HOSA CN 22-23 Skills
Administering Medication - Intramuscular
- Washed hands
- Prep equipment
- Check physician’s order
- Prep medication
- Check expiration
- clease port
- put medication dose of air
- tap needle after
- Greet patient
- introduce self
- identify patient
- explain skill
- obtain privacy
- Wash hands
- Make sure the patient is comfortable and check the injection site
- Cleanse site with alcohol outward from 5cm to 2 inches
- Administer medication
- 90º angle
- apply gauze first before capping and throwing away needle
- discard needle
- remove gloves and wash hands
- record medication and assessment in nurses notes
- make sure patient is comfortable
Administering Medication - Subcutaneous
- Wash hands
- Prep equipment
- Check physician’s order
- Prepare medication
- Check expiration date
- Cleanse port
- put medication dose of air
- tap the needle
- Greet patient
- introduce self
- identify patient
- explain skill
- obtain privacy
- Wash hands
- Make sure the patient is comfortable and tell the to relax and check the injection site
- Cleanse site with alcohol outward from 5cm to 2 inches
- Administer medication
- 45-90º angle
- apply gauze first before capping and throwing away needle
- discard needle
- remove gloves and wash hands
- record medication and assessment in nurses notes
- make sure patient is comfortable
Administering Medication - Intradermal
- Wash hands
- Prep equipment
- Check physician’s order
- Prepare medication
- Check expiration date
- Cleanse port
- put medication dose of air
- tap the needle
- Greet patient
- introduce self
- identify patient
- explain skill
- obtain privacy
- Wash hands
- Put on gloves
- Make sure the patient is comfortable and tell the to relax and check the injection site
- 3-4 finger widths below the elbow
- Cleanse site with alcohol outward from 5cm to 2 inches
- Administer medication
- 5-15º angle
- note small bleb
- apply gauze first before capping and throwing away needle
- discard needle
- Remove gloves and wash hands
- Record medication and assessment in nurses notes
- Make sure patient is comfortable
Inserting a Nasogastric Tube
- Wash hands
- Check physician’s order for type, size, and purpose of tube
- Assemble equipment and tubing based on tube feeding or suctioning
- Greet patient
- introduce self
- identify patient
- explain skill
- obtain privacy
- Wash hands
- Put on gloves
- Place patient in full Fowler’s
- Put bib on chest
- Measure tubing and mark with tape
- Use damp washcloth without soap to wipe patient’s face
- Test for nose obstruction and pick the one that is unobstructed
- Apply lubricant to the tube
- Flex the head forward and tilt face upward
- Insert the tube
- When it reaches the throat instruct the patient to lower their hand
- Ask the patient to drink water/swallow to advance the tube and breathe through their mouth
- Remove tubing if they are coughing or gagging
- Place temporary piece of tape across nose
- Check the back of the throat
- Secure the tubing to gown
- Ensure comfort of patient
- Dispose of materials and gloves
- Wash hands
- Document procedure
Urinary Catheterization - Straight
- Wash hands and apply gloves
- Assemble equipment
- Check physician’s order
- Greet patient
- introduce self
- identify patient
- Determine patient mobility
- Ask if they are allergic to latex or Betadine
- Explain skill
- Obtain privacy
- Raise bed and lower side rail on working side
- Put patient in the correct position
- Male: thighs abducted
- Female: Feet apart knees flexed
- Place waterproof pad under patient and drape them
- Position light
- Apply new gloves
- Clean the perineal area with soap
- Remove and discard gloves
- Wash hands
- Prepared biohazard bag
- Prepare catheterization kit
- Put on sterile gloves
- Draped the genitals and maintained sterility
- Opened supplies
- Apply antiseptic and opened cleansing solution
- Lubricate the catheter
- Female: 1-2 in
- Male: 5-7 in
- Cleanse the meatus
- Male: Hold the genitals with non-dominant hand the entire insertion, cleanse outworld with antiseptic 3 times
- Female: Spread labia minora with thumb and index the entire insertion, cleanse with antiseptic on the furthest, closest, and then down the middle
- Inserting the catheter
- Pick up catheter in non-dominant hand 3-4 inches from the tip and placing other end in the urine receptacle
- Ask the patient to bear down
- Insert it gently until bladder is empty. Female: 2-3 in; Male: 7-9 in.
- Remove catheter with dominant hand
- Remove drape and wash/dried perineum as needed
- Dispose of equipment
- Remove gloves
- Wash hands
- Document skill and patient tolerance in notes
Performing a Sterile Wound Irrigation
- Wash hands
- Check physician’s order
- Assemble supplies
- Greet patient
- introduce self
- identify patient
- explain skill
- obtain privacy
- Put on protection
- Put on gloves
- Put on eye shield/face guard
- Prep the patient
- Position them so the solution will run upwards to downwards
- Place waterproof bed pad, basin, or irrigating pouch under the area
- Drape them with bath blanket to only expose the wound
- Remove their used dressing and discard
- Discard used gloves and repeat hand washing
- Prep irrigation tray
- Open the tray using sterile technique
- Opened irrigation solutions and placed them on table with inside facing upward
- Poured solution from supply bottle to irrigation bottle (pour some out into trash if solution was already opened)
- Left the cover off the supply bottle with inside pointing upward
- Place bottle close to client on bed table
- Dated and initialed the bottle after opening with patient name and ID number
- Opened sterile dressing
- Put on sterile gloves
- Prep other supplies
- Prep irrigation tray
- Put irrigation syringe in the bottle
- Prep anything else needed
- Assess the wound
- Irrigation
- Draw solution into syringe
- Put syringe just above the top edge of the wound
- Force fluid into the wound
- Irrigate all portions of the wound
- Continue irrigating until solution draining is clear
- Use 4x4 pads to pat the wound’s edges dry from the cleanest to most dirty area
- Apply new dressing
- Remove gloves
- Dispose of irrigation supply
- Ensure comfort of patient
- Wash hands
- Document procedure
Postmortem Care of the Body
- Wash hands
- Check physician’s orders
- Assemble supplies
- Put on protection
- Put on two pairs of gloves
- Put on a gown
- Identify the patient
- Caring for the body
- Eyes:
- Donated: close them and put ice packs on them
- Not donated: close them and state that the eyes are not to be donated
- Remove jewelry and other things in client property bag
- Close their mouth with chin strap or towel
- Remove IV lines and tubes
- Remove linens except for sheet that covers them
- Bath any part that has been soiled with discharge
- Place a clean incontinence pad under them
- Apply clean dressing if there are wounds
- Pad the wrists and ankles with gauze squares
- Label dentures or glasses for funeral home staff
- Eyes:
- Attach identification to the patient
- One tied to the right big toe
- One tied to the hand/wrist
- One attached to the covering sheet
- Use body bag to close up the body
- Note if the patient had any communicable diseases on the bag
- Wash hands
- Document procedure
Assisting Patient with Postoperative Exercises
- Wash hands
- Check physician’s orders
- Assemble supplies
- Greet patient
- introduce self
- identify patient
- explain skill
- obtain privacy
- Put on gloves if there is drainage
- Splint the incision
- Use blanket to distribute pressure across incision (assist in holding it if first days post-op)
- Turning Coughing and Deep Breathing (TCDB)
- Take deep breath, hold for 3 seconds
- Then do a double cough with the mouth open
- Tell the patient they will repeat the exercise
- Huffing
- Deep breath, force air out in quick and short breaths
- Second deep breath, force air out in panting movement
- Third deep breath, force air out in strong huff
- Tell the patient they will repeat the exercise
- Incentive Spirometer
- Place patient upright
- Explain the spirometer and the goal for the patient
- Instruct the patient to clear mucus by coughing
- Instruct the patient to take slow breath and hold for 3 seconds after inhaling
- Repeat 8-10 times
- Remove gloves if used
- Wash hands
- Document procedure