hand washing
- lathers and scrubs hands, fingers, and wrists, producing friction, for at least 20 seconds, keeping hands below elbows and fingertips down
- rinses all surfaces keeping hands below elbows and fingertips down
applying an elastic stocking
finishes procedure with no twists or wrinkles, and heel of stocking (if present) is over the heel; toe portion is either above or below toe area
assists to ambulate using a transfer belt
- before assisting client to stand, client is wearing shoes
2. before assisting client to stand, client is in sitting position with feet flat on the floor
assist with use of bedpan
correctly places bedpan under client’s buttocks
cleans upper/lower dentures
plug/cushion sink; wear gloves; designated clean and dirty areas; toothpaste cap up
counts and records radial pulse
records pulse rate within +/- 4 beats of evaluator’s reading
counts and records respirations
records RR within +/- 2 breaths of evaluator’s reading
gowning and removing PPE
- BEFORE removing gown, with one gloved hand, grasps palm of other glove and removes it
- Slips fingers from un-gloved hand underneath cuff of remaining glove at wrist, and removes glove, turning it inside out as it is removed; then dispose of gloves before removing gown
dresses client with weak/affected right arm
assist to put the weak arm through shirt FIRST before putting garment on left (strong) side
POW: Put On Weak
feeds client who cannot feed self
before feeding client, client is in an upright position (75-90 degrees)
gives modified bed bath
begin with EYES (no soap for face), washing from inner to outer aspect of eye, using a clean part of the washcloth with each stroke, then proceed to wash the rest of the face
measures and records BP
- measure first (systolic) and last (diastolic) sound; if rounding is needed, round up to nearest 2 mmHg
- . records both SBP and DBP within +/- 8 mmHg of evaluator’s measurement
measures and records urinary output
records content of container within +/- 25 mL of evaluator’s reading
measures and records weight of ambulatory client
records weight based on indicator on scale. weight is within +/- 2 lbs of evaluator’s reading
performs modified passive ROM for one knee and one ankle
while supporting limb at the ankle and knee, moves gently, smoothly, and slowly through the motion, doing so for 3 reps or until the client verbalizes pain
performs modified passive ROM for one shoulder
- raises client’s arm from side position upward toward the head to ear level and returns down to side of body [flexion/extension] (for 3 reps or until client verbalizes pain)
- moves client’s straightened arm away from body to shoulder level and returns to side of body [abduction/adduction] (3 reps or until pain is verbalized)
positions client on side
readjusts pillow under head, puts pillow under back, under top arm for support, and b/w the legs with top leg flexed, supporting BOTH the knee and ankle
provides catheter care for a female
- while holding catheter at the meatus without tugging, cleans AT LEAST 4 in. of catheter, moving away from meatus, using a clean area of the washcloth for each stroke (repeat with water only to rinse)
- EMPTIES, RINSES, AND DRIES BASIN
provides foot care on one foot
gloves; check water temp. w/ patient; verbalize that foot would normally soak for 5-10 min, but do not actually wait that long for testing purposes
provides mouth care
cleans mouth (including tongue and surfaces of teeth) with gentle motions
provides peri-care for a female
- washes genital area from front to back, using a clean part of the washcloth for each stroke (repeat with clean washcloth using only water to rinse then pat dry)
- after washing genital area, turns client to side, washes & rinses rectal area moving from front to back, clean part of washcloth for each stroke (rinse and pat dry)
transfers from bed to wheelchair using a transfer belt
- before assisting client to stand, LOCKS wheels of wheelchair
- before assisting to stand, client is in seated position with feet flat on floor
