Practical Nursing Program Safety Practices

Pre-Procedure Preparation and Safety Protocols

  • Care and Order Verification:

    • Verify the care/order for the client prior to initiating any procedure or handling care tasks.

  • Hand Hygiene Compliance:

    • Perform hand hygiene before performing any client care or handling supplies.
    • Perform hand hygiene after performing any client care or handling supplies.

  • Facility Policies and Equipment Assembly:

    • Verify facility policy and procedure before executing nursing tasks.
    • Assemble appropriate equipment and supplies needed for the procedure.
    • Consult manufacturer's recommendations whenever equipment is involved to ensure accurate and safe operation.

  • Personal Protective Equipment (PPE):

    • Don PPE whenever indicated based on safety protocols and precautions.

Client Interaction and Initial Assessment Protocols

  • Entry and Introduction:

    • Knock on the client's door before entering.
    • Introduce self clearly to the client.

  • Client Identification:

    • Identify the client using two distinct identifiers.

  • Initial Observation:

    • Note the overall condition of the client upon entering and approaching the bedside.

  • Patient Communication and Privacy:

    • Explain the procedure to the client prior to performance.
    • Provide for client privacy throughout the interaction.

Ergonomic and Environmental Safety

  • Body Mechanics:
    • Elevate the bed to provide for good body mechanics during client care.

Post-Procedure Completion Protocols

  • Post-Care Workflow:
    • Remove supplies from the client area upon completion of care.
    • Remove gloves and wash hands immediately following procedure completion.
    • Lower the bed back to a safe position.
    • Apply side rails according to the client's individualized care plan.
    • Place the call system within reach of the client.
    • Document the procedure and care provided accurately.

Reporting and Escalation Protocols

  • Abnormal Findings Escalation:
    • If any abnormal findings are present, report findings to the charge nurse immediately.