FUNDAMENTAL OF NURSING PROCEDURE MANUAL for PCL ...

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36 Fundamental of Nursing Procedure Manual Procedure: Caring for Fingernails Care Action Rationale 1. Perform hand hygiene To prevent the spread of infection 2. Gather all the required equipments. Organization performance facilitates accurate skill 3. Check the client’s identification. To assess needs 4. Explain to the client about the purpose and the procedure. Providing explanation fosters cooperation 5. Put all the required equipments to the bed-side and set up it. To save the time an promote effective care 6. Assist the client to a comfortable upright position. 7.In sitting position: To provide for comfort 1) Soaking ①Put a mackintosh with covering towel on the bed. ②Put the basin with warm water over the mackintosh. ③Soak the client’s fingers in a basin of warm water and mild soap. ④Scrub and wash them up. ⑤Dry the client’s hands thoroughly by using the middle towel covering the mackintosh. 2) Cutting ①Trim the client’s nails with nail clippers. Mackintosh can prevent the sheet from wetting To make nails soft, thereby you can cut nails easily and safety Special orders are required before cutting the nails or cuticles of a client with diabetes to avoid accidental injury to soft tissues. ②Wipe all fingernails from thumb to 5th nail side by side by wet cotton ball. One cotton ball is used for one nail finger. ③Shape the fingernails with a file, rounding the corners and wipe both hands by a sponge towel. 8. Replace equipments and discard dirty. To prepare equipments for the next procedure 9. Perform hand hygiene. To prevent the spread of infection Procedure: Caring for Toenails Follow the same procedure as for the fingernails with some exceptions: Care Action Rationale 7. 2) Cutting ①Cut toenails straight across and do not round off the corners ②Do not shape corners Cutting into the corners may cause ingrown nails. If the nails tend to grow inward at the corners, place a wisp of cotton under the nail to prevent toe pressure. A notch cut in the center will pull in edges and corners. Sometimes, very thick, hard toenails require surgical removal. NURSING ALERT Never cut the toenails of the clients with diabetes or hemophilia. These clients are particularly susceptible to injury.
Performing Perineal Care 37 Fundamental of Nursing Procedure Manual Definition: Perineal care is bathing the genitalia and surrounding area. Proper assessment and care of the perineal area will need professional clinical judgment. Purpose: 1. To keep cleanliness and prevent from infection in perineal area 2. To make him/her comfortable Equipments required: 1. Gloves( non- sterile) (1 pair) 2. Sponge cloth (1) 3. Basin with warm water (1) 4. Waterproof pad or gauze 5. Towels (1) 6. Mackintosh (1) 7. Soap with soap dish (1) 8. Toilet paper 9. Bed pan (1): as required Procedure: For general case (without urinary catheter) Care Action Rationale 1. Gather all required equipments. Organization performance facilitates accurate skill 2. Explain the procedure to the client. Providing information fosters cooperation. 3. Perform hand hygiene and wear on gloves if available. To prevent the spread of infection 4. Close the door to the room and place the screen. To protect the client's privacy. 5.Raise the bed to a comfortable height if possible. Proper positioning prevents back strain. 6. Preparation the position: 1) Uncover the client's perineal area. 2) Place a mackintosh and towel ( or waterproof pad) under the client's hips. 7. Cleanse the thighs and groin: 1) Make a mitt with the sponge cloth. 2) Cleanse the client's upper thighs and groin area with soap and water. 3) Rinse and dry. 4) Wash the genital area next. A towel or pad protects the bed. You can use the towel to dry the client's perineal and rectal area.
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Procedure: Care Action Rationale 1.
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Procedure: b. Removal a Nasal-Gastr
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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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