Providing Care

• Privacy
• Infection Control
• Communication
• Independence
• Safety
• Dignity & Respect

• Wash hands
• gather supplies
• knock on the resident's door and ask to enter
• introduce yourself & identify resident (check resident ID band)
• explain to the resident what you are going to do and ask their permission
• provide privacy

• resident is comfortable
• correct body alignment
• return be to it's lowest point
• raise side rails, if they have
• place their call light in reach
• open curtains
• tell them your leaving
• wash hands
• report and record

• Do not take B/P on arm with cast or an IV
• Do not take B/P on arm immediately following venipunture
• Never take B/P on side of a mastectomy

DON'T take and oral temperature...

• if a resident is ON oxygen
• HAS had recent mouth surgery or has mouth disease
• HAS an NG tube in nares
• IS unconscious or IS confused
• HAS facial paralysis
• HAS problem breathing

• 97.6* A (A= under the arm)
• 98.6* F O (O= oral)
• 99.6* R (R= rectal)

Rate (beats/min), Quality (weak or strong), Rhythm (regular or irregular)

example:

• P 72, stong, regular
• P 60, weak, irregular

• normal range
• adult: 60-84
• 6 yr old= between 70-110
• infant pulse rate is higher

• LOOK- one movement up and down =1 respiration
• LISTEN- quiet? noise? describe sound. difficulty breathing?

• example
• RR 16, quiet/non labor

• labor
• nonlabor
• weasing
• quiet

• Keep feet 12 inches apart with one foot slightly in front of the other
• keep person or object close to you. DO NOT lean over and lift
• your upper body should be kept erect
• DO NOT jerk when you lift, lift smoothly
• DO NOT twist when you lift, PIVOT your body
• BEND with your knees and NOT your back

high fowlers= head of bed (HOB) is raised 90 degrees

fowlers= HOB is raised 45 degrees

semi fowlers= HOB is raised 30 degrees