Care Entry: Prepare and EnterVersion en ligne Initial care entry steps par Markayla Schorr 1 Standard Pre-Steps identify resident according to facility policy Provide privacy Be aware of what the care plan states regarding side rail use check assignment Raise the bed to a comfortable working height Ensure bed brakes/wheels are locked Answer questions the resident may have to be certain the resident understands Explain to resident what you are going to do Apply PPE if necessary Assure the resident is in a safe and comfortable position for the procedure perform hand hygiene Face resident and speak clearly, slowly, and directly gather supplies knock on door and identify yourself 2 Standard Post-Steps Ask the resident if there is anything you can do for him/her Remove gloves and perform hand hygiene Leave the resident in a safe, comfortable position Report/record the procedure, your observations, and the resident's response Place the bed, chair, or other equipment in a safe, low, or locked position Put gloves on, remove and clean dirty supplies Make sure the call light is within reach Replace supplies as needed Open the privacy curtain 3 Handwashing Turn off faucet with a clean, dry paper towel and discard paper towel in trash container as used or use knee/foot control to turn off faucet Wash wrists with soap Stand away from the sink. Your uniform and hands must not touch the sink at anytime Apply soap to hands Rub hands together using friction with soap Wet your hands and wrists thoroughly Scrub/wash with interlaced fingers pointing downward with soap Starting at the fingertips, use a clean, dry paper towel to dry all surfaces of your fingers, hands and wrists. Dispose of paper towel in the waste container Wash all surfaces of hands with soap **Scrub/wash hands together for at least 20 seconds with soap Clean your fingernails by rubbing your fingertips against the palm of the opposite hand Turn on the faucet. Adjust the water temperature Rinse all surfaces of your wrists, hands, and fingers. Keep your hands lower than your elbows and your fingertips down **Do not re-contaminate hands at any time during the hand washing procedure. (This includes touching the sink, faucet, counter, paper towel holder, or any surface with bare hands. Do not crumple the paper towel that was used to turn off the faucet or in any way touch the surface of the towel 4 Unoccupied Bed Making Apply gloves to remove use linens **Place the direty linens in the laundry hamper/container. Do not put linen on the floor, over bed table, or on other clean areas If reusing the bedspread, remove and fold it Place the bed in a high, flat, position Apply gloves and remove the soiled linens, without touching your uniform. Keep dirty surfaces of the soiled linens inside by rolling the soiled linen into a ball 5 Occupied Bed Making Raise the side rail Tuck the top sheet and bedspread under the mattress at the foot of the bed. Make mitered corners (hospital corners) at the foot of the bed Unroll the clean bottom sheet from under the resident and adjust the corners around the mattress at the head and foot of the bed. Smooth out any wrinkles Raise the side rail on the opposite side of the bed and raise the bed to a working height Assist the resident to roll onto their back Assist the resident to roll onto their side toward the raised side rail. Keep the resident covered with the top sheet or bath blanket Grasp the top sheet and bedspread over the toe area and pull them upward to relieve pressure. This is called creating a toe pleat Place the clean bottom sheet on the side of the bed you are working on and adjust the corners around the mattress at the head and foot of the bed. Tuck the clean bottom sheet under the used bottom sheet Please the bedspread on the bed over the top sheet Remove the used bottom sheet, avoiding contact with your uniform Remove and fold the bedspread if reusing bedspread Remove pillow, put on clean pillowcase, and replace under resident's head Place the clean top sheet without exposing the resident Lower the side rail on the side of the bed you are working on (working side of bed) Lower the head of the bed before moving resident Lower the bed Move to the other side of the bed and lower the side rail. Assist resident to roll onto their side away from you, toward the raised side rail Place soiled linens in a linen bag or container. Do not place linens on the floor Place clean linens on a clean surface within reach Loosen the used bottom sheet and roll it, dirty side inside, toward the center of the bed and tuck it underneath the resident
