Unit 1
description
Transcript of Unit 1
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Unit 1
Pre and Post-Procedural Activities
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Beginning and Ending Procedure Actions
• Beginning and ending steps of all procedures are the same
• These are very important steps • Commit them to memory and use them
before and after caring for each patient
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Beginning Procedure Actions
• Assemble supplies and equipment and bring to patient’s room
• Knock on the door and identify yourself
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Beginning Procedure Actions
• Identify the patient according to facility policy
• Ask visitors to leave the room and advise where they may wait
– As desired by patient
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Beginning Procedure Actions
• Explain what you are going to do and what is expected of the patient
• Answer questions• Maintain a dialogue with the patient
during procedure• Repeat explanations and instructions as
needed
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Beginning Procedure Actions
• Provide privacy by closing the door, privacy curtain, and window curtain
– All three should be closed even if the patient is alone in the room
• Wash your hands or use an alcohol-based hand cleaner
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Beginning Procedure Actions
• Set up supplies and equipment at bedside
• Use overbed table or other clean area• Cover with a clean underpad, according
to nursing judgment to provide a clean work surface
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Beginning Procedure Actions
• Open packages• Position items for convenient reach• Take care to avoid positioning a
container for soiled items in a manner that requires crossing over clean items to access it
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Beginning Procedure Actions
• Position the patient for the procedure • Support with pillows and props, as
needed • Place a clean underpad under wounds
or medical devices, as needed
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Beginning Procedure Actions
• Make sure the patient is comfortable and able to maintain the position throughout the procedure
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Beginning Procedure Actions
• Cover the patient with a bath blanket and drape for modesty
• Fold the bath blanket back to expose only the area on which you will be working
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Beginning Procedure Actions
• Raise the bed to a comfortable working height
• Apply gloves if contact with blood, moist body fluids (except sweat), secretions, excretions, or nonintact skin is likely
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Beginning Procedure Actions
• Apply a gown if your uniform will have substantial contact with linen or other articles contaminated with blood, moist body fluid (except sweat), secretions, or excretions.
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Beginning Procedure Actions
• Apply a mask and eye protection if splashing of blood or moist body fluid is likely
• Lower the side rail on the side where you will be working
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Procedure Completion Actions• Remove gloves• Reposition the patient to ensure he or
she is comfortable and in good body alignment
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Procedure Completion Actions• Replace the bed covers, then remove
any drapes • Place used drapes in plastic bag to
discard in trash or soiled linen
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Procedure Completion Actions• Elevate the side rails, if used, before
leaving the bedside• Remove other personal protective
equipment, if worn, and discard in plastic bag or according to facility policy
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Procedure Completion Actions• Wash your hands or use an alcohol-
based hand cleaner• Return the bed to the lowest horizontal
position • Open the privacy and window curtains
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Procedure Completion Actions• Position the call signal and needed
personal items within reach• Wash your hands or use an alcohol-
based hand cleaner
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Procedure Completion Actions• Inform visitors that they may return to
the room• Document the procedure, your
observations, and the patient’s response
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Procedure Completion Actions• Remove procedural trash and
contaminated linen when you leave the room
• Discard in appropriate container or location, according to facility policy