Term
During admission, who will be one of the first staff members the patient sees ?
Definition
NA
Term
During adminssion, NA responsible to check patient's
Definition
Vital signs, weight and height
Term
The most common beds in health care facilities :
Definition
- Gatch bed - operation may be done manually by turning the cranks ; they increase the risk of employee back injury
- Electric bed - operated electrically
- Low bed - commonly used in health care facilities for patients who are at risk of falls ; for patient who are at risk of falls
Term
The bed reduces the potential for friction and shear (Warm, dry air circulates through the material to maintain an even temperature and support the body evenly and the bed filled with a sand-like material).
Provide comfort and faster healing of multiple pressure ulcers, flaps, grafts, burns, management of extensive skin disorders or fresh surgical wounds. It can be defluidezrd rapidly if CPR is necessary.
Definition
Clinitron bed
Term
Used for pressure ulcer prevention and treatment (Provide pressure relief for patients who have pressure ulcers, those who are at risk of pressure ulcers and some patients with burns), CPR is not effective :
Definition
A low air loss bed
Term
Patient using a low air loss bed must still
Definition
turned and positioned regularly to prevent skin breakdown.
Term
Clinitron and low air loss bed is type of
Definition
Therapeutic beds
Term
Fill laundry hampers no more than
Definition
two-thirds full
Term
Standard precaution or for NA safety during making the bed
Definition
- Use body mechanic
- Maintain a neutral posture and bend from the legs, not the waist. Avoid twisting.
- Use a fitted bottom sheet, lowering the risk of back strain
- Elevate the bed
- Make one side of the bed at a time.
Term
Safety precaution during making bed
Definition
Make sure the bottom sheet and draw sheet (if used) are smooth and unwrinkled.
Wrinkles in bed linens can lead to discomfort and skin breakdown, especially for patients who must remain in bed.
Term
Heavy quilted cotton pad (flat or fitted), some facilities do not use it because the bed mattress are covered with plastic or rubber, the purpose is to protect mattress from spills, secretions and excretions.
Definition
Mattress pad
Term
Half-size sheet placed over the center of the bed to reduce the number of changes needed for the bottom sheet.
Definition
Rubber or plastic draw sheet
Term
Half sheet place on the mattress between the lower shoulders to the area just below the buttocks. The purpose of this sheet is to protect the patient's skin from the waterproof sheet underneath and also be used or folded to form a lift sheet.
Definition
Linen draw sheet
Term
Soft absorbent paper pads with a plastic backing or heavy cotton pad. They are used to portect the bed linen for patients who are incontinent, use the bedpan or urinal when in bed, or have heavy drainage from a wound or surgical site.
Definition
Incontinent pad, underpad or bed protector.
The pads may also be called by their brand name, such as Chux (usually 30 to 36 inches square).
Term
Soft flannel or cotton blanket that is used for modesty and warmth during procedures in which the patient's body is exposed.
Definition
Bath blanket.
It is usuallu stored in the closet or bedside stand when not in use.
Term
May be used for decorative touch and to give the room a neat appearance :
Definition
Bedspread
Term
Placed between the mattress and bed frame to offer extra-firm support to the patient's back.
Definition
Bed boards
Term
Used to keep the weight of the linen off the patient's skin
Definition
Bed cradles
Term
Applied to the foot of the bed for patients who have special positioning needs or at risk for contractures.
Definition
Footboard
Term
Types of beds
Definition
- Closed bed
- Open bed
- Surgical bed/post-operative bed
- Occupied bed
- Unoccupied bed
Term
Bed is made after an unit is cleaned (terminal cleaning)
Definition
Closed bed
Term
Bed are often made while patients are up in a shower or chair
Definition
Unoccupied bed
Term
Bed like a sign saying "welcome"
Definition
Open bed
Term
Bed is made for a patient who is returning from surgery
Definition
Surgical bed/post-operative bed.
The bed should be left open and at strecher height.
Term
Purpose of bath :
Definition
- Remove dirt and perspiration
- Increase circulation
- Provides the patient with mild exercise
- Provides an opportunity for close observation
Term
Waterless bathing is also called
Definition
bag bath
Term
How many washcloths are supplied for waterless bathing
Definition
Eight (face, arms, legs, torso and genitalia)
Term
The order of bed bath
Definition
- Face and neck
- Far arm and hand
- Near arm and hand
- Chest and abdomen
- Far leg and foot
- Near leg and foot
- Back and buttocks
- Perineum
Term
Whirlpool tub
Definition
Therapeutic bath that is the most stimulating form of bathing for patients.
Term
Benefits of whirpool bath
Definition
Maintaining a constant temperature and stimulating circulation.
- Temperature of the water can be regulated to a constant 97ºF
- The movement of the water stimulates circulation
- Warm circulating water is relaxing and invigorating
- It provides the value of whirpool activity with cleansing.
Term
Safety measures during bathing patients receiving special treatment (who receiving IV, drainage tubes, or receiving oxygen).
Definition
- Do not put stress on the tube
- Never lower the IV container below the level of the infusion site.
- Never raise the drainage tube above the drainage side
Term
Standard precaution giving a whirpool bath
Definition
Disinfect the whirpool tub immediately before and after each use.
Cleaning the tub with the proper disinfectant solution.
Term
Safety precaution for the patient when giving a whirpool bath
Definition
Always fasten the safety belt when moving a patient into or out of a whirpool tub with a hydraulic lift seat. The safety belt should remain fastened throughout the procedure
Term
Standard precaution for bathing patient
Definition
Make sure the shower or tub is cleaned before and after each use.
Term
Define oral hygiene
Definition
Cleaning and caring of the teeth, gum and inside surfaces of the mouth.
Term
Explain the result of the poor oral hygiene
Definition
Poor oral hygiene results in lack of appetite (foul taste spoils appetite), infection (infected gums, cavities, abscesses), weight loss (loss of teeth and infection affect chewing and taste), or difficult communication (patient aware of 'bad breath' so they don't talk).
Term
Equipment needed for oral hygiene
Definition
2 towels, cup of water, emesis basis, toothbrush, barrier paper towels, pair of gloves, tooth paste, tray table
Term
Equipment needed for mouth care (denture supplies)
Definition
2 towels, 2 pairs of gloves, denture brush, denture cup, denture, toothette, toothpaste, cup of water, tray table, emesis basin, barrier paper towels.
Term
Identify the observations when brushing teeth
Definition
abnormalities and pocketed food.
- Tooth decay (blackened), any loose or broken teeth
- Red or swollen gum
- Sores or white patches in the mouth or on the tongue
- Changes in eating habits
- Poorly beating denture
Term
Purpose of oral care
Definition
- Prevent infection in the mouth
- Remove food particle and plague
- Stimulate circulation of gum
- Eliminate bad taste in mouth
Term
Halitosis
Definition
Bad breath
Term
Plague
Definition
Sticky, transparent bacterial film found on the teeth.
Term
Explain why oral hygiene helps meet the patient's basic needs
Definition
Not only is the mouth vital for eating, drinking, taste, breathing, verbal and non-verbal communication, saliva also has antibacterial properties and is part of the body’s defence against infection.Poor oral hygiene is well known to be associated with painful, unpleasant diseases such as gingivitis, dental caries, halitosis and xerostomia and, more recently, has been linked to chest infections and pneumonia.
Term
Explain purpose of flossing
Definition
Removing debris between the gaps of teeth, is effective in reducing build-up of plague and reducing the likelihood of gingivitis.
Term
Providing mouth care to unconscious patient, ensure the patient safety
Definition
1. Assessing the patient's gag reflex.
2. Inspecting the patient's oral cavity.
3. Placing the bed into a flat position.
4. Providing appropriate suction equipment.
Term
Providing oral care to unconscious patient
Definition
Term
Aspiration
Definition
Accidental sucking fluid or food during inhalation.
Term
When mouth care should be given to unconscious patients
Definition
q2h every two hours or prn whenever necessary
Term
Special measures you need when handling dentures.
Definition
Check of sign of broken teeth, cracks, sharp edges or missing name label, or other problem report to nurse charge.
Bedtime is usually a good time to clean dentures, since it is best if they are left out for 6 to 8 hours each day to allow the gums some time to rest to help avoid irritation or infections of the soft tissues.
Dentures can also be soaked in water with a denture cleaning tablet if desired, but soaking alone will not remove plaque, so this should only be done after brushing.
When dentures are not in the mouth, they should be kept in clean water with or without denture cleaner in a plastic denture cup, since drying them out may change the fit. Denture cleaners must also be completely rinsed off before the dentures are placed back in the mouth.
Term
How to give denture care
Definition
1. Denture are best clean over a sink half filled with water and with a towel or wash cloth lining in the sink to act as a cushion in case denture should drop.
2. Gently scrub the denture with the denture brush and paste under running water. Being careful to brush both of the inside and outside to remove food, plague and denture adhesive then rinse them under cool water. Do not soak or rinse denture under hot water, since this may effect their shape and fit.
3. For partial denture with metal clasps, also becarefully to brush around the clasps to remove food and plague.
Term
Denture adhesive
Definition
help the denture stay well.
Too much or not cleaning denture adhesive each day will lead to gum irritation, infection, unpleasant and affect the test of food.
Term
Use denture adhesive
Definition
1. Make sure the dentures are clean and moisten them with little water.
2. Apply three or four small ribbons of adhesive paste evenly towards both the front and back.
3. Have the resident place the dentures in the mouth and bite their teeth together to seat the dentures correctly.
Term
Bathing is important for meeting basic needs
Definition
1. Eliminate dirt
2. Eliminate body odor
3. Refreshes the patient
4. Stimulates circulation and helps prevent bed sores
5. Exercise muscles that otherwise may not be used
Term
Areas washed when giving a partial bath are :
Definition
- Face, hands and axilla
- Feet
- Back - include back rub
- Perineal area - includes thighs
- If patient is heavy, the skin folds under the brest and abdomen
Term
Measuring height a patient who is badly conracted in the fetal position
Definition
Use a tape measure when the patient is in the side lying position, measure the body in two or three segments, measure from the top of the head to the waist and then write down the number, measure the distance from the waist to behind the knees, write down, from behind the knees to the bottom of the heels.
Term
Proper cleansing of the teeth and mouth helps
Definition
- prevent tooth decay (caries)
- Eliminate bad breath (halitosis)
- Contribute to the patient's comfort
Term
The proper method of using the floss to clean between the teeth
Definition
Floss is wrapped around the middle fingers
Note :floss is wrapped around the index fingers to clean the botom teeth
Term
Remove denture
Definition
Upper denture : Downward and then forward and remove them from the mouth
Lower denture : Upward and then forward and remove them from the mouth
Term
Cleaning denture
Definition
place towel or washcloth in the bottom of the basin to protect the denture, fill the sink half full with cool water. Rinse denture under cool running water.
Term
Shaving can be done with
Definition
- Electric razor (wearing gloves is usually not necessary)
- Non-electric razor
- always wear gloves when shaving patients with a nonelectric razor
- discard the razor in a puncture resistant (sharps) container
Term
Shaving a male patient starting in front of ear :
Definition
Hold skin taut and bring razor down over cheek toward chin
Use firm, short strokes.
Shave in direction of hair growth
Shave from the nose to the upper lip in short,
down-ward strokes
Shave the chin in downward
strokes
Stroke up
the neck area
toward the chin
Term
Brushing the hair
Definition
- Working with one section at a time
- Grasp the hair near the scalp to reduce pulling
- Start combing or brushing tangles out
starting at the ends and working toward the scalp
- if the hair tangles applying a small amout of alcohol or oil (
examples : apply baby oil to the scalp, not the hair
)
Term
Device placed between the mattress and bed to keep the feet at right angles to the legs (natural standing position)
Definition
Footrest or footboard
Term
The muscle in the calf of the leg tends to tighten causing the toes to point downward
Definition
Foot drop
Term
Elevates an area of the body off the surface of the bed
Definition
Bridging
It is useful for patients with healing pressure ulcers, used for sacrum, hips, heels and ankles (using pillows, foam props and bath blankets to support an area).
Term
Bedpan
Definition
Orthopedic (fracture) - narrow end is positioned under the patient's buttocks, with the handle end facing the foot of the bed
Bedpan - buttocks should rest on the rounded shelf of the regular bedpan
Term
Giving and receiving the bedpan
Definition
- Do not let bedpan uncover
- Do not place bedpan on the bedside table or overbed table
- Place protector on the chair and put bedpan on the chair
Term
Water temperature in the whrilpool tub
Definition
97ºF to 100ºF
Term
Do not pour liquid soap or shampoo into the whirpool tub, use
Definition
low-suds or no-suds product
Term
During patient bathing room temperature should be
Definition
70º F
Term
Water temperature for bathing, perineal care, nail care
Definition
105º F
Term
During female perineal care
Definition
- keep the labia separated as much as possible
- Every single wash turn the washcloth to a clean are
- Wash the
center
, using single downward stroke from top to bottom
- Wash the
far side of the labia
, using a single downward stroke from top to bottom
- Wash the
near labia
, using a single downward stroke from top to bottom
- Expose the anal area
stroking from perineum to coccyx (front to back)
Term
If a urinary catheter is present during perenial care
Definition
- wash, rinse, and dry the perineal area surrounding the urinary meatus and catheter
- Change the wash cloth
- Beginning at the urinary meatus, wash down the catheter approximately 3 to 4 inches, use single downward stroke
- continue with perineal care.
Term
Assisting with routine oral hygiene
Definition
Term
Assisting with special oral Hygiene
Definition
Use toothettes or lemon-glycerine applicators.
Note : lemon glycerine swabs are drying, and should not be used frequently.
Term
How to remove denture
Definition
- To remove upper dentures, grasp the dentures firmly, ease them downward and then forward, and remove them from the mouth
- to remove lower dentures, grasp the dentures firmly, ease them upward and then forward and remove them from the mouth
- Insert upper denture first
Term
Applying lotion to the patient's skin
Definition
- Never rub red areas that may be stage I pressure ulcers
- Avoid massaging the legs (gently pat it on), massage can cause complications related to blood clots.
- Avoid putting lotion vetween the toes, lotion keeps the area moist, which promotes fungal growth
Term
Backrub
Definition
Using long, soothing upward strokes and a circular motion on the downstroke
Term
PM care also call
Definition
HS (Hour of Sleep) care
Term
Tooth decay
Definition
Caries
Term
Routine oral hygiene (including brushing and flossing the teeth) should be performe
Definition
3 times a day
Term
Patient requiring more frequent oral hygiene inclode who are
Definition
- Unconscious
- Vomiting
- Experiencing a high temperature
- Receiving sertain medications
- Dehydrated
- Breathing through the mouth
- Receiving Oxygen
- Receiving tube feeding
- Dying
Term
To prevent accidental airway obstruction by the denture
Definition
Always remove dentures from a comatose patient
Term
Special oral Hygiene
Definition
is the cleansing of the mouth of the helpless patient using commercially prepared lemon and glycerine swabs, toothettes and other preparation.
Term
1 foot = ___ inches
1 lbs = ___ pounds
Definition
1 foot = 12 inches
1 lbs = 16 pounds
Term
Measuring weight with an electronic wheelchair scale
Definition
- determine and record empty wheelchair by weighing it on the scale
- Record weight of the patient and wheelchair
- Substract the wheelchair weight to obtain the patient's weight
Term
Male perineal care
Definition
Area between the scrotum and the anus
Circular motion begining with the urinary meatus, working outward over the glans (head of the penis). Continue to wash down the penis and the rest of the perineal area, including the scotrum, using downward strokes and working outward to the thighs.
Expose the anal area, wash the area, stroking from perineum to coccyx (front to back).
Term
When giving perineal care, always wash from the most
Definition
clean area to the least clean
Term
Providing Hand, Foot and Nail care
Definition
Clipped straight across, then rounded at the edges with an emery board.
Push the cuticles back with a wash cloth or the dull end of the orange stick
Term
During nail care instruct the patient to put hands in the basin and soak for approximately
Definition
5 minutes
Term
During making bed provides space for movement of the feet. For bedfast patients, the extra space reduces the risk of constractures and pressure ulcers.
Definition
Toe pleat
Term
Tuck in the top sheet and blanket at the foot of the bed and
Definition
miter the corner
Term
Fold the top sheet back over the blanket, making
Definition
8-inch cuff (stitch facing up, when it fold the stitch face down)
Term
The order of bedmaking
Definition
- Fitted sheet
- Draw sheet
- Incontinent pad
- Top sheet
- Blanket
- Pillow
Term
Prepare the surgical bed by fanfolding the covers to
Definition
the far side of the bed
Raise the bed to stretcher height
Term
Remove the soiled linen by rolling the edges
Definition
inward
Keep soiled linen away from your uniform
Term
Open the closed bed by drawing the bedding to the
Definition
foot of the bed and fanfolding it
Term
Sheet should be smoothly tucked in over the head of the mattress
Definition
12 to 18 inches
Term
If draw sheet or lift sheet is used, it should be placed so that it covers the area under the patients
Definition
shoulders to buttocks
Term
Top bedding in surgical bed is
Definition
untucked and fanfolded
Term
During assist patient to the bedside commode, position the bedside commode :
A. Facing the foot of the bed
B. Facing the head of the bed
C. 30º angle toward the bed
D. None of the above
Definition
B. Facing the head of the bed