FUNDAMENTAL OF NURSING PROCEDURE MANUAL for PCL ...

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Performing Back Care 30 Fundamental of Nursing Procedure Manual Definition: Back care means cleaning and massaging back, paying special attention to pressure points. Especially back massage provides comfort and relaxes the client, thereby it facilitates the physical stimulation to the skin and the emotional relaxation. Purpose: 1. To improve circulation to the back 2. To refresh the mode and feeling 3. To relieve from fatigue, pain and stress 4. To induce sleep Equipments required: 1. Basin with warm water (2) 2. Bucket for waste water (1) 3. Gauze pieces (2) 4. Soap with soap dish (1) 5. Face towel (1) 6. Sponge cloth (2): 1 for with soap 1 for rinse 7. Big Towel (2): 1 for covering a mackintosh 1 for covering the body 8. Mackintosh (1) 9. Oil/ Lotion/ Powder (1): according to skin condition and favor 10. Tray (1) 11. Trolley (1) 12. Screen (1)
2) Turn the client to her/ his side and put the mackintosh covered by big towel under the client's body. 8.Expose the client's back fully and observe it whether if there are any abnormalities. 31 Fundamental of Nursing Procedure Manual Procedure: Care Action Rationale 1. Perform hand hygiene To prevent spread of infection 2. Assemble all equipments required. Organization performance facilitates accurate skill 3. Check the client's identification and condition. To assess sufficient condition on the client 4.Explain to the client about the purpose and the procedure. Providing information fosters cooperation 5.Put all required equipments to the bed-side and Appropriate setting can make the time of the set up. procedure minimum and effective. 6.Close all windows and doors, and put the screen To ensure that the room is warm. or / and utilize the curtain if there is. 7. Placing the appropriate position: To maintain the privacy. 1) Move the client near towards you. To make him/her more comfortable and provide the care easily. Mackintosh can avoid the sheet from wetting. 9. Lather soap by sponge towel. Wipe with soap and rinse with plain warm water. 10. Put some lotion or oil into your palm. Apply the oil or the lotion and massage at least 3-5 minutes by placing the palms: 1) from sacral region to neck 2)from upper shoulder to the lowest parts of buttocks 11. Help for the client to put on the clothes and return the client to comfortable position. To find any abnormalities soon is important to that you prevent more complication and/ or provide proper medication and/or as soon as possible. If you find out some redness, heat or sores, you cannot give any massage to that place. If the client has already some red sore or brokendown area, you need to report to the senior staff and /or doctor. To make clean the back before we give massage with oil/ lotion/ powder. Don’t apply oil or lotion directly to the back skin. Too much apply may bring irritation and discomfort To provide for warmth and comfort 12. Replace all equipments in proper place. To prepare for the next procedure 13. Perform hand hygiene. To prevent the spread of infection 14. Document on the chart with your signature, including date, time and the skin condition. Report any findings to senior staff. Documentation provides coordination of care Giving signature maintains professional accountability
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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
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Page 29: Care Action Action 18.Back and butt
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
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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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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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FUNDAMENTAL OF NURSING PROCEDURE MANUAL for PCL ...

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