FUNDAMENTAL OF NURSING PROCEDURE MANUAL for PCL ...

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Performing Hair Washing 32 Fundamental of Nursing Procedure Manual Definition: Hair washing defines that is one of general care provided to a client who cannot clean the hair by himself/ herself. Purpose: 1. To maintain personal hygiene of the client 2. To increase circulation to the scalp and hair and promote growing of hair 3. To make him/her feel refreshed Equipments required: 1. Mackintosh(2): to prevent wet (1) to make Kelly pad (1) 2. Big towel(2): to cover mackintosh (1) to round the neck (1) 3. Middle towel (1) 4. Shampoo or soap (1) 5. Hair oil (1): if necessary 6. Brush, comb: (1) 7. Paper bag (2): for clean (1) for dirty (1) 8. Cotton boll with oil or non-refined cotton 9. Bucket (2): for hot water (1) for wasted water (1) 10. Plastic jug (1) 11. Clothpin or clips (2) 12. Steel Tray (1) 13. Kidney tray (1) 14. Cushion or pillow (1) 15. Clean cloth if necessary 16. Old newspaper 17. Trolley (1)
33 Fundamental of Nursing Procedure Manual Procedure: Care Action Rationale 1. Perform hand hygiene To prevents the spread of infection 2.Gather all equipments Organization facilitates accurate skill performance 3.Check the condition of client. Explain the Proper explanation may allay his/her anxiety and purpose and the procedure to the client. foster cooperation 4. Bring and set up all equipments to the bed-side To save the time and promote effective care 5. Help the client move his/her head towards edge To arrange appropriate position with considering of the bed and remove the pillow from the head. your body mechanics 6.Put another pillow or a cushion under the Putting a pillow or a cushion could prevents from bending position. knee. Make him/her comfortable having some pain while the hair washing process 7. Setting mackintosh and towel to the client: 1) Place a mackintosh covered a big towel under To prevent the sheet from soiling the upwards from the client head to the shoulders of client 2) Have a big towel around his/her neck To prevent the cloth and the body from soling 3) Roll another mackintosh to make the shape of a funnel, by using the way to hold from both sides in a slanting way. The narrow end should be folded and put under the client’s neck and the free end should be put into the bucket to drain for the waste water. 4) Put the folding mackintosh under the client’s neck. 8. Washing: To induce water drainage 1) Brush the hair. To remove dandruff and fallen hairs, and make the hair easier washing 2) Insert the cotton balls into the ears 3) Wet the hair by warm water and wash it roughly 4) Apply soap or shampoo and massage the scalp well while washing the hair using fingernails 5) Rinse the hair and reapply shampoo for a second washing, if indicated 6) Rinse the hair thoroughly 7) Apply conditioner if requested or if the scalp appears dry 9. Wrapping the hair: 1)Remove the cotton balls from the ears into the paper bag and mackintosh with the towel from the client's neck. 2) Wrap the hairs in the big towel which are used to cover the client's neck part. To prevent water from entering into the ears
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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
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Page 21 and 22: a. Assisting the client with Oral c
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Page 29 and 30: Care Action Action 18.Back and butt
Page 31: 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
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Page 45 and 46: c. Counting Respiration 45 Fundamen
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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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