Heavyly ill patient
Purpose: Compliance with personal hygiene, otitis prevention.
Indications:staying the patient in bed and strict bed mode, care deficiency.
Equipment:sterile tray, pipette, soap solution, gloves, 3% hydrogen peroxide solution, thermometer, gauze napkins, tray for used material, cotton turtles or ear sticks, cotton balls, towel.
Nurse's algorithm:
I. Preparation for the procedure
1. To be benevolently and respectfully to the patient.
5. To put on gloves.
II. Procedure
6. Help the patient take a comfortable position. Cover his neck and shoulders with a towel.
7. The bottle with a 3% hydrogen peroxide solution to heat up to 38 ° C.
8. Ask him to tilt his head to the side opposite to processing.
9. Gauze napkins moisten in a soap solution and wipe the ear shell.
10. Pour a 3% solution of hydrogen peroxide into a menu.
11. Mature Turund moisten in a solution of 3% hydrogen peroxide, slightly squeeze.
12. Turn the rotational motion into the outer hearing pass for 2-3 minutes or using a pipette to drip 2-3 drops of 3% hydrogen peroxide and close the outer hearing passage with a cotton ball.
13. Take a dry cotton turtle and rotational movements to enter an outer hearing passage, after which it is removed.
III. End of procedure
14. The material used is put into the tank with Dz. solution.
15. Remove gloves and put them in a container with des. solution.
16. Wash out (hygienic level) and dry hands.
17. Make an entry on the implementation of the procedure in medical records.
Possible complications:when processing an external auditory passage, acute objects are possible injuries of an auditory passage.
| |
|
Fig. 38. Care of outdoor auditory passage
Conducting hygienic events to the patient in bed
Purpose: Compliance with personal hygiene.
Indications: shortage of self-like.
Equipment: Tase, glue, warm water, jug, soap, sponge, towel, scissors, pure bedding and underwear, waterproof bag, desiccable tank. Solution
Nurse's actions algorithm:
I. Preparation for the procedure
He is good and respectfully to introduce themselves to the patient.
2. Explain to the patient the purpose and course of the upcoming procedure, to obtain its consent.
3. Wash and dry your hands, put on gloves.
4. Prepare the necessary equipment.
5. To put on gloves.
II. Procedure
6. At the head end, the bed of mattress is subject to a roller to the patient's subclosure region.
7. At the grid of the bed to raise the liner, substitute the pelvis.
8. Patient's head to trap slightly back above the pelvis.
9. Wash the patient's hair, watering the warm soapy water from the jug.
10. Rinse your hair with clean water, wipe, cover your head with a golk.
11. To remove everything, the upper part of the body is returned to its original position.
12. Pour in a tray of warm water, under the patient to lay a liner with a pelleon.
13. Strip the upper part of the patient's body and, smileing one end of a towel, slightly squeeze, wipe the patient in the same sequence and cover the sheet.
14. With a dry end of a towel to wipe the patient's body and cover the package.
15. In the same way, wipe the stomach, hollow, legs and dry out.
16. Turn the Patient Mattress Roller.
17. Attach the linke on the grid, put the pelvis with warm water.
18. Wash the patient's feet in the pelvis with a sponge and soap.
19. Lying legs, cut your nails, remove everything.
20. Change off and bed linen.
III. Completion of the procedure
21. Towel, used, used and bed linen Play in a waterproof bag.
Purpose: clean the ears to the patient
Indications: the impossibility of self-service.
Contraindications: No.
Possible complications: When using rigid objects, damage to the eardrum or external auditory passage.
Equipment:
1. Wadded Turundas.
2. Pipette.
3. Menzurka.
4. Boiled water.
5. 3% hydrogen peroxide solution.
6. Disinfecting solutions.
7. Tanks for disinfection.
8. Towel.
Possible patient problems: negative attitudes to intervention, etc.
Nurse's sequence with environmental safety:
1. Inform the patient about the upcoming manipulation and progress.
2. Wash your hands.
3. Wear gloves.
4. Pour boiled water into the Menzurka,
5. Moisten cotton tours.
6. Tilt the patient's head in the opposite direction.
7. Take the left sink to the left hand and back.
8. Remove the sulfur with cotton turtle movements.
9. Process the menzurka and spent material in accordance with the requirements of SanEpidrex.
10. Wash your hands.
Evaluation achieved. Own sink is clean, the outer hearing pass is free.
Training of a patient or relatives. Advisory type of intervention in accordance with the above sequence of a medical sister actions.
Notes. If there is a small sulfur stopper, you order a multiple drops of a 3% solution of hydrogen peroxide to the appointment of a doctor in the ear. After a few minutes, remove the plug with dry turf. Do not use hard items to remove sulfur from the ears.
End of work -
This topic belongs to the section:
Algorithms of manipulations on the basics of nursing business
Algorithms of manipulations on the basics of the nursing case .. Compiler .. Calomak in and basic manipulations on OSD ..
If you need additional material on this topic, or you did not find what they were looking for, we recommend using searching for our work base:
What we will do with the material obtained:
If this material turned out to be useful for you, you can save it to your social networking page:
| Tweet |
All the themes of this section:
Growth measurement
Purpose: Measure the patient growth and register in the temperature sheet. Indications: the need to study physical development and to appoint a doctor. Contacts
Determining body weight
Purpose: Measure the patient weight and register in the temperature sheet. Indications: the need to study physical development and to appoint a doctor. Contact
Counting air frequency
Purpose: Count Chadd per 1 minute. Indications: 1. Assessment of the physical condition of the patient. 2. Respiratory diseases. 3. Appointment of a doctor, etc.
Research Pulse
Purpose: Explore the patient's pulse and fix the testimony in the temperature sheet. Indication: 1. Assessment of the state of the cardiovascular system. 2. Appointment
Measuring blood pressure
Purpose: Measure arterial pressure with a tonometer on the shoulder artery. Indications: All patients and healthy to assess the condition of the cardiovascular system (on prophylactically
Hand processing before and after any manipulation
Purpose: ensure the infectious safety of the patient and medical staff, the prevention of the nosocomial infection. Indications: 1. Before and after performing manipulation.
Preparation of detergent and disinfecting solutions of different concentrations
Purpose: Prepare a 10% chlorine lime solution. Indications. For disinfection. Contraindications: Allergic reaction to chlorine-containing drugs. Equipment:
Conducting wet cleaning of facilities of the LPU using disinfectant solutions
Purpose: To conduct general cleaning of the procedural office. Indications: According to the schedule (once a week). Contraindications: No. Equipment:
Inspection and implementation of sanitary treatment when identifying pediculosis
Purpose: to inspect the hair parts of the patient's body and when identifying pediculosis to carry out sanitation. Indications: Prevention of in-hospital infection. Prot.
Implementation of complete or partial patient sanitary treatment
Purpose: Implement a complete or partial patient sanitary processing. Indications: By appointing a doctor. Contraindications: severe patient's condition and others. About
Registration of the title list of the "Medical Card" of the Stationary Patient
Purpose: Collect information about the patient and arrange a title list of educational and stationary history of the disease. Indications: To register a newly incoming patient in a hospital.
Transportation of the patient to the Medical Branch
Purpose: safely transport the patient depending on the state: on a stretcher, wheelchair, on hand, walking accompanied by a health worker. Indications: Patient State
Cooking Patient bed
Purpose: Prepare bed. Indications: The need to prepare a bed for the patient. Contraindications: No. Equipment: 1. Bed.
Bed and sleeve change
Purpose: Change bedding and underwear to the patient. Indications: After the patient's sanitary treatment and seriously ill with contamination. Contraindications: NO
Conducting measures for the prevention of beds
Purpose: Prevention of education laying back. Indications: The risk of forming beds. Contraindications: No. Equipment: 1. Gloves. 2. Far
Oral care, nose, eyes
1.Good for the oral cavity. Purpose: treat the patient's mouth cavity. Indications: 1. The patient's severe condition. 2. The impossibility of self-auger. Etc
Washing head
Purpose: Wash your head to the patient. Indications: 1. Heavy patient's condition. 2. The impossibility of self-service. Contraindications: detected in the process
Care of outdoor genital organs and crotch
Purpose: Take patient testimony: shortage of self-turn. Contraindications: No Equipment: 1. Kleenka 2. Ship. 3. Jug with water (t
Submission of the vessel and urinal, the use of the lining circle
Purpose: to submit the ship, urination, the pond circle to the patient. Indications: 1. Satisfying physiological needs. 2. Prevention of bedside.
Artificial Patient Nutrition through Gastrostom
Purpose: feed the patient. Indications: obstruction of the food and cardiac stomach. Contraindications: Stenosis of the gatekeeper. Equipment. 1. B.
Feeding seriously ill
Purpose: feed the patient. Indications: the inability to make food independently. Contraindications: 1. The inability to eat naturally.
Setting banks
Purpose: put banks. Indications: Bronchitis, myozit. Contraindications. 1. Diseases and damage to the skin in places of putting cans. 2. GENERAL EXPOSITION
Staging a leech
Purpose: Put the patient a leech for the bloodstream or the introduction of the blood girutin. Indications: By appointing a doctor. Contraindications: 1. Skin diseases.
The implementation of oxygen therapy with the help of the Bobrov apparatus and the oxygen pillow
Objective: to give a patient oxygen. Indications: 1. Hypoxia. 2. Appointment of a doctor. 3. Dyspnea. Oxygen supply through the nasal catheter
Application of mustard
Purpose: put mustard pieces. Indications: Bronchitis, pneumonia, myozit. Contraindications. 1. Diseases and damage to the skin in this area. 2. High
Ice Bubble Application
Purpose: put a bubble with ice on the desired area of \u200b\u200bthe body. Indications: 1. Bleeding. 2. Ears in the first hours and day. 3. High fever.
Application of Gertka
Purpose: Apply the rubber heating on the testimony. Indications. 1. Warming of the patient. 2. By appointment of a doctor. Contraindications: 1. Pain in
The use of warming compress
Purpose. Put warming compress. Indications: By appointing a doctor. Contraindications. 1. Diseases and skin damage. 2. High fever.
Measurement of body temperature in the axillary depression and the oral oily cavity
Purpose: Measure the body temperature of the patient and fix the result in the temperature sheet. Indications: 1. Observation of temperature indicators during the day.
Selection of appointments from the history of the disease
Purpose. Select destinations from the medical history and write to the appropriate documentation. Indications: Appointment of a doctor. Contraindications: No. Equipment:
Laying and distribution of medicines for enteral use
Purpose. Prepare drugs for distribution and admission to patients. Indications: Appointment of a doctor. Contraindications. Receive in the patient examination process
Use of drugs inhalation in the mouth and nose
Purpose: Training a patient inhalation technique with an inhalation can. Indications: Bronchial asthma (to improve bronchial passability). Contraindications:
Assembling a syringe with a sterile tray and sterile table, from the kraft package
Purpose: Collect the syringe. Indications. The need to administer the patient for the medicinal substance to appoint a doctor, equipment. 1. Sterile tray, table, Kraft-P
Set of drugs from ampoules and bottles
Purpose: typing the medicinal substance. Indication: the need to introduce a medicinal substance to the prescribing of a doctor, contraindications: no. Osnach
Breeding antibiotics
Purpose: Dilute antibiotics. Indications: By appointing a doctor. Contraindications: Individual intolerance. Equipment: 1. Sterile syringes.
Performance of intradermal injections
Purpose: introduce intradermal medicinal substance. Indications: By appointing a doctor. Contraindications: detected in the survey process. Equipment:
Execution of subcutaneous injections
Purpose: enter the medicinal substance subcutaneously. Indication: By appointment of a doctor. Contraindication: Individual intolerance to the administered medicinal substance.
Performance of intramuscular injections
Purpose: enter the drug intramuscularly. Indications: By appointment of a doctor, in accordance with the list of appointments. Contraindications. Received in the process of OSL
Performance of intravenous injections
Purpose: enter the medicinal substance to Vienna with a syringe. Indications: the need for a rapid effect of the drug substance, the inability to use another route of administration for this
Staging a gas-conductive tube
Purpose: withdraw gases from the intestine. Indications: 1. Meteorism. 2. Athony of intestines after surgery on the gastrointestinal tract. Contraindications. Bleeding. Osn
Putting a cleansing enema
Purpose: Clean the lower sector of the thick bowel from the wheel masses and gases. Indications: 1. Stool delay. 2. Poisoning. 3. Preparation for radiologists
Setting the siphon enema
Purpose. Rinse the intestines. Indications. The need for washing the intestines: 1. in poisoning; 2. By appointment of a doctor; 3. Preparation for operation on ki
Putting a hypertensive enema
Purpose: Put a hypertensive enema and clean the intestine from the roaming masses. Indications: 1. Publishes associated with the bowel atony. 2. constipation with general edema
Setting Oil Curizma
Purpose: Introduce 100-200 ml of vegetable oil 37-38 degrees Celsius, after 8-12 hours - the presence of a stool. Indications: constipation. Contraindications: detected in the process of OK
Setting microclisms
Purpose: enter a medicinal substance 50-100 ml of local action. Indications: Diseases of the Lower Colonse Department. Contraindications: Received in the process of the area
Carrying the catheterization of the bladder soft catheter in women
Objective: to bring the patient's urine from the bladder using a soft rubber catheter. Indications: 1. Acute urine delay. 2. By appointment of a doctor.
Caring for worship
Purpose: make care of the worship. Indications: The presence of a colostrict. Contraindications: No. Equipment: 1. Treatment material (napkins, march,
Patient care with tracheostomy tube
Purpose: Carry out the tracheostomy tube and leather around the stoma. Indications: The presence of a tracheostomy tube. Contraindications: No. Equipment: 1. PICT
Preparation of the patient for endoscopic methods for studying the digestive system
Purpose: Prepare the patient for inspection of the mucous membrane of the esophagus, stomach, 12-rosewoman. Indications: By appointing a doctor. Contraindications: 1. Zastreat
Preparation of the patient to radiological and endoscopic methods of research of the urinary system
Preparation for intravenous urography. Purpose: Prepare a patient to research. Indications: Appointment of a doctor. Contraindications: 1. The intolerance of iodide prepar
Blood taking from veins for research
Purpose: miss Vienna and take blood for research. Indications: By appointing a doctor. Contraindications: 1. Excitement of the patient. 2. Clear
Taking a smear of a grease and nose for bacteriological research
Purpose: Take the contents of the nose and the zea for bacteriological research. Indications: Appointment of a doctor. Contraindications: No. Equipment: 1. Steril
Taking urine for general analysis
Objective: To assemble the morning portion of urine into a clean and dry jar in an amount of 150-200 ml. Indications: By appointing a doctor. Contraindications: No. Equipment:
Registration of areas for various types of laboratory studies
Purpose: Protect the direction correctly. Indications: Appointment of a doctor. Equipment: Blanks, labels. Sequence of actions: in the Laboratory Force Blanc
Taking urine on the test on the non-Corporanko
Purpose: Collect urine from the average portion into a clean dry jar in an amount of at least 10 ml. Indications: By appointing a doctor. Contraindications: No. Equipment: 1. Bank
Taking urine on the sample in the winter
Purpose: Collect 8 servings of urine within a day. Indications: Determination of the concentration and excretory function of the kidneys. Contraindications: Received in the survey process
Taking urine on sugar, acetone
Purpose: Collect urine per day for research on sugar. Indications: By appointing a doctor. Contraindications. Not. Equipment: 1. Clean dry capacity
Collection of urine for daily diuresis and water balance definition
Purpose: 1. Collect the urine allocated by the patient per day in a three-liter bank. 2. Make a leaf of daily metering diuresis. Indications: Edema. Contra region
Taking sputum for general clinical analysis
Purpose: Collect the sputum in the amount of 3-5 ml into glass clean dishes. Indications: for diseases of the respiratory system. Contraindications: Determines the doctor.
Surgot Take Bacteriological Research
Objective: Collect 3-5 ml of sputum into sterile dishes and deliver to the laboratory within an hour. Indications: Appointment of a doctor. Contraindications: Pain in the patient survey
Cala's taking on a coprological study
Objective: Collect 5-10 g feces for coprological research. Indications: Diseases of the gastrointestinal tract. Contraindications: No. Equipment:
Taking the feces on the simplest and eggs of helminths
Purpose: Collect 25-50 g feces on the simplest and eggs of helminths in a dry glass jar. Indications: Diseases of the gastrointestinal tract. Contraindications: No.
Taking urine for bacteriological research
Purpose: Collect urine into a sterile capacity in an amount of at least 10 ml in compliance with the rules of asepsis. Indications: 1. Diseases of the kidneys and urinary tract.
Taking feces on bacteriological research
Purpose: Collect 1-3 g feces into a sterile test tube. Indications: Infectious diseases of the gastrointestinal tract. Contraindications: detected in the survey process
Blood transportation to the laboratory and laying on form number 50
Purpose: Ensure blood delivery to the laboratory. Indications: By appointing a doctor. Contraindications: No. Equipment: for blood transportation: 1.
Assistance to the patient in vomiting
Manipulation Medical Sister Patient Purpose: to assist the patient in vomiting. Indications: Vomiting in the patient. Contraindications: No. Equipment: 1. Cost
Conducting the study of the secretory function of the stomach with parenteral stimuli
Purpose: Collect gastric juice for research in 8 clean cans. Indications: Diseases of the stomach - gastritis, ulcerative ulcer of the stomach. Contraindications: detected in
Duodenal sensing
Purpose: Getting 3 servings of bile for research. Indications: Diseases: gallbladder, biliary ducts, pancreas, 12 pans. Proth
Preparation of the body of the deceased to translation into the pathoanatomical department
Purpose: Prepare the body of the deceased translation into the pathoanatomic department. Indications: Biological Death, as a doctor and registered in the stationary map
Drawing up a portion
Purpose: Make a portion. Indications: Ensuring patient patients in the hospital. Contraindications: No. Equipment: 1. Sheets of appointments.
Accounting and storage of poisonous, narcotic, potent medicinal substances
Purpose: storage of medicinal substances of the group "A" in a safe and maintaining strict accounting. Indications. The presence of poisonous, narcotic, strong-nesting L.V. in the department. Contra
Collection of information
Purpose: Collect information about the patient. Indications: the need to collect patient information. Contraindications: No. Equipment: training nursing story
Patient training technique of sublingual drug intake
Purpose: Teach the patient the technique of receiving sublingual drugs. Indications: Heart painful attack. Contraindications: No. Equipment:
Rules for working with sterile bix and tray
Purpose: Prepare a sterile tray for injection. Indications: the need to work in sterile conditions. Contraindications: No. Equipment: 1. st
Preparation for ultrasound
Purpose: Prepare a patient to research. Indications.: Appointment of a doctor. Contraindications: sharp damage to the skin over the surveyed body, bruises, etc.
Upgrades
Purpose: teach the patient to use the calendar. Indications: The presence of sputum. Contraindications: No. Equipment: 1. Powder-Bank from dark
Toilet eye newborns
Indications
1. Prevent inflammation of the eyes of newborns
Equipment
1. Ward balls (4pcs)
2. Solution for eyebound processing newborn or boiled water
Algorithm of action
1. Wash hands with soap under running water
2. Prepare two cotton balls (separately for each eye)
4. Light movements to send cotton balls from from the outer corners of the eyes to the inner
5. Similar movements to wipe the eyelids and eyelashes dry cotton ball
Note
1. For eye processing, use freshly prepared water temperature water, weakly pink potassium permanganate solution 0, 05% (1: 5000)
2. The toilet of the eye is carried out during the morning toilet and in the evening.
Toilet nose of newborns
Indications
1. Ensuring free nasal breathing
Equipment
1. Wadded flashers
2. Disinflected sunflower or vaseline oil
Algorithm of action
1. Wash hands with soap
2. Install positive emotional contact with the child
3. Moisten cotton flavors vegetable or vaseline oil
4. Rotating movements carefully promote a flaw flaw by 1 - 1.5 cm deep, removing crusts, mucus.
5. Similarly, a new flavor to produce a toilet of another nasal path
6. The procedure can be repeated if necessary.
Note
1. Wadth flagellas are prepared as follows: the oblong piece of the wool clamp from one end between the first and index finger of the hand thoroughly twist the other end of the cotton strip so that the harness turned out to be dense. Hands slightly moisten.
Nasal strokes with dense objects (matches, wands with cotton switched on it)
3. The introduction of cotton flavors can be repeated several times to achieve a free nasal breathing in a child.
4. Do not follow this manipulation for too long.
Toilet exterior auditory passes
Indications
1. Hygienic content of external hearing aisters and prevention of inflammatory diseases of the ears
Equipment
1. Cotton balls
2. Wadded flashers
3. Boiled water
4. Diaper
Algorithm of action
1. The cotton ball must be mixed in boiled water
2. Wet balls separate for each ear won ear shells
3. Dry the ear shells dry cotton swab or soft thin diaper
4. Tight wadded flagellas slightly moisure with boiled water (you can use dry flavors)
5. Pull the ear shell slightly up and forth
6. Clean the outer auditory passage carefully promoting the harness by rotational movements deep
Notes
1. Toilet external auditory passes to spend 1 time in 7-10 days
2. It is impossible to clean the auditory passage with cotton swabs wrapped on a wand match and others.
Washing newborns
Indications
1. Hygienic skin content
2. Prevention of inflammatory eye diseases
Equipment
1. Cotton balls
2. Furacilina solution1: 5000 or a solution of potassium permangant 1: 8000 (weakly pink) or boiled water
Algorithm of action
1. Wash hands thoroughly with soap
2. Mochits cotton balls with water temperature and squeeze slightly
3. Process your eyes, and then around the mouth, chin, cheeks, forehead
4. Such cotton balls wipe carefully face in the same sequence
Note
1. A solution of furaticiline and potassium permanganate are used in the conditions of the children's departments of the maternity hospital, and at home only by testimony.
2. A healthy child at home is washed with boiled water.
3. The fluchalin solution can be prepared from tablets of 0.02, for this one tablet to dissolve in 100 ml of boiling ODD or hot water, cool to room temperature. The solution resistant is stored for a long time.
Indications:With a hygienic goal.
Patient preparation: Explain the essence of the procedure.
Preparation of nurse:Dressed in shape, gloves.
Patient position:Sitting or lying on the side.
EQUIPMENT.
Tray, sterile cotton turtles, sterile pipettes, warm water (3% hydrogen peroxide solution)
ALGORITHM.
2. Drink a 3% hydrogen peroxide solution in the auditory passage of 2-3 drops.
3. Sulfur, accumulating in the passage, remove cotton turtles, making circular movements (preferably the patient's head tilt in the opposite direction).
4. The toilet is carried out by several cotton turtles until Torund is clean.
5. Wash hands.
Washing an auditory passage
Indications. Sulfur tube (as prescribed by a doctor).
Patient preparation:Explain the essence of the procedure.
Preparation of nurse: Dressed in shape, gloves.
EQUIPMENT.
Sterile: tray, cotton turtle, gauze napkins, pipette, syringe; 3% solution of hydrogen peroxide and a solution of furaticillin (solutions to heat up to the body temperature), oilcloth, tray for the material used.
ALGORITHM.
1. Own sink to pull back and up, tilting the patient's head in the opposite direction.
2. Drink 2-3 drops of 3% of hydrogen peroxide for 2 minutes in the auditory pass.
3. To dial furacillin in the syringe, heated to the body temperature.
4. Sit on the patient's shoulder, the canlenka, give it to keep a kick-shaped tray.
5. Syringe Jean, pressing the piston, rinse the hearing pass to clean water.
6. With cotton turtle rotational movements to dry the auditory passage.
7. Wash hands.
b) Drop droplets in the ear
Indications. Inflammation of the middle ear (for the appointment of the doctor).
EQUIPMENT.
Tray, pipette, medication, sheet of medical destination.
Preparation of nurse: Dressed in form.
Patient preparation:Explain the essence of the procedure.
Patient position:Lying on the side or sitting.
ALGORITHM.
1. Check the matching of the name of the doctor's appointment.
2. Heat the drug to the body temperature 37 o C.
3. Score the desired number of drops.
4. Patient's head tilt in the opposite side, and to pull back and up the ear shell.
5. Candle into the outer hearing pass 2-3 drops of the drug.
6. After instillation, the patient must remain in a position with a tilted head of 1-2 minutes.
ADDITIONAL INFORMATION:
1. Cold drops annoy the labyrinth and can cause dizziness, vomiting, orthostatic shock.
2. Washing out the outer auditory passage to pursue the doctor strictly by appointing a doctor.
3. Used media processing is processed by 197 orders.
Professional number 35.
Nasal cavity
(nasal cavity toilet, washing, dripping droplets)
I. Justification.
Compliance with the rules of personal hygiene occupies one of the most important places in the complex of care measures for patient. The need to care for the nasal cavity occurs in the presence of discharge with the formation of crusts on the mucous membrane of the nasal cavity. This manipulation is carried out in order to improve the respiratory process through the nasal cavity.
Nose cavity toilet
Indications.Selection of mucus, crust in the nose.
Preparation of nurse: Dressed in shape, gloves.
Patient preparation:Explain the essence of the procedure.
Patient position:lying or sitting.
EQUIPMENT.Tray, cotton turtles, vaseline oil.
ALGORITHM.
1. Ask a patient to slow down the head.
2. With cotton turtle movements gently remove the mucus from the nasal moves.
3. Corks can be removed from the nasal strokes with cotton turtles, moistened oil and left in the nasal strokes for 2-3 minutes.
4. Remove the gloves, wash your hands.
Washing the nose cavity
Indications.Inflammatory nasal cavity processes (by
appointment of a doctor).
Preparation of nurse.Dressed in shape, gloves.
Preparation of the patient. Explain the essence of the procedure.
Patient position:sitting.
EQUIPMENT:Tray, rubber pear, Furacillin solution 1: 5000, sheet of medical appointments.
ALGORITHM.
1. Heat the Furacillin solution to the body temperature (37-38 o C).
2. Ask the patient to take a deep breath and exhale and delay breathing for a few seconds.
3. Spray the solution of the pulverizer in the nasal cavity (in its absence of rubber pear, enter a small amount of fluid).
4. Purpose liquid is poured into the mouth and is collected in the tray, which the patient holds in his hands.
5. After the procedure is completed, the patient should unimpose, alternately clamping one half of the nose, then the second.
6. Wash your hands.
7. Make an entry on the procedure in the "Medical Map".
Vapor droplets
Indications. Inflammatory diseases of the nasal cavity (as prescribed by the doctor).
Preparation of nurse: Dressed in shape, clean hands.
Patient preparation: Explain the essence of the procedure.
Patient position:Lying or sitting with a trapped head.
EQUIPMENT:Sterile pipette, cotton tours, drugs, sheet of medical destination.
ALGORITHM.
1. Check the matching of the name of the doctor's appointments.
2. Clean the nasal moves using cotton turb.
3. Type the desired number of drops into the pipette.
4. Lift the patient's nose tip.
5. Ask the patient to tilt my head towards the instillation.
6. Cut 3-4 drops to the bottom nasal stroke (ask the patient to press the nostril).
7. Repeat the procedure for another nostril.
8. Wash your hands.
9. Check the procedure performed in the Medical Map.
ADDITIONAL INFORMATION.
Warn patient that he can feel the taste or smell of drops.
Professional program number 36.
Holding toilet seriously ill
(Washing head, nail haircut, washing feet)
Washing head
Indications.With a hygienic target, in the absence of independent skills and restriction of motor activity.
Preparation of nurse: Dressed in shape, gloves.
Patient preparation: Explain the essence of the procedure.
Patient position:Lying.
EQUIPMENT.Shampoo, soap, warm water 10 l, pelvis, towel,
gloves, gloves.
ALGORITHM.
1. Lift the head end of the functional bed so that the patient's head hung from the edge of the functional bed.
2. Under the shoulders and the neck of the patient's bedcloth, diaper.
3. Over the pelvic wash the hair with warm water and shampoo; Named well hair and wipe the skin under the hair.
4. Rinse the hair with water and swallow the towel dry.
5. Still well with the hair from the roots.
6. After washing the head, in order to avoid hypothermia, on the patient's head, put on a weapon or towel.
Nail care
Indications.
activity.
Preparation of nurse. Dressed in shape, gloves.
Preparation of the patient. Explain the essence of the procedure.
Patient position:Lying.
EQUIPMENT.Water tank, soap, hand cream, scissors, saws, trays, towel.
ALGORITHM.
1. Add a little liquid or ordinary soap to the container with warm water, lower the patient's brush for 2-3 minutes.
2. Alternately removing the fingers from the water and, wiping them, carefully cut the nails, leaving 1-2 mm from the outer edge of the nail plate, treat the nails with a sawn, rinse the brush, wipe dry.
3. Treat the second brush.
4. Place in a container with warm water with soap a patient's foot for 3-5 minutes, treat the nail plates in the same way as on the brushes. Rinse your foot, wipe dry.
5. Treat the second stop.
6. Do not cut your nails on the fingers of the legs too short, as you can damage the skin. Nails always cut a strictly across.
Washing legs
Indications. Lack of independent skills and motor
activity.
Preparation of nurse: Dressed in shape, gloves.
Patient preparation: Explain the essence of the procedure.
Patient position:Lying.
EQUIPMENT. Tase, soap, towel.
ALGORITHM.
1. Add a little liquid or ordinary soap to the pelvis with warm water and lower the patient's foot 2-3 minutes.
2. Wash your shin, stop, interpal space.
3. Wipe your feet with a towel dry, especially interfallated spaces.
4. Wash the second stop as well.
ADDITIONAL INFORMATION.
The hair is washed 1 time in 6-7 days; legs - 2-3 times a week; Nails are cut as needed, no less often 1 time per month.
Professional number 37.
Indications: Warning to reduce hearing due to sulfur accumulation
Contraindications: inflammatory processes in ear sink, outer hearing aisle.
Equipment: Sterile: Tray, tweezers, pipettes, minzur, cotton turtles, gloves, 3% hydrogen peroxide solution; non-sterile tray.
1. To introduce yourself to the patient. Get informed consent
2. Posted by the patient the position of the Fauler (if there are no contraindications). Or in the patient's position lying to turn his head side.
4. In the water bath, he heat the hydrogen peroxide solution to the body temperature (37 0 s).
5. Conduct hygienic disinfection of hands. Wear sterile gloves.
1. In the patient's position, sitting, ask him to tilt his head to the opposite shoulder.
2. Sterile tweezers on a sterile tray put cotton turtle tours and pipettes.
3. Pour a small amount of warm hydrogen peroxide solution into the menzurka. Dial a few drops into the pipette.
4. Slightly pulling out the left hand of the ears back and up, to drip a few drops of a warm 3% hydrogen peroxide solution into the ear. Wait 1-2 minutes.
5. Introduce your troudand with rotational movements into the outer hearing pass to the depth of no more than 1 cm. The ear is also drawn back and up.
6. Extract Turundum by rotational movements from an outdoor auditory passage.
7. Change Turundum, reset it into a tray for spent material and repeat the manipulation several times.
8. In the same way to treat another auditory passage, after turning the patient's head in the opposite direction.
9. Help the patient take a comfortable position in bed.
10. Equipment used to expose disinfection.
11. Remove the used gloves, subjected to disinfection, wash and dry your hands.
12. Control the patient's condition
Features of implementation: In children under the age of 5 years, the ear shell is delayed behind the ug of ear to straighten the outdoor auditory passage.
Attention! Cannot be used to remove sulfur from ears with hard sharp objects to avoid damage to the eardrum.
Hair care
Indications: Self-Auget deficit, adherence to patient's personal hygiene.
Multiplicity: Wash - no less often 1 time per week; combed - daily;
Equipment: pelvis; jug; Warm water (37-38 o C); oilcloth; gloves; roller (headrest); shampoo or soap, towel; hairbrush;
1. To introduce yourself to the patient. Explain the purpose and course of the upcoming manipulation. Get informed consent.
2. Give the patient a horizontal position. Under the patient's shoulders to put the roller, and on top - the oilbox. Tases place at the head end of the bed.
3. Patient's head slightly lift and slightly fold so that the head is above the water tap.
4. Waving a warm water from a jug to moisten the patient's hair, apply shampoo and cautiously massage. Then rinse your hair with clean water.
5. Towel wrap the hair and dry carefully.
6. Slowly and carefully comb hair (long combing from the tips).
7. Help the patient take a comfortable position.
8. Equipment to expose disinfection.
9. Remove gloves, subjected disinfection. Wash and dry your hands.
Loading ...