FUNDAMENTAL OF NURSING PROCEDURE MANUAL for PCL ...

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Performing Bed Bath Definition: A bath given to client who is in the bed (unable to bath itself) Purpose: 1. To prevent bacteria spreading on skin 2. To clean the client’s body 3. To stimulate the circulation 4. To improve general muscular tone and joint 5. To make client comfort and help to induce sleep 6. To observe skin condition and objective symptoms Equipments required: 1. Basin (2): for without soap (1) for with soap (1) 2. Bucket (2): for clean hot water (1) for waste (1) 3. Jug (1) 4. Soap with soap dish (1) 5. Sponge cloth (2): for wash with soap (1) for rinse (1) 6. Face towel (1) 7. Bath towel (2) : Ⓐ for covering over mackintosh (1) Ⓑ for covering over client’s body (1) 8. Gauze piece (2-3) 9. Mackintosh (1) 10. Trolley (1) 11. Thermometer (1) 12. Old newspaper 13. Paper bag(2): for clean gauze (1) for waste (1) 26 Fundamental of Nursing Procedure Manual
Fundamental of Nursing Procedure Manual Procedure: complete bed bath Care Action Rationale 1. Confirm Dr.’s order. The bath order may have changed. Check client identification and condition. In some instances a bed bath may be harmful for a client, who is in pain, hemorrhaging, or weak. Ns need to defer the bath. 2. Explain the purpose and procedure to the client. Providing information fosters cooperation. If he or she is alert or oriented, question the client Encourage the client to assist with care and to about personal hygiene preferences and ability to assist with the bath. promote independence. 3. Gather all required equipments. Organization facilitates accurate skill performance 4. Wash your hands and put on gloves. To prevent the spread of organisms. Gloves are optional but you must wear them if you are giving perineal and anal care. 5.Bring all equipments to bed-side. Organization facilitates accurate skill performance 6. Close the curtain or the door. To ensure that the room is warm. To maintain the client’s privacy. 7.Put the screen or curtain. To protect the client’s privacy. 8.Prepare hot water (60℃). Water will cool during the procedure. 9. Remove the client’s cloth. Cover the client’s body with a top sheet or blanket. If an IV is present on the client’s upper extremity, thread the IV tubing and bag through the sleeve of the soiled cloth. Rehang the IV solution. Check the IV flow rate. 10.Fill two basins about two-thirds full with warm water(43-46℃or 110-115F). 11.Assist the client to move toward the side of the bed where you will be working. Usually you will do most work with your dominant hand. 12. Face, neck, ears: 1) Put mackintosh and big towel Ⓐunder the client’s body from the head to shoulders. Place face towel under the chin which is also covered the top sheet. 2) Make a mitt with the sponge towel and moisten with plain water. 3) Wash the client’s eyes. Cleanse from inner to outer corner. Use a different section of the mitt to wash each eye. 4) Wash the client’s face, neck, and ears. Use soap on these areas only if the client prefers. Rinse and dry carefully. Removing the cloth permits easier access when washing the client’s upper body. Be sure that IV delivery is uninterrupted and that you maintain the sterility of the setup. Water at proper temperature relaxes him/her and provides warmth. Water will cool during the procedure. Keep the client near you to limit reaching across the bed. 27 To prevent the bottom sheet from making wet. Soap irritates the eyes. Washing from inner to outer corner prevents sweeping debris into the client’s eyes. Using a separate portion of the mitt for each eye prevents the spread of infection. Soap is particularly drying to the face.
Page 1 and 2: FUNDAMENTAL OF NURSING PROCEDURE MA
Page 3 and 4: 3 Fundamental of Nursing Procedure
Page 5 and 6: III. Specimen collection 1.Collecti
Page 9 and 10: Bed making a. Making an Un-occupied
Page 11 and 12: Fig.3 Tuck the bottom sheet under t
Page 13 and 14: Bed making b. Changing an Occupied
Page 19 and 20: Performing Oral Care Definition: Mo
Page 21 and 22: a. Assisting the client with Oral c
Page 25: 25 Fundamental of Nursing Procedure
Page 29 and 30: Care Action Action 18.Back and butt
Page 31 and 32: 2) Turn the client to her/ his side
Page 35 and 36: Caring for fingernails and toenails
Page 37 and 38: Performing Perineal Care 37 Fundame
Page 39 and 40: Taking Vital Signs: 39 Fundamental
Page 43 and 44: . Measuring a Radial Pulse Definiti
Page 45 and 46: c. Counting Respiration 45 Fundamen
Page 49 and 50: Definition: Performing Physical Exa
Page 67 and 68: Normal adult thorax Barrel thorax F
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Umbilicus Observe its contour, loca
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Procedure: Care Action Rationale 1.
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Procedure: b. Removal a Nasal-Gastr
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Procedure: 103 Fundamental of Nursi
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Supplying Oxygen Inhalation 109 Fun
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Administering Oral Medications Defi
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Removing Medications from an Ampoul
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Prevention of the Needle-Stick Inju
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❖Nursing Alert❖ Selection of ap
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Starting an Intra-Venous Infusion 1
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Fundamental of Nursing Procedure Ma
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Performing Nebulizer Therapy 147 Fu
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Equipments required: 1. Dr.’s ord
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III. Specimen Collection 151 Fundam
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Definition: Collecting Blood Specim
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Collecting Urine Specimen 159 Funda
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. Collecting a 24-hour Urine Specim
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. Collecting a sputum culture 169 F
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Appendix 1 Checklist for Taking Vit
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Appendix 2 Checklist for Bedmaking:
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Appendix 3 Checklist for Changing o
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General Comments: 179 Fundamental o
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References: 181 Fundamental of Nurs
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