Skills

1. Greet pt. by name

2. Introduce yourself (name + title)

3. Explain the specific procedure

4. Pull privacy curtain

1. Grab glove by palm of other hand

2. Remove glove while balling it up in other hand

3. Use thumb of ungloved hand - slip under wrist of gloved hand

4. Pull glove off, while keeping balled up glove inside other glove

5. Dispose of gloves

6. Wash hands

1. Put call light w/in pt. reach

2. Lower bed to lowest position

3. Lock bed brakes

4. Open privacy curtain

5. State you wash your hands before leaving pt. room

6. (for meas. skills) Record

7. State you completed the skill

1. Beginning Steps

2. Find radial pulse

3. Say “start” clearly - Count pt. pulse for 1 full minute - Say “stop” clearly

4. Ending Steps

5. Record

6. State completed skill

1. Beginning Steps

2. Say “start” clearly - Count pt. resp. for 1 full minute - Say “stop” clearly

3. Ending Steps

4. Record

5. State completed skill

1. Beginning Steps

2. Get equipment

3. Position pt. (upright at 90 w/ arm at heart level, or lying flat)

4. Raise sleeve above shoulder & check arm for safety

5. Find brachial artery

6. Check cuff size - state you have the right size cuff - secure cuff

7. Turn machine on - state the machine is ready and on the correct setting

8. Push start button - watch the whole time! 200mmHg safety stop!

   1. If machine hits 200mmHg, stop it and try again on the other arm

9. Ending Steps

10. Record

11. State completed skill

NO BEGINNING STEPS! NOT PATIENT-FACING!

1. Don gloves

2. Place napkin barriers on the counter - Put graduated cyl. on barrier

3. Pour urine into cyl.

4. Rinse bedpan w/ water - DO NOT pour in SINK! Pour in TOILET!!!

5. Dry bedpan & put bedpan in dirty supply

6. Measure urine

7. Dump urine in TOILET, rinse cyl. w/ water - DO NOT pour in SINK! Pour in TOILET!

8. Dry cyl. & put in dirty supply

9. Throw napkins away

10. Remove gloves

11. State wash hands

12. Record

13. State completed skill

1. Beginning Steps

2. Lock bed brakes, lower bed, lower feet flat

3. Put shoes on pt.

4. Ask pt. to walk with you to scale

5. Zero the scale

6. Ask pt. to stand in the center of the scale

7. Measure weight - DO NOT ZERO SCALE WHEN DONE

8. Ask pt. to step off the side of the scale, walk pt. to bed and ask them to get in.

9. Remove pt. shoes and cover with blanket

10. Ending Steps

11. Record

12. State completed skill

1. Gown on

   1. Tie bow behind neck

   2. Close back so fabric overlaps, then tie waist - STRAPS BEHIND YOU!

   3. Turn to show tester back is covered

2. Gloves on OVER SLEEVE BOTTOM - show tester no skin exposed on wrist

3. Remove gloves. Dispose of gloves.

4. Remove gown

   1. Untie neck, then waist

   2. Slip finger of ungloved hand under cuff of sleeve w/o contaminating self - pull sleeve over hand

   3. Use loose sleeve to loosen other sleeve

   4. Roll gown inward towards middle first, then down - all contaminated sides away from you

5. Dispose of gown in biohazard

6. State wash hands

7. State completed skill

GO SLOW!!!

1. Beginning Steps

2. Put head of bed flat

3. Explain 1st motion in detail

   1. Say “Tell me if you have pain during exercise!”

4. Support knee and ankle - move through knee flexion & extension - ask if they felt pain

5. Repeat 2x

6. Explain 2nd motion in detail

   1. Say “Tell me if you have pain during exercise!”

7. Support ankle - move through flexion & extension - ask if they felt pain

8. Repeat 2x

9. Cover pt.

10. Ending Steps

11. State completed skill

GO SLOW!!!

1. Beginning Steps

2. Put head of bed in position where arm won’t hit headboard

3. Explain 1st motion in detail

   1. Say “Tell me if you have pain during exercise!”

4. Support elbow and wrist - move through shoulder flex/extend TO EAR - ask if they felt pain

5. Repeat 2x

6. Explain 2nd motion in detail

   1. Say “Tell me if you have pain during exercise!”

7. Support elbow and wrist - move through abduction/adduction to 90-deg - ask if they felt pain

8. Repeat 2x

9. Cover pt.

10. Ending Steps

11. State completed skill

Minimum Supplies: chair, food tray w/ food, drink, diet card, and 2 wet wipes (gather these yourself)

1. Beginning Steps

2. Sit pt. all the way up - 90-degrees! prevent choking!

3. Put table in front of pt.

4. Put chair in place next to pt.

5. Check diet card - ask pt. to state full name & state you have the right diet for them

6. Position tray on table directly in front of pt.

7. Wipe pt. hands with 1st wet wipe - dispose of wet wipe

8. SIT DOWN ON CHAIR facing the pt. BEFORE feeding them and throughout meal

9. Introduce food AND drink to pt.

10. Ask pt. what they want to eat first, and load a bite of that on to the spoon

11. Ask pt. “if they are ready for” the food they selected, then say “here is the ___” - watch pt. swallow food/drink.

12. Be sure mouth is EMPTY before offering drink! Ask pt. “if they are ready for a drink.” Watch pt. swallow drink.

13. Repeat 11 & 12 two more times

14. Clean pt. mouth with napkin (if present) or wet wipe. Clean pt. hands with wet wipe. Dispose of wet wipe.

15. Take tray away - put in dirty supply area - DO NOT DUMP TRAY!

16. Leave pt. sitting up at 90-degrees

17. Ending steps

1. Beginning Steps

2. Get 2 shirts - show them to pt. - ask pt. to choose one, and put the other in the hamper

Be sure pt. is covered by the blanket to avoid over exposing pt. throughout whole undressing + dressing procedure! Tuck blanket over shoulder so it doesn’t pull off & expose them!

1. Gently assist pt. to sit forward - untie gown at neck and remove it from back before having them sit back. Take gown off LEFT arm. Then gently remove gown from RIGHT side. Put gown in hamper.

2. Put shirt on pt. RIGHT arm. Gently assist pt. to sit forward and put shirt behind back before having them sit back. Then put gown on LEFT arm.

3. Button the shirt over the blanket, then remove the blanket fron under the shirt and cover them up again.

4. Ending Steps

Minimum Supplies: 3 pillows

ONLY UNCOVER parts of body REQUIRED for specific STEPS!

1. Beginning Steps

2. Raise side rail on side of bet that pt. will roll towards

3. Put head of bed flat

4. Move pt. towards you - hands under shoulders & back and 1-2-3 count to have them scoot towards you on their back

5. Roll pt. to side away from you - instruct pt. to grab side rail on 1-2-3 - pt. should be in middle of bed after the roll!

6. Position back pillow (taco, then stuff between shoulder and lower back) - roll pt. shoulder towards you so they’re resting on the back pillow

7. Adjust head pillow (gently lift pt. head up & adjust head pillow for support)

8. Position Leg Pillow (uncover pt. to feet, lift top leg with one arm while placing pillow with other arm - knees & ankles separated by pillow)

9. Position arm pillow (pull pt. bottom shoulder & arm out a touch holding shoulder and elbow joints so pt is not lying on bottom arm - then support top arm with pillow on side of body)

10. Ending Steps

Minimum Supplies: One TED Stocking

NEVER grab stocking FROM THE OUTSIDE AND TWIST IT to get it on properly! ALWAYS PUT FINGERS INSIDE THE STOCKING to reposition & remove wrinkles!

1. Beginning Steps

2. Lower head of bed flat

3. Ensure stocking is right-side out

4. Uncover one leg, and roll pants to above the knee

5. Put stocking on foot & heel - then STOP! Check it’s on properly over the heel and all wrinkles are removed from foot and heel - FIX THIS before proceeding!

6. Slowly & Gently work the stocking the rest of the way up to the knee, working out all wrinkles as you pull it up

7. 2x check that there are no folds / wrinkles, on the foot, calf, and behind the knee

8. State out loud “There should be no wrinkles”

9. Lower pant leg, cover leg with blanket

10. Ending Steps