Washes Hands

1.  Adress client by name and introduces self to client by name

2. Turns on water at sink

3.  Wets hands and wrists thoroughly

4.  Applies soap to hands

5.  Lathers all surfaces of wrists, hands, and fingers, producing friction for at least 15 seconds

6.  Cleans fingernails by rubbing fingertips against palms of the opposite hand

7.  After lathering for at least 15 seconds, rinses all surfaces of wrists, hands, and fingers keeping hands lower than the elbows and the fingertips down

8.  Uses clean, dry paper towel to dry all surfaces of hands, wrists, and fingers then disposes of paper towel into waste container

9.  Uses clean, dry paper towel to turn off faucet then disposes of paper towel into waste container or uses knee/foot control to turn off faucet

10.  Does not touch inside of sink at any time

Applies one knee-high elastic stocking

Supplies:  stocking, privacy screen, gloves

1.  Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible

2.  Privacy is provided with a curtain, screen, or door

3.  Make sure client is in supine position while stocking is applied

4.  Turns stocking inside-out

5.  Places foot of stocking over toes, foot, and heel

6.  Pulls top of stocking over foot, heel, and leg

7.  moves foot and leg gently and naturally, avoiding force and over-extension of limb and joints

8. Finishes procedure with no twists or wringkles and heel of stocking (if present) is over heel and opening in toe area (if present) is either over or under toe area

9.  Signaling device is within reach and bed is in low position

10.  Washes hands

Assists to ambulate using transfer belt

1.  Explains procedure, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible

2.  Before assisting to stand, candidate ensure client is wearing shoes

3.  Before assistingto stand, bed is at a safe level

4.  Before assisting to stand, checks and/or locks bed wheels

5.  Before assisting to stand, client is assisted to sitting position with feet flat on the floor; let the client sit for a minute to prevent orthostatic hypotension

6.  Beofre assisting to stand, applies transfer belt securely over clothing/gown

7.  Before assisitng to stand, provides instructions to enable client to assist in standing including prerranged signal to alert client to begin standing

8.  Stands facing client positioning self to ensure safety of candidate and client during transfer.  Counts to three (or says other prearraged signal) to alert client to begin standing

9.  On signal, gradually assist client to stand by grasping transfer belt on both sides with an upward grasp (candidate's hands are in upward position), and maintaiing stability of client's legs

10.  Walks slightly behind and to one side of the client for a distance of 10 feet, while holding onto the belt

11.  After ambulation, assists client to bed and removes transfer belt

12.  Signaling device is within reach and bed is in low position

13. Washes hands

Assists with use of bedpan

1.  Explaisn procedure, speaking clearly, slowly, and directly, mainatining face-to-face contact whenever possible

2. Privacy is provided with a curtain, screen, or door

3.  Before placing bedpan, lowers head of bed

4.  Puts on clean glvoes before handling bedpan

5.  Places bedpan correctly under client's buttocks

6.  Removew and disposes of gloves (without contaminating self) into waste container and washes hands

7.  After positioning client on bedpan and removing glvoes, raises head of bed.

8.  Toilet tissue within reach

9.  Hand wipe is within reach and client is instructed to clean hands with hand wipe when finished

10.  Signaling device within reach and client is asked to signal when finished

11.  Puts on clean glvoes before removing the bedpan

12.  Head of bed is flat before bedpan is removed

13.  Aviods overexposure of client

14.  Removes, empties, and rinses bedpan and pours rinse into toilte

15.  AFter rinsing bedpan, places bedpan in designated dirty supply area

16 After placing bedpan in designated dirty supply area, removes and disposes of gloves (without contaminating self) into waste container and washes hands

17.  Signaling device is within reach and bed is in low position.

Cleans upper or lower denture

1.  Puts on clean gloves before handling dentures

2.  Sink is lined and/or sink is partially filled with water before denture is held over sink

3.  Rinses denture in tepid/moderate temperature running water before brushing them

4.  Applies tothpaste to toothbrush

5.  Brushes surface of denture

6.  Rinses surfaces of denture under tepid/moderate temperature running water

7.  Before placing denture into cup, rinses denture cup and lid

8.  Places denture in denture cup with tepid/moderate temperature water and places lid on cup

9.  Rinses toothburs and places in designated toothbrush basin/container

10.  Maintains clean technique with placement of toothbrush and denture

11.  Sink liner is removed and disposed of appropriately and/or sink is drained

12.  After rinsing equipment and disposing of sink liner, removes and disposes of gloves (without contanimiating self) into waste container and washes hands

Counts and Records Radial Pulse (For 1 MINUTE)

1.  Explains procedure, speaking, clearly, sloly, and directly, maintaining face-to-face contact whenever possible

2.  Places fingertips on tumb side of client's wrist to locate radial pulse

3.  Count beats for one full minute

4.  Signaling device is within reach

5.  Washes hands

6.  After obtaining pulse by palpating in radial artery position, records pulse rate within plus or minus 4 beats of evaluator's reading.

1.  Explains procedure (for testing purposes), speaking clearly, slowly, and directly, mainating face-to-face contact whenever possible

2.  Counts respirations for one full minute

3.  Signaling device is within reach

4.  Washes hands

5.  Records respiration rate within plus or minus 2 breaths of evaluator's reading