RCP

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created 8 years ago by jpbarton
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CNA RCPS
updated 8 years ago by jpbarton
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1

INITIAL STEPS
1. Ask nurse about resident's needs, abilities, and limitations, If necessary.
2.Knock before entering the room.
3.Greet Resident by name and check identification.
4.Identify yourself by name and title.
5.Explain what you will be doing. Encourage resident to help if able.
6.Gather supplies and check equipment.
7.Wash your hands.
8. Close curtains, drapes, and doors. Keep resident covered. Expose only area of resident's body necessary to do procedure.
9.Raise side rails before raising bed to comfortable working height, usually waist high. lower side rail on side care is being given.
10.Wear gloves as indicated by Standard precautions.
11.Use good body mechanics.

Final Steps
1.Use good body mechanics.
2.Be certain resident is comfortable and in good alignment.
3.Lower bed height and position side rails as appropriate.
4.Place call light and water within resident's reach.
5.Ask resident if anything else is needed.
6.Thank the Resident.
7.Remove supplies and clean equipment according to current nursing practices.
8.Remove gloves if applicable and wash your hands.
9.Open curtains,drapes,and door according to Resident's wishes.
10.Perform a safety check of resident and environment.
11.Report unexpected findings to the nurse.
12.Document procedures According to current nursing practices.

2

Hand washing
1.Turn on water with a clean paper towel.
2.Adjust water to acceptable temperature.
3.Angle arms down holding hands lower than elbows. Wet hands and wrists.
4.Put Soap in hands.
5.Lather all areas of hands and wrists, rubbing vigorously for at least 10 seconds.
6.Clean nails by rubbing them in palm of other hand.
7.Rinse thoroughly, running water down from wrist to fingertips.
8.Pat dry with paper towel.
9.Turn off Faucet with paper towel and discard towel immediately.

Gloves
1.Wash Hands
2.put on gloves
3.check for tears
4.perform procedure
5.remove one glove by grasping outer surface just below cuff.
6.Pull glove off so that is inside out.
7.Hold the removed glove in your gloved hand.
8.place two fingers of the ungloved hand under cuff of other glove and pull down so first glove is is inside second glove.
9.Dispose of gloves without contaminating hands.
10.Wash Hands.

3

Supine Position
1.Do Initial Steps
2.Lower head of bed.
3.move resident to head of bed if necessary.
4.Position Resident flat on back with legs slightly apart.
5.Align resident's shoulders and hips.
6.Use supportive padding if necessary.
7.Do Final Steps

Lateral Position
1.Do Initial Steps
2.Place Resident in Supine Position
3.Move resident to side of bed closest to you.
4.Cross resident's arms over chest.
5.Slightly bend knee of leg nearest to you or cross nearest leg over farthest leg at ankle.
6.Place your hands under resident's shoulder blade and buttock turn resident away from you onto to side.
7.Place supportive padding behind back, between knees and ankles, and under top arm.
8.Do Final Steps.

4

Fowler's position
1.Do Initial Steps.
2.Move resident to supine position.
3.Elevate bed 45 to 60 degrees.
4.Use Supportive padding if necessary.
5.Do Final Steps.

Semi-Fowler's Position
1.Do Initial Steps.
2.Move resident to supine Position.
3.Elevate head of bed 30 to 45 degrees.
4.Use supportive padding if necessary.
5.Do Final Steps.

5

Sit on edge of the bed
1.Do Initial Steps
2.Adjust bed height to lowest position.
3.Move Resident to side of bed closest to you
4.Raise head of bed to sitting position if necessary.
5.Place on arm under resident's shoulder blades and the other arm under the resident's thighs.
6.On count of three,slowly turn resident into sitting position with legs dangling over side of bed.
7.support for 10 to 15 seconds,check for dizziness.
8.Assist resident to put on shoes or slippers.
9.Move resident to edge of bed so feet are flat on the floor.
10.Do Final Steps.

Assist resident to move to head of bed
1.Do Initial Steps
2.Lower head of bed and lean pillow against head board.
3.ask resident to bend knees and put feet flat on mattress.
4.Place one arm under resident's shoulder blades and the other arm under resident's thighs.
5.Ask resident to push with feet on the count of three.
6.Place pillow under resident's head.
7.Do Final Steps.

6

Protective Devices
1.Do Initial Steps
2.Apply vest according to manufacturers directions.
3.Apply soft belt according to manufacturer's directions.
4.Fasten with quick release tie to moveable part of bed frame or kick spurs of wheelchair.
5.Place hand flat between resident and protective device.
6.Do Final Steps.
7.Visit resident at least every hour and release protective device at least every two hours.

Walking
1.Do Initial Steps
2.Assist resident to sit on edge of the bed.
3.Assist to Stand on the count of three.
4.Allow resident to gain Balance.
5.Stand to side and slightly behind resident.
6.Walk at resident's pace.
7.Do Final Steps.

7

Assist with Walker
1.Do Initial Steps
2.Assist Resident to edge of bed
3.Place walker in front of resident
4.have resident grasp both arms of walker
5.Brace leg of walker with your foot and place your hand on top of walker.
6.Assist resident to stand on the count of three.
7.Stand to side and slightly behind resident.
8.Have resident to move walker 6 to 10 inches then step up to the walker.
9.Do Final Steps

Assist to Chair
1.Do Initial Steps
2.Place chair on resident's Unaffected side.Brace firmly against side of bed.
3.Assist Resident to sit on edge of bed.
4.Stand at Resident's side.
5.Have resident grasp farthest arm of chair.
6.Tell resident to stand on the count of three.
7.Help resident slowly turn and sit.
8.Check Body alignment.
9.Do Final Steps.

8

Transfer to wheelchair and transport
1.Do Initial Steps
2.Place Wheelchair on resident;s unaffected side.Brace firmly against side of bed with wheels locked and foot rests out of way.
3.Assist resident to sit on edge of bed.
4.Stand in front of resident and block resident's feet with your feet.
5.Place your hands under resident's arms and around resident's shoulder blades.
6.Ask resident to place their hands on your upper arms.
7.on the count of three, help resident into standing position by straightening your knees.
8.Allow resident to gain balance and check for dizziness.
9.Move your feet 18 inches apart and slowly turn resident.
10.Lower resident into wheelchair by bending your knees and leaning forward.
11.align resident's body and position foot rests.
12.Transport forward through open doorway after checking for traffic.
13.Transport resident up to closed door, open door and back wheel chair through doorway.
14.Take resident to destination and lock wheelchair.
15.Do Final Steps

Drape and Undrape
1.Do Initial Steps
2.To drape,unfold drape over top linen.
3.Ask resident to hold the drape or tuck drape under resident's shoulders.
4.Roll top linen from beneath drape to foot of bed.
5.preform procedure
6.to Undrape, Cover resident with top linen
7.Ask Resident to hold top linen or tuck under Resident's shoulders.
8.Roll drape from under top linen to foot of bed and remove.
9.Do Final Steps

9

Rub Back
1.Do Initial Steps
2.Place resident on to side with back toward you.
3.Expose back and shoulders.
4.Rub lotion between your hands.
5.Make long firm strokes along spine from buttocks to shoulders. Make circular strokes down from shoulders to buttocks.
6.repeat for at least 3-5 minutes.
7.Gently pat off excess lotion with towel. Cover and position resident as requests.
8.Do Final Steps

Heel or Elbow protectors
1.Do Initial Steps
2.Check skin on resident's heels or elbows.
3.Report any unexpected findings to nurse immediately.
4.Apply heel or elbow protectors according to manufacturer's directions.
5.Place width of two fingers between resident and protector.
6.Do Final Steps.

10

Check Skin
1.Do Initial Steps.
2.Drape Resident
3.Check bony areas including ears, shoulder blades,elbows, coccyx,hips, knees, ankles,and heels for redness and warmth.
4.Check friction areas including under breasts and arms, between buttocks, groin, thighs, skin folds,contracted areas, and around any tubing for redness, irritation, moisture, and odor.

Range of Motion
1.Do Initial Steps
2.position resident in good body alignment.
3.Checks Joints. If swelling, redness or warmth is present, or if resident complains of pain, notify the nurse. Continue procedure only if instructed.
4.Support limb above and below joint.
5.begin range of motion at shoulders and include the shoulders, elbows, wrists, thumbs, fingers, hips, knees, ankles, and toes.
6.Slowly move joint in all directions it normally moves.
7.repeat movement at least five times.
8.encourage resident to participate as much as possible.
9.Stop Procedure at any sign of pain and report to nurse immediately.
10.Do Final Steps.

11

Change Gown

Dressing a Dependent Resident

12

Unoccupied Bed

Occupied Bed

13

Fingernail Care

Safety Razor

14

Electric Razor

Denture Care

15

Oral Care

Oral Care for unconscious

16

Comb Hair

Assist to Eat

17

Feeding

Shower

18

Bed Bath

Perineal Care

19

Assist to Bathroom

Bedside Commode

20

Bed pan/Fracture Pan

Urinal

21

Empty Urinary Drainage Bag

Weight

22

Pulse and Respiration

Oral Temperature

23

Axillary Temperature

Blood pressure

24

Choking

Fire

25

Seizures

Falling or Fainting