FUNDAMENTAL OF NURSING PROCEDURE MANUAL for PCL ...

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Fig. 30 ⓐ Care Action 5. 1) → 6. Placing the client's forearm straight alongside body and putting the fingertips over the radial pulse Fig. 30 ⓑ 5.1) →6. Placing the client’s forearm straight of across upper abdomen and putting the fingertips over the radial pulse 44 Fundamental of Nursing Procedure Manual Fig. 31 ⓐ Care Action 5. 2) → 6. Placing the client’s forearm on the armrest of chair and putting your the fingertips over the radial pulse Fig. 31 ⓑ 5.2) →6. Supporting the client’s forearm by nurse’s palm with extended straight and your putting three fingertips
c. Counting Respiration 45 Fundamental of Nursing Procedure Manual Definition: Monitoring the involuntary process of inspiration and expiration in a patient Purposes: 1. To determine number of respiration occurring per minute 2. To gather information about rhythm and depth 3. To assess response of patient to any related therapy/ medication Procedure: Care Action Rationale 1. Close the door and/or use screen. To maintain privacy 2. Make the client's position comfortable, preferably To ensure clear view of chest wall and abdominal sitting or lying with the head of the elevated 45 to 60 degrees. movements. If necessary, move the bed linen. 3. Prepare count respirations by keeping your A client who knows are counting respirations may fingertips on the client’s pulse. 4. Counting respiration: not breathe naturally. 1) Observe the rise and fall of the client’s (one One full cycle consists of an inspiration and an inspiration and one expiration). expiration. 2) Count respirations for one full minute. Allow sufficient time to assess respirations, 3) Examine the depth, rhythm, facial expression, especially when the rate is with an irregular Children normally have an irregular, more rapid cyanosis, cough and movement accessory. rate. Adults with an irregular rate require more careful assessment including depth and rhythm of respirations. 5. Replace bed linens if necessary. Record the rate Documentation provides ongoing data collection. on the client’s chart. Sign the chart Giving signature maintains professional 6. Perform hand hygiene accountability To prevent the spread of infection 7. Report any irregular findings to the senior staff. To provide continuity of care
Page 1 and 2: FUNDAMENTAL OF NURSING PROCEDURE MA
Page 3 and 4: 3 Fundamental of Nursing Procedure
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Page 9 and 10: Bed making a. Making an Un-occupied
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Page 13 and 14: Bed making b. Changing an Occupied
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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: . Measuring a Radial Pulse Definiti
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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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