Bed Bathing Changing Of Napkin And Positioning
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HKCC 2433
PERFORMANCE CHECKLIST (The checklists are dedicated to facilitate your study. Only some of the key points are highlighted. It’s the student’s responsibility to refer and read the textbooks for the comprehensive version to show your effort in studying which also will be graded as your performance!)
Bed Bathing, Changing of napkin and positioning Yes 1. 2.
Identify the client Assess client’s tolerance for activity, discomfort level, cognitive ability, musculoskeletal function, and presence of equipment (e.g. IV or oxygen tubing) Explain to the client
3. 4.
Adjust room temperature, provide privacy for the client
5.
6. 7.
Wash hands and check the infection control procedure Gather all the equipments
8 9
Wear disposable gloves (change the disposable gloves whenever they are contaminated with the elimination)
10
11 12 13
Pull down the bed side rail Position of the client Position of the equipment for hair washing
14
Place the fresh linen on the client’s chair or overbed table, arrange the trolley for bed bathing Inform client for hair washing
Check water temperature
Wash hair and allow water drainage from the hair washing basin to the bucket Dry the hair with hair dryer and comb the hair neatly
Pull up side rail Remove hair washing basin and other equipments
Remove the glove and hand hygiene
15B 15B
16 17
Wear disposable gloves (change the disposable gloves whenever they are contaminated with the elimination) Position the client in alignment
18 19 20 21 22 23 24
25 26
15 A 15B 15B 15B
Prepare warm water for bathing and check the water temperature
Inform client for bed bathing Remove clothes Pay attention to the IV drip if necessary Ensure adequate warmth of the client Clean the face and body of the client Change the bed sheets if needed Put on the clothes Clean the lower part of the body Remove the straps on the napkin Check the skin integrity of the exposed area
Yes
No
Comments
HKCC 2433
27
28 29
30
31 32
33
34 35
36
Wash the perineal area of the clients with cotton wool swaps from the front to the back and thorough dry the area Roll up the front side of the napkin Assist the client to turn to the lateral position Expose the buttock area of the client and check the skin integrity Ensure adequate warmth Thoroughly clean up the fecal elimination with the cotton swaps and thoroughly dry the area Apply the zinc oxide cream as protective barrier if necessary Change the drawsheet or the linen if soiled Remove and discard your gloves and wash the hands if soiled Put the new napkin in correct position
37 38 39 40
Lie flat the client and adjust the napkin (**avoid any shearing force, roll the client back and forth if need to adjust the position of the napkin) Check the rims of the napkin to avoid any irritation to the skin of the thighs Assist client in dressing Roll out the bed sheets
41 42
43 44
45
46 47
Roll all soiled linen inside the bottom sheet and put in linen hamper Bed making Turn the client to a comfortable position (please refer to textbook) Pull up the side rails Provide client with the call bell Elevate the head of the bed if there is no contraindicated Hand hygiene
Document color, odor, amount and consistency of urine and feces (I & O chart) and
the condition of the perineal and buttock area
PERFORMANCE CHECKLIST (The checklists are dedicated to facilitate your study. Only some of the key points are highlighted. It’s the student’s responsibility to refer and read the textbooks for the comprehensive version to show your effort in studying which also will be graded as your performance!)
Bed Bathing, Changing of napkin and positioning Yes 1. 2.
Identify the client Assess client’s tolerance for activity, discomfort level, cognitive ability, musculoskeletal function, and presence of equipment (e.g. IV or oxygen tubing) Explain to the client
3. 4.
Adjust room temperature, provide privacy for the client
5.
6. 7.
Wash hands and check the infection control procedure Gather all the equipments
8 9
Wear disposable gloves (change the disposable gloves whenever they are contaminated with the elimination)
10
11 12 13
Pull down the bed side rail Position of the client Position of the equipment for hair washing
14
Place the fresh linen on the client’s chair or overbed table, arrange the trolley for bed bathing Inform client for hair washing
Check water temperature
Wash hair and allow water drainage from the hair washing basin to the bucket Dry the hair with hair dryer and comb the hair neatly
Pull up side rail Remove hair washing basin and other equipments
Remove the glove and hand hygiene
15B 15B
16 17
Wear disposable gloves (change the disposable gloves whenever they are contaminated with the elimination) Position the client in alignment
18 19 20 21 22 23 24
25 26
15 A 15B 15B 15B
Prepare warm water for bathing and check the water temperature
Inform client for bed bathing Remove clothes Pay attention to the IV drip if necessary Ensure adequate warmth of the client Clean the face and body of the client Change the bed sheets if needed Put on the clothes Clean the lower part of the body Remove the straps on the napkin Check the skin integrity of the exposed area
Yes
No
Comments
HKCC 2433
27
28 29
30
31 32
33
34 35
36
Wash the perineal area of the clients with cotton wool swaps from the front to the back and thorough dry the area Roll up the front side of the napkin Assist the client to turn to the lateral position Expose the buttock area of the client and check the skin integrity Ensure adequate warmth Thoroughly clean up the fecal elimination with the cotton swaps and thoroughly dry the area Apply the zinc oxide cream as protective barrier if necessary Change the drawsheet or the linen if soiled Remove and discard your gloves and wash the hands if soiled Put the new napkin in correct position
37 38 39 40
Lie flat the client and adjust the napkin (**avoid any shearing force, roll the client back and forth if need to adjust the position of the napkin) Check the rims of the napkin to avoid any irritation to the skin of the thighs Assist client in dressing Roll out the bed sheets
41 42
43 44
45
46 47
Roll all soiled linen inside the bottom sheet and put in linen hamper Bed making Turn the client to a comfortable position (please refer to textbook) Pull up the side rails Provide client with the call bell Elevate the head of the bed if there is no contraindicated Hand hygiene
Document color, odor, amount and consistency of urine and feces (I & O chart) and
the condition of the perineal and buttock area
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