the contents of the bedpan into the graduate?
Measure the output with the graduate at eye level.
What is the purpose of maintaining respectful, courteous interpersonal interactions?
To ensure a positive and dignified experience for the resident.
What should you do after explaining the procedure to the resident?
Raise the bed height.
What is the last step in the procedure after assisting a resident with a bedpan?
Record output in ml's on the previously signed recording form.
What should you do after using hand sanitizer?
Rub hands together until they are completely dry.
What is the importance of locking the bed and wheelchair brakes?
To ensure the resident's safety during the procedure.
How should you assist the resident to sit on the edge of the bed?
Adjust the bed height to ensure the resident's feet are flat on the floor.
What should you do before leaving the resident after applying the anti-embolic stocking?
Place the call light or signaling device within easy reach of the resident.
What should you do to provide privacy for the resident during the bedpan procedure?
Step behind the privacy curtain.
What is the purpose of performing hand hygiene multiple times during these procedures?
To prevent the spread of infection.
What should you do after assisting the resident to stand?
Stabilize the resident before ambulating.
What is the first step in the hand washing procedure?
Turn on water.
How long should hands be scrubbed with soap during hand washing?
At least twenty (20) seconds.
What should be done to clean fingernails during hand washing?
Rub fingertips against the palm of the opposite hand.
What is the proper way to rinse hands after washing?
Rinse fingers, hands, and wrists thoroughly under running water with fingers pointed downward.
How should hands be dried after washing?
Starting at the fingertips, dry fingers, hands, and wrists on clean paper towels.
What should be done with the paper towels after drying hands?
Discard paper towels to the trash container as used.
What should be done with the faucet after washing hands?
Turn off the faucet with a clean, dry paper towel and discard the towel.
What is a critical point to remember during the hand washing procedure?
Do not re-contaminate hands at any time during the procedure.
What is the first step in catheter care for a female resident?
Cover all surfaces of hands with hand sanitizer.
What should be done before starting the catheter care procedure?
Explain the procedure to the resident.
What should be used to fill the basin for catheter care?
Comfortably warm water.
What is the proper technique for cleaning the catheter?
Hold the catheter where it exits the urethra and clean at least 3-4 inches down the drainage tube with strokes away from the urethra.
How should the washcloth be used during catheter care?
Use a clean portion of the washcloth for each stroke.
What should be done after cleaning the catheter?
Rinse at least 3-4 inches down the drainage tube using strokes away from the urethra.
What should be done with soiled linen after catheter care?
Place soiled linen in designated laundry.
What should be done with gloves after the procedure?
Remove gloves turning inside out as they are removed and dispose in the trash container.
What is the first step in denture care?
Perform hand hygiene by covering all surfaces of hands with hand sanitizer.
What should be done to protect dentures while cleaning them in the sink?
Line the bottom of the sink with a protective lining such as a towel, washcloth, or paper towels.
What should be applied to the denture brush before cleaning dentures?
Apply denture cleanser (paste) to the denture brush.
What should be done after thoroughly brushing the dentures?
Rinse all surfaces of the denture under cool running water.
What should be done with the denture cup and lid after rinsing?
Rinse the denture cup and lid.
Where should the cleaned denture be placed after rinsing?
Place the denture in the rinsed cup.
What is the first step in the process of donning PPE (gown and gloves)?
Perform hand hygiene by covering all surfaces of hands with hand sanitizer and rubbing until dry.
What should you do after emptying a urinary drainage bag?
Wipe the drain with an alcohol wipe and place the graduate on a level flat surface.
How do you measure urine output from a graduate?
With the graduate at eye level, measure the output in milliliters.
What should be done with the gloves after removing them?
Dispose of gloves in the trash container without contaminating yourself.
What is the correct way to remove a gown after using PPE?
Unfasten the gown at the waist and neck, remove it without touching the outside, and turn it inside out while removing.
What is the procedure for hand washing after removing PPE?
Wet hands and wrists, apply soap, scrub for at least 20 seconds, rinse thoroughly, dry with clean paper towels, and turn off the faucet with a paper towel.
What should you do before dressing a resident with an affected (weak) side?
Explain the procedure to the resident and provide for their privacy.
What is the appropriate way to remove a gown from a resident?
Remove the gown from the unaffected side first.
What should you do with the soiled gown after removal?
Place the soiled gown in the designated laundry hamper.
What is the importance of maintaining respectful interpersonal interactions during care?
It ensures the dignity and comfort of the resident at all times.
What is the last step after measuring and recording urine output?
Return equipment to storage and place the call light within easy reach of the resident.
What should you do with the sink protective lining after use?
Discard it in an appropriate container.
How should gloves be removed to avoid contamination?
Remove gloves by grasping one glove at the palm with the other glove and turning them inside out as they are removed.
What is the purpose of placing a barrier under the drainage bag?
To protect the floor from any spills during the drainage process.
What should you do if you touch the sides of the sink during hand washing?
You may re-contaminate your hands and should repeat the hand washing procedure.
What is the procedure for dressing a resident in a button-up shirt?
Dress the resident starting with the affected side, ensuring they remain covered.
What is the significance of rubbing fingertips against the palm during hand washing?
It helps to clean the fingernails effectively.
What should you do with the paper towels used during hand washing?
Discard them in the trash container after use.
What is the correct way to secure a gown when donning it?
Secure the neck opening and the waist, ensuring the back flaps cover clothing completely.
What should you do with the graduate after measuring urine output?
Empty it into the designated toilet or commode.
What is the protocol for rinsing equipment after use?
Rinse equipment and empty rinse water into the designated toilet or commode.
What should you do to ensure the resident's privacy during care?
Keep the resident covered while performing procedures such as removing a gown.
What is the final step in the hand washing procedure?
Turn off the faucet with a clean, dry paper towel and discard it.
What is the first step when dressing a resident in a button-up shirt?
Insert hand through the sleeve of the shirt and grasp the hand of the resident.
When dressing a resident, which side should you dress first?
Always dress from the affected (weak) side first.
How should you assist a resident when dressing them in pants?
Assist the resident to raise their buttocks or turn them from side-to-side to draw the pants over the buttocks and up to the waist.
What is the proper order for dressing a resident in pants?
Always dress the affected (weak) side leg first.
What should you do after putting on a resident's socks?
Draw the socks up the resident's foot until they are smooth.
What should you ensure after dressing a resident?
Leave the resident comfortably/properly dressed with pants pulled up and shirt completely buttoned.
What should you do with the bed after dressing a resident?
Lower the bed.
Where should you place the call light after dressing a resident?
Within easy reach of the resident.
What is essential to maintain during interactions with the resident?
Respectful and courteous interpersonal interactions.
What is the first step in feeding a dependent resident?
Perform hand hygiene.
How should you verify the resident's identity before feeding?
Ask the resident to state their name and verify it matches the name on the diet card.
What position should the resident be in before feeding?
An upright, sitting position at least 75-90 degrees.
What should be used to protect the resident's clothing during feeding?
A napkin, clothing protector, or towel.
What should be done for the resident's hands before feeding?
Provide hand hygiene for the resident.
What should you do while feeding the resident?
Sit in a chair facing the resident.
What should you do after feeding the resident?
Wipe the resident's hands and mouth.
How should you leave the resident after feeding?
Sitting upright in bed with the head of the bed set up to at least 45 degrees.
What should you record after feeding the resident?
Intake as a percentage of total solid food eaten and estimated intake of fluid consumed in ml.
What should you do with soiled linen after feeding?
Place it in the designated laundry hamper.
What is the first step in foot care for a resident?
Perform hand hygiene.
What temperature should the water be for soaking the resident's foot?
Comfortably warm.
How long should the resident's foot be soaked?
5 to 20 minutes.
What should you do after washing the resident's foot?
Rinse the entire foot and between the toes.
What should you apply to the resident's foot after drying it?
Lotion to the top and bottom of the foot, avoiding getting lotion between toes.
What should you do if there is excess lotion on a resident's foot?
Wipe it with a towel or washcloth.
What is the first step after completing foot care for a resident?
Replace the sock on the resident's foot.
What should be done with soiled linens after care?
Place them in the designated laundry hamper.
What is the proper procedure for performing hand hygiene?
Cover all surfaces of hands with hand sanitizer and rub hands together until completely dry.
What should you do before making an occupied bed?
Explain the procedure to the resident.
How should linen be transported when preparing to make a bed?
Transport linen away from the body without touching the uniform.
What should be done to ensure the resident's privacy during bed-making?
Provide for the resident's privacy.
What is the correct order of actions when changing a bed with a resident in it?
Assist resident to roll onto side, roll or fan fold soiled linen, place clean bottom sheet, and secure corners.