*Initial Steps* - ANSWER 1. Ask nurse about residents NEEDS, ABILITIES and LIMITATIONS, if necessary.
2. KNOCK and IDENTIFY YOURSELF before entering residents room. WAIT for permission to enter residents room.
3. Greet resident by NAME per resident preference.
4.Identify yourself by NAME and TIT...
*Initial Steps* - ANSWER 1. Ask nurse about residents NEEDS, ABILITIES and
LIMITATIONS, if necessary.
2. KNOCK and IDENTIFY YOURSELF before entering residents room. WAIT for
permission to enter residents room.
3. Greet resident by NAME per resident preference.
4.Identify yourself by NAME and TITLE.
5. Explain what you will be doing. Encourage resident to help as able.
6. Gather supplies and check equipment.
7. Close curtains, drapes and doors. Keep resident covered, expose only the area of
residents body necessary to complete procedure.
8. Wash your hands
9. Wear gloves as indicated by standard Precautions.
10. Use proper body mechanics. raise bed to appropriate height and lower bed rails (if
raised)
*Final Steps* - ANSWER 1. Remove gloves, if applicable, and wash hands.
2. Be certain resident is comfortable and in good alignment. Use proper body
mechanics.
3. Lower bed height and position side rails as appropriate.
4. Place call light and water within patients reach.
5. Ask resident if anything else is needed.
6. THANK RESIDENT.
7. Remove supplies and clean equipment according to facility procedure.
8. Open curtains, drapes and door according to residents wishes.
9. Perform a safety check of resident and environment.
10. REPORT unexpected findings to nurse.
11. DOCUMENT procedures according to facility procedure.
* Handwashing/Handrub* (wash hands when visibly soiled or prior to giving care) -
ANSWER 1. Turn on faucet with a CLEAN paper towel.
2. Adjust water to acceptable temperature.
3.Angle arms down holding hands lower than elbows. Wet hands and wrists.
4. Apply enough soap to cover all hand and wrist surfaces. Work up a lather.
NOTE: Direct caregivers must rub hands together vigorously, as follow's for at least 20
SECONDS, covering all surfaces of the hands and fingers.
5. Rub hands palm to palm.
6. Right palm over top of left hand with interlaced fingers and visa versa.
7.Palm to palm with fingers interlaced.
8.Back of fingers to opposing palms with fingers interlocked.
,9.Rotational rubbing, of left thumb clasped in right palm and visa versa.
10. Rotational rubbing, backwards and forwards with clasped fingers of right hand in left
palm and vice versa. Clean finger nails.
11.Rinse hands with water down from wrist to fingertips.
12. Dry thoroughly with a single use towels.
13. Use towel to turn off faucet and discard towel.
14. Apply about a quarter sized amount
HOW TO USE HAND RUB (otherwise use hand rub)
Allow hands to dry. Waterless HAND RUB must be rubbed for at least 10 SECONDS or
until dry to be effective.
*Gloves* - ANSWER 1. Wash hands
2. If right handed, slide one glove on left hand. (reverse, if left handed.)
3. With gloved hand, slide opposite hand in the second glove.
4. Interlace fingers to secure gloves for a comfortable fit.
5. Check for tears/holes and replace glove if necessary.
6. If wearing a gown, pull the cuff of the gloves over the sleeves of the gown.
7. Perform procedure.
8. Remove first glove by grasping outer surface of the other glove, just below the cuff
and pulling down.
9. Pull glove off so that it is inside out.
10. Hold the removed glove in a ball of the palm or your hand. Do not dangle the glove
downward.
11. Place two fingers of ungloved hand under cuff of other glove and pull down so first
glove is inside second glove.
12. Dispose of gloves without touching outside of gloves and contaminating hands.
13. Wash hands
*Gown (PPE)* - ANSWER 1. Wash hands
2. Open gown and hold out in front of you. Let the clean gown unfold without touching
any surface
3. Slip your hands and arms through the sleeves and pull the gown on.
4. Tie neck ties in a bow.
5. Overlap back of the gown and tie waist ties.
6. Put on gloves; extend to cover wrist of gown.
7. Perform procedure.
8. Remove gloves.
9. Untie the neck, then waist ties.
10. Pull away from neck and shoulders, touching inside of gown only.
11. Fold gown with clean side out and place in laundry or discard if disposable.
12. Wash hands.
*Mask* - ANSWER 1. Wash hands
, 2. Place upper edge of the mask over the bridge of your nose and tie the upper ties. If
mask has elastic bands, wrap the bands around the back of your head and ensure they
are secure.
3. Place the lower edge of the mask under your chin and tie the lower ties at the nape of
your neck.
4. If the mask has a metal strip in the upper edge, form it to your nose.
5. Perform procedure.
6. If the mask becomes damp or if the procedure takes more than 30 minutes, you must
change your mask.
7. If wearing gloves, remove them first.
8. Wash hands
9. Untie each set of ties and discard the mask by touching only the ties. Masks are
appropriate for one use only.
10. Wash hands
*Falling or Fainting* - ANSWER 1. Call for nurse and stay with resident.
2. Check if resident is breathing.
3. Do not move resident. Leave in same position until the nurse examines the resident
4. Talk to resident in calm and supportive manner.
5. Apply direct pressure to any bleeding area with a clean piece of linen
6. Take pulse and respiration.
7. Assist nurse as directed. Check resident frequently according to current facility policy.
Assist with documentation
*Choking* - ANSWER 1. Call nurse and stay with resident.
2. Ask if resident can speak or cough.
3. If not able to speak or cough, move behind resident and slide arms under resident's
armpits.
4. Place your fist with thumb side against abdomen midway between waist and ribcage.
5. Grasp your fist with your other hand.
6. Press your fist into abdomen with quick inward and upward thrusts.
7. Repeat until object is expelled.
8. Assist with documentation
*Seizures* - ANSWER 1. Call for nurse and stay with resident.
2. Place padding under head and remove furniture away from resident.
3. Do not restrain resident or place anything in mouth. Assist nurse with placing resident
on his/her side
4. Loosen resident's clothing especially around neck.
5. Note duration of seizure and areas involved.
7. Assist with documentation
*Fire* (R.A.C.E.) - ANSWER 1. Remove residents from are of immediate danger.
2. Activate fire alarm.
3. Close doors and windows to contain fire.
4. Extinguish fire with fire extinguisher if possible.
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