1. FOLLOWINGGUIDELINES ALLOW YOU TO DO YOUR JOBTO THE BEST OF YOUR ABILITY,THEY
PROTECT THE RESIDENTAND YOU FROM LIABILITY…..
GUIDELINES FOR
1. PROFESSIONALBEHAVIOR
BE POSITIVE
DO ONLY WHAT YOU ARE ASSIGNEDTO DO
KEEP RESIDENT INFOCONFIDENTIAL
BE POLITE AND CHEERFUL
DON’TDISCUSS YOUR PERSONALPROBLEMS
DO NOT USE YOUR PHONEON THE JOB
DO NOT USE PROFANITY
LISTEN
CALL RESIDENT “MR” OR “MRS”
NEVERACCEPT TIPS
ALWAYSEXPLAIN WHAT IS GOING TO BE DONE BEFORE CARE STARTES
FOLLOW PRACTICESSUCH AS HANDWASHING
2. PROTECTINGRESIDENT RIGHTS
NEVERABUSE
IMMEDIATELY REPORT ABUSE TO NURSE
INVOLVERESIDENTIN PLANNING
OFFER CHOICES
DON’TUNNECESSARILYEXPOSETHE BODY
RESPECT RESIDENT’SREFUSAL OF CARE
BE TRUTHFUL IN DOCUMENTING
KNOCKANDASKPERMISSION TO ENTER RESIDENT ROOM
DON’TOPEN MAIL OR LOOKTHROUGH BELONGINGS
RESPECT RESDIENTS’PERSONALPOSSESSIONS
REPORT OBSERVATIONSTONURSE
3. PROTECTINGPRIVACY
DON’TTALK ABOUT RESIDENTS IN PUBLIC AREAS(DININGROOM, ELEVATOR,ETC)
IF YOU SEE A RESIDENT’SFAMILY IN A PUBLIC, BE CAREFUL WITH YOUR GREETING, DON’T
MENTION NURSING
DON’TBRING YOUR FAMILY/FRIENDSTONURSING HOME WITHOUT APPROVALOFDON
DON’TSHARE PHOTOS,VIDEOSOF RESIDENT ON SOCIALMEDIA
DON’TLEAVE CHART, DOCUMENTS OUT FOROTHERS TO SEE
2. 4. DOCUMENTATION
DOCUMENT IMMEDIATELY AFTER CAREIS GIVEN,BUT NOT BEFORE THE CARE IS DONE
BE BRIEF AND CONCISE
USE FACTS,NOTOPINIONS
USE BLACKINK
CORRECT MISTAKESBY DRAWINGONE LINE THROUGH, NO WHITE OUT, NOPENCIL
SIGN FULL NAME, TITLE, DATE AND TIME
USE 24 HOUR CLOCK IF REQUIRED BY FACILITY
5 INCIDENTREPORTING
DESCRIBE WHAT HAPPEN,FACTSONLY
DO NOT WRITE ANYTHINGABOUT THE INCIDENTREPORT IN THE MEDICAL RECORD!!
DESCRIBE THE ACTION TAKEN TO GIVECARE IF INJURY OCCURRED
5. CARINGFOR HEARINGIMPAIRED PERSON
MAKE SURE HEATINBGAIDE IS ON AND BATTERY IS WORKING
REDUCE BACKGROUNDNOISE
NEVERLET HEARING AIDGET WET, REMOVE WITH SHOWER, SHAMPOOANDBEDTIME
GET ATTENTION BY WALKINGIN FRONTOR TOUCH LIGHTLY ON ARM
SPEAKCLEARLY, SLOWLY ANDIN GOOD LIGHTING, FACETO FACE
DO NOT SHOUT OR MOUTH WORDS IN AN EXAGGERATED WAY
KEEP THE PITCHLOW!!
IF HEARINGBETTER IN ONEEAR, SPEAKIN THAT ONE
USE PICTURE CARDSOR A NOTEPADASNEEDED
6. CARINGFOR PERSON WITH VISION IMPAIRMENT
CLEAN GLASS LENSES WITH WATER AND SOFTTISSUE
KNOCK,IDSELF, DON’TTOUCH UNTIL YOU HAVESAIDE YOUR NAME, ANNOUNCEWHEN YOU
ARE LEAVINGTHE ROOM
SPEAKFACETO FACEIN PROPERLIGHTING
AVOID“SEE”, “LOOK” AND“WATCH”
GIVE SPECIFICDIRECTIONS“ON YOUR RIGHT”
USE THE FACE OF AN IMAGINARYCLOCK ASA GUIDE TO EXPLAIN WHERE OBJECTS ARE
DON’TREARRANGE
TELL WHERE CALL LIGHT IS
LEAVE DOORSEITHER COMPLETELY CLOSED OR OPEN,NOTPARTLY OPEN
WHEN AMBULATING- WALKSLIGHTLY AHEAD,LETTING RESIDENTHOLD YOUR ARM
USE LARGE CLOCKS,LARGE PRINTBOOKS.BRAILLE BOOKS
3. 7. CARINGFOR A PERSON AFTERA CVA
KEEP DIRECTIONS,WORDSSIMPLE
ASKCLOSED ENDED QUESTIONS
USE SIGNALSLIKE“SHAKE YOUR HEAD OR BLINKYOUR EYES TO COMMUNICATE
USE PEN ANDPATER IF NEEDED
NEVERCALL INVOLVEDARMOR LEG THE “BAD SIDE”,CALL THE “WEAK ARM” OR “AFFECTED
SIDE”
USE COMMUNICATION BOARDS
UNDERSTANDTHAT CVA MAY HAVECAUSED BOTH EXPRESSIVE(CAN’TCOMMUNICATEWITH
SPEECH) AND RECEPTIVE (CAN’TUNDERSTANDWHAT IS BEING SAID) DYSPHASIA
MAY BE EMOTIONALLY LABILE (CRYOR LAUGH FOR NOAPPARENTREASON)
8. CARINGFOR THE ANGRYPERSON
STAY CALM, DON’T RESPONDTO VERBALATTACKS
EMPATHIZE
TRY TO DETERMINE CAUSE OF ANGER
LISENT
TREAT WITH DIGNITYAND RESPECT
STAY AT A SAFEDISTANCE
REPORT COMBATIVEBEHAVIOR
9. CARINGFOR A PERSON WITH INAPPROPRIATEBEHAVIOR
“IM SORRY,IM NOTALLOWED TO DO THAT”
“THAT MAKES ME UNCOMFORTABLE”
“I REALLY CAN’TTALKABOUT MY PERSONALLIFE ON THE JOB”
IF YOU ENCOUNTER SOMEONE MASTURBATING OR HAVINGSEX,DON’TOVERREACT,TRY TO
DISTRACT,TAKE TO ROOMFOR PRIVACY
REPORT TO NURSE
10. PRACTICINGSTANDARDPRECAUTIONS
USED ON ALL RESIDENTS
WASH HANDS
WEAR GLOVES ANDWASH HANDSIMMEDIATELY AFTER REMOVING
IMMEDIATELY WASH SKIN IFCONTAMINATEDWITH BLOOD
WEAR GOGGLES IF CHANCEOF SPLASHING
PLACE SHARPTSIN SHARPSCONTAINER
NEVERATTEMPT TO RECAPA NEEDLE
BAG ONTAMINATEDITEMS IN RED BIOHAZARDBAG
4. PUT ON GOWN,MASK, GOGGLES ANDGLOVES IN THIS ORDER
REMOVE PPE: GLOVES,GOWN, GOGGLES, MASK
11. CLEANINGUP BLOOD SPILLS
NOTIFYHOUSEKEEPING
DON GLOVESAND USE ABSORBINGPOWDER,SCOOPUP AND PLACEIN RED BA G
APPLYTHE PROPERDISINFECTANTFOR10 MINUTES TO AREA
DON’TPICKUP GLASSWITH YOUR HANDS- USE BROOMANDDUSTPAN
12. ISOLATION
ALSOCALLED TRANSMISSION BASEDPRECAUTIONS
ONLY WEAR THE PPENEEDED FORTHAT ROOM
DON’TSHARE EQUIPMENT- DEDICATE A BP CUFF,DISPOSABLETHERMOMETER, ETC TO THE
RESIDENT
HANDSANITIZEGOING IN AND COMINGOUT
BE ORGANIZEDSO YOU DON’THAVE TO KEEP GOINGIN ANDOUT OF ROOM
13. CARINGFOR THE PERSON WITH TB
PRIVATEROOM, NEGATIVEAIR,DOOR CLOSEDAT ALL TIMES
N95 MASK
14. PREVENTING FALLS
CLUTTER FREE
NO RUGS
NONSKID,STUDY SHOES,SHOELACESTIED
CLOTHES THAT DON’T DRAG
PERSONALITEMS NEARBY
ANSWERCALL LIGHTS ASAP
CLEAN UP SPILLSSTAT
REPORT BROKEN,LOOSE EQUIPMENT
ADEQUATE LIGHTING
LOCKSON W/C, BRAKES ON BED
LOWER BED AFTER CAREGIVEN
GET HELP WITH TRANDFERS
TOILET PRN
DON’TREARRANGE
KNOWWHO IS HIGH RISKFOR FALLS
IF RESIDENTBEGINS TO FALL, DO NOT TRY TO CATCH, SLIDE TO FLOOR SUPPORINTHEAD
REPORT ALL FALLS
5. 15. PREVENTINGBURNS
ALWAYSCHECK TEMP OF WATER WITH THERMOMETER OR INSIDEOF YOUR WRIST
ASK RESIDENT IF WATER IS COMFORTABLE
REPORT FRAYED ELECTRICAL CORDS,UNSAFEAPPLIANCESSTATEANDREMOVE FROM ROOM
POUR HOT DRINKSAWAY FROMRESIDENT
DON’TPLACE HOT LIQUIDS ON EDGE OFTABLE
MAKE SURE SITTINGUP BEFORE SERVINGHOT LIQUIDS
16. USING OXYGEN
POST NOSMOKINGSIGN
REMOVE FIRE HAZARDS(WOOL ITEMS, HAIRDRYER, FLAMMABLES, SMOKINGMATERIALS)
FROMROOM
NO EXTENSION CORDSON CONCENTRATOR
ADJUST STRAPOF MASK OR NASALCANNULA ON FACEANDCHECK FOR IRRITATION
DON PETROLEUM BASEDPRODUCTS SUCH ASVASELINEOR CHAPSTICK
NEVERADJUST SETTING OF O2
LEARN HOW TO TURN OFF IN AN EMERGENCY
17. HANDLINGEQUIPMENT, LINEN AND CLOTHING
HOLD ALL EQUIPMENT TO PREVENTCONTAMINATION OFCLOTHNGAND THE TRANSFEROF
GERMS
CLEAN/DISINFECTALLSURGACES,BEDS, BEDRAILS AND DOORKNOBS,CALLLIGHTS, DRESSER
HANDLES
HOLD LINEN AWAYFROMYOUR BODY
BAG SOILED AT THE POINTOFORIGIN
18. RESTRAINTS
MAKE SURE THERE ISA DOCTOR’SORDER
FOLLOW MANUFACTURER’S DESCRIPTION FORAPPLYINGANDUSE
CHECK TIGHTNESS,SLIP 2-3 FINGERSINSIDE
KEEP CALL BELL NEARANDANSWER STAT
DOCUMENT TIME ON ANDOFF
ASSISTWITH ELIMINATION,HYDRATION,MEALS,EXERCISE
CHECK FOR IRRITATION UNDERRESTRAINT
REPOSITION ANDKEEPIN GOOD ALIGNMENT
AMBULATE ISABLE
REMOVE EVERY 2 HOURS
6. 19. PROPERBODY MECHANICS
BEND AT THE KNEES
PIVOTINSTEADOF TWISTING
HOLD THE LOAD CLOSE
STANDWITH FEET APART(WIDE BASE OFSUPPORT)
DON’TOVERREACH
GET HELP
NEVERTRY TO BREAK A FALL
SYNCHRONIZEMOVEMENTS BY COUNTINGOUTLOUD
PUSH, PULL INSTEADOFLIFTING
RAISEBED UP TO COMFORTABLE WORKINGHEIGHT
USE THIGH, SHOULDER ANDUPPER ARMMUSCLES
20. REDUCING FIRE HAZARDS
SUPERVISESMOKERS, USE BURN RESISTANTAPRON
REPORT FRAYED WIRES,DAMAGED ELECTRICAL CORDSSTAT
DON’TBLOCK FIRE EXITS,DOORS
KNOWP-A-S-SFOREXTINGUISHER
KNOWR-A-C-EFORREACTING TO FIRE OR SMOKE
MOVE IMMOBLILE RESIDENTS IN A BLANKET
STAY LOW IN A ROOM TO ESCAPEFIRE
CHECK DOOR FORHEAT BEFORE ENTERING
PLUG DOORWAYWITH WET TOWELS OR CLOINGTO PREVENT SMOKE FROMENTERING A
ROOM
STOP,DROP ANDROLL IF ON FIRE
USE DAMP COVERINGOVERMOUTH ANDNOSE TO REDUCE SMOKE INHALALTION
21. EMERGENCIES
FOR CHOKING- ABDOMINALTHRUSTS (UNLESSABLE TO SPEAKOR COUGH, THEN DO NOTHING)
FOR HEMORRAHAGE- APPLYANDDON’T RELEASE PRESSURE
FOR NOSEBLOOD- PINCHBRIDGE OFNOSE ANDHAVE PERSON HOLD HEAD DOWN
FOR FAINTNESS- SITWITHHEAD TOWARDSKNEES
FOR SHOCK- RAISEFEET HIGHER THAN HEAD
FOR SEIZURE- PLACEON FLOOR,CLEAR THE AREA,TURN ON SIDE,PROTECT HEAD, TIME IT,
DON’TRESTRAIN,NOTHINGIN THE MOUTH
FOR EVERY ER- FIRSTSTEP IS TO CALL THE NURSE
7. 22. RESPECTINGSEXUAL NEEDS
KNOCK,LISTEN TO BE INVITEDIN (IFRESIDENT ABLE TO RESPOND)
IF YOU ENCOUNTER CONSENSUALSEX,GIVE PRIVACYANDLEAVEROOMINFORMNURSE AND
PLACE DO NOTDISTURB SIGN ON DOOR
BE OPEN ANDNONJUDGMENTALABOUT SEXUAL PREFERENCES ANDORIENTATION
ALWAYSUSE A TRANSGENDERPERSON’SCHOSEN NAME
23. RESPECTINGSPIRITUAL NEEDS
LISTEN
RESPECT FASTING,PRACTICES
ENCOURAGE PARTICIPATION
RESPECT RELIGIOUS ITEMS
PRIVACYDURING CLERGY VISITS
IF ASKED,YOU CAN READ RELIGIOUS MATERIALS,IF YOU ARE UNCOMFORTABLE, ASKANOTHER
STAFFMEMBER
NEVERDISCUSS YOUR PERSONALBELIEFS OR TELL A RESIDENT WHAT HE BELIEVES IS WRONG
24. CARINGFOR ADULT WITH INTELLECTUAL DISABILITIES
TREAT AS AN ADULT
PRAISEANDENCOURAGE OFTEN
ASSISTWITH ADLS
PROMOTE INDEPENDENCE
ENCOURAGE SOCIALINTERACTION
REPEAT WHAT YOU SAYAS NEEDED
IF DOWN SYNDROME, DIVIDETASK INTOSIMPLE STEPS
IF CEREBRAL PALSY,MAY NEED HELP WITH ADLS, AMBULATION,TOILETING,GENTL EXERCISES,
KEEP BODY ALIGNED
IF SPINA BIFADA- ASSISTWITHADLSAND ROM
25. USING A WHEELCHAIR
LOCK BRAKESBEFORE TRANSFERIN/OUT
FOLD UP FOOTREST BEFORE IN/OUT
KEEP SEAT PADCLEAN ANDDRY, USE GEL CUSHION TO REDUCE PRESSURE
HIPSBACK IN SEAT, ARMS ON ARMRESTS, FEET ON FOOTTREST
PUSH FORWARDUNLESS ENTERINGAN ELEVATOR OR GOING DOWN A RAMP
REPOSITION EVERYHOUR
8. 26. USE OFSTRETCHERS
LOCK WHEELS
SECURE ON STRETCHER WITH SAFETY BELT
COVERWITH SHEET
PUSH FROMTHE HEAD ENDENTER DOORWAYSBY OPENINGDOOR,ENTERING FIRSTAND
PULLING STRETCHER THROUGHAT LEAST 3 PEOPLE ARE NEEDED TO TRANSFERONTO/OFFA
STRETCHER
27. MECHANICALLIFTS
TWO PEOPLE TO USE
KEEP CHAIRBEING TRANSFERREDINTO CLOSE BY
HECK FOR DAMAGE BEFORE
USE CORRECT SLING
CHECK SLING ANDSTRAPSFOR DAMAGE
OPEN LEGS OF STANDTO WIDEST POSITION BEFORELIFTING OFFTHE BED
28. WALKERS,CANES ANDCRUTCHES
CANEHELD ON STRONGSIDE, CANEMOVED, WEAK LEG MOVED, THEN STRONG LEG
AIDE WALKSLIGHTLY BEHIND, ON WEAK SIDE IFASSISTINGWITH AMBULATION WITH A CANE
GAIT BELT OVERCLOTHES, BELOW BREAST, SNUG AROUND WAIST,HELD WITH HANDSFACING
UP
PLACE WHEELCHAIR ON STRONG SIDE
QUAD CANEHAS FOUR TIPS
WEIGHT IS SUPPORTEDBY UPPER ARMS WHEN USING CRUTCHES, NEVERTHE UNDERARMS
WHEN USING A WALKER,BOTH HANDSON WALKER, PLACED6 INCHESIN FRONT,STAY NEAR
RESIDENT ON WEAKER SIDE
29. ADMISSION
PREP ROOM: OPEN BED, GET SUPPLIES,ADMISSION KIT
ID SELF, SMILE, BE FIRENDLY
NOTE WHO IS WITH RESIDENT, RESIDENT’SMOOD
EXPLAIN DAY-TO-DAYLIFE,ORIENTTO SURROUNDING, SHOW HOW TO USE CALL BELL
UNPACKANDCOMPLETE BELONGINGSCHECKLIST
GET HEIGHT ANDWEIGHT
12 INCHES= 1 FOOT
USE TAPEMEASURE FROMTOP OF HEAD TO HEEL IF UNABLE TO STAND
USE SAME SCALE,SAME AMOUNT OFCLOTHING, SAME TIME OF DAY TO GET ACCURATE
WEIGHT
9. 30. RESIDENT’SUNIT
KEEP NEATAND CLEAN
WIPE OVERBEDTABLE
REMOVE MEAL TRAYS RIGHT AFTER MEALS
STRAIGHTEN BED, REMOVE CRUMBS
RESTOCK SUPPLIES
REFILL WATER PITCHER
EMPTY TRASH OR NOTIFYHOUSEKEEPING
REPROT INSECTS
DON’TMOVE OR THROW AWAYBELONGINGS WITHOUT PERMISSION
OFFER TO HELP ORGANIZEANDARRANGE ITEMS
31. BEDMAKING
MAKE WRINKLE-FREE,DRY BED
HOLD LINEN AWAYFROMYOUR BODY
COLLECT IN ORDER OF USE
PLACE ON CLEAN DRY CHAIROR OVERBED TABLE IN ROOM
WEAR GLOVES TO REMOVE SOILED SHETS
LOOF FORJEWELRY, MONEY, DENTURES, GLASSESBEFORE STRIPPINGSHEETS
FOLD DIRTIEST PARTSOF SHEETS INSIDEWHEN REMOOVING
DON’TFAN SHEETS
MAKE ONE SIDE AT A TIME
BAG SOILED LINEN AT POINTOF ORIGIN
DON’TPLACE LINEN ON FLOOR
32. SKIN CARE
REPORT DISCOLORATION,ETC
REPOSITION Q2H
CLEAN INCONTINENTRESIDENTQ2H
MASSAGE WITH LOTION WITH LITTLE OR NOPRESSURE OVER BONYAREAS
DO NOT MASSAGEOVER WHITE, RED OR PRUPLE AREAS
ENCOURAGE GOOD NUTRITION ANDHYDRATION
KEEP PLASTICOR RUBBER AWAYFROMSKIN
MAKE A WRINKLEFREE BED
NEVERPULL RESIDENT ACROSSSHEETS OR PULL SOMETHING FROMUNDER RESIDENT- CAUSES
SHEARING
LEAVE IN A LOW FOWLER’S AFTER MEALS, REPOSITION EVERY15 MINUTES IFIN A CHAIRAND
CANNOTMOVE SELF
RELIEVER PRESSURE WITH PILLOWS,SPECIALMATTRESSES, BED CRADLES,TOE PLEATIN
OCCUPIED BED,
10. 33. POSITIONINGDEVICES
USE A DRAWSHEET TO MOVE IN BED
USE A FOOTBOARDTO PREVENT FOOTDROP
USE A BED CRADLE TO KEEP BED COVERSFROM RESTING ON LEGS
HANDROLLSTO PREVENT HANDCONTRACTURES
ORTHOTIC DEVICESTO SUPPORAND ALIGN AN ARM OR LEG (SPLINTS)
TROCHANTERROLLS ARE PLACED ALONGHIPS ANDLEGS TO PREVENTTURNING OUT
ABDUCTION WEDGE/PILLOW TO KEEP HIPS ABDUCTED
34. BATHING
FACE,HANDS,UNDERARMS, PERINEUMWASHED EVERYDAY
RINSESOAPWELL
REDUCE DRAFTS,COVERWITH BATH BLANKET
GATHER SUPPLIES before soresidentisn’tleftalone
Checkwatertemp(inside of wrist,thermometer) andconfirmwithresident(105 forfootcare
and perineal care;105-115 for restof body
Wear gloves
Remove all soap
Pat skindry
Separate part of washcloth to washeacheye- innertooutercanthus
Onlyexpose partbeingwashed
35. Showers
Do not leave residentalone
Make sure safety/grabbarsare inworkingorder
Dry floor
Have residentsitinshowerchair
36. Footand nail care
File andclipfingernailsstraightacross
No lotiononpalmsof handsor betweentoes
File fingernailsinone direction,notbackand forth
37. Shaving
File indirectionhairgrows
Holdskin taut
Disposable razorin sharpscontainer
11. Safetyrazor has a sharp blade andcomeswitha safetycase (notcommonlyused)
Electricrazor bestfor diabeticsandthose onan anticoagulantmedication(bloodthinners)
38. Hair care
Combin sections
If tangled, workfromendstowardscalp
Long hairpinnedup,braided
Cleancombor brush
Protecteyesfromsoapwhenshampooing
Nevercuthair
39. Dressing
Offerchoices
Undressunaffectedside /dressaffectedside
Blouse/shirt,thenpantsandsocks/shoes
40. Routine mouthcare
Place infowler’sposition
Done afterbreakfastandbedtime (HS)
Must be able toexpectorate (spit)
Brush inner,outerandchewingsurfacesinthisorder,use shortstrokes,brushbackandforth
Include the tongue
41. Mouthcare forunconscious
Done Q2h
Place inlateral positiontopreventaspiration
Done withswabsor toothettes
42. Denture care
Use tepidwater,store indenture cupfilledwithtepidwater(hotwaterwill warpthe plate)
Line sinkwithtowel toprotectfromdamage
Remove atbedtime
Alwaysrinse dentureswellbeforebrushing
43. Basic nursingskill
For pulse- use radial artery,thumbside of wrist,don’tuse yourthumbtomeasure
Newbornpulse 120 to 180 beats/min;small kidsrange from100 to 120 beats/min
12. Brachial artery usedforBP; apical pulse requireslisteningoverapex of heartwithastethoscope
For respirations,don’ttell the personyouare measuring,pretendto take pulse
Top numberof BP issystolic;bottomnumberisdiastolic(report140 or > or 90 or >
Use the rightysize BPcuff to avoidwrongreadings
Nevertake a BP onthe side where amastectomy wasdone or the personhasa dialysisaccess
inthat arm
Hot and coldapplicationsmustbe checkedevery15minutesandneverleftonfor>20 minutes
Don’tapplyhot/coldapplication directlytoskin
Coldconstrictsor closesbloodvessels
Heat dilatesoropensbloodvessels
Reportpainimmediately
Reposition,assistwithambulation,give abackrub, warmshower,encourage slow,deep
breathing,be empatheticif personinpain
Do performa nonsterile dressingchange youwill needtochange yourglovestwice;toperform
a dressingchange whichrequiresyoutocleanthe wound,youwill needtochange yourgloves3
times
If residentonO2- donot adjustlevel,make sure humidifyingbottle isnotempty(tell nurse),
nasal cannulathat is soiled,crackedorhardshouldbe replaced;aftercoldor flushouldbe
changed
Make sure O2 concentratorisat least6 inchesfroma wall
Wait 15-20 minutesafterhot/coldliquid,exercise,cigarette before takinganoral temp
Simspositionforrectal temp,holdthermometerinplace,lubricate- mostaccurate wayto
measure
44. Preventingunintendedwtloss
Foodshouldlook,taste,smell good- have apositive tone of voice whendescribingfood
Assistwithfeedingprn
Seasonto residentpreferences
Allowenoughtime tofinishmeal
Recordmeal/snackintake
Positionupright
If residenthaslossof appetite- askabout
Reportpoor intake
45. Assistwith elasticbandages(ace wraps)
Keepthe areato be wrappedcleanand dry
Applysnuglytocontrol bleedingandpreventmovement,butnotcut off circulation
Wrap in a figure-eightpattern
Check10-15 minutesafterapplicationtoensure fingers/toesare warmandpink
Checkfor loosenessorwrinkles
13. 46. Assistingwithtube feedings
Keeptubingunkinked
Be aware of NPO orders
Mouthcare Q2h
HOB elevated30degreesatall times,butduringfeeding45degreesorhigherandleave upfor
at least30 minutespc
Reportswelling,drainage,accidental removal of tube
47. ServingMeal trays/promotingappetite
Wash yourhands,wash residenthands
ID residentandmake sure menucard hasright dietforrightperson
Serve all residentsatone table before movingtonext
Serve feederslast
Do not touch,taste or blowon foodor
Shouldhave beentoiletedandallowedtosaygrace
Foodshouldbe servedatpropertemp
Place handoverfoodto determine temp
Place residentin90 degree position
Offerchoices
Use builtuputensilsasneeded
48. DiningTechniques
Use assistive devices
Use hand-over-handtechniquetoguide handtomouth
Give verbacues“ope” “swallow”
Setfoodup for visuallyimpairedlikeanimaginaryclock
If CVA,place foodinunaffectedside of mouth
Keepbodyingoodalignment(straight)
Is visuallyimpaired,place foodinfieldof vision
Checkfor pocketing
49. Preventingaspiration
Offersmall spoonfuls
Feedslowly
Make sure mouthis emptybefore placingmore foodin
Leave upfor 30 minutespc