SN Instructed on Glucometer testing: Clean your hands and sampling area. Use hot water and soap to wash your hands. Clean the finger you’re going to prick with an alcohol swab, or with rubbing alcohol on a cotton ball. Assemble the device. Insert a test strip into the glucometer, ensuring your insert the proper end inward. Insert a lancet into the lancing device you use to prick your finger. Wait for the glucometer to prompt you for a sample. A readout on the glucometer will tell you to put the drop of blood on the strip. Test your blood sample. Prick your finger with the lancing device. This usually causes no, or very minimal, discomfort. Wait for your results. The glucometer will start to count down in seconds until your results are ready to read. Read the results. The results will show up on the digital screen of your glucometer. Results will vary depending on what time of day it is, how recently you ate, and what you ate.
Instructed patient you should contact your doctor immediately if you believe your catheter is infected. Redness (erythema), warmth to touch, swelling (edema), fever or drainage from around the catheter site may indicate your catheter is infected. Some redness after insertion is expected but should not persist.
Instructed patient about if your drainage is a little less each time you drain and the current amount of drainage is much smaller than previously, the fluid may be drying up and it may be time for the catheter to be removed. Call your doctor.
SN instructed patient any change in the appearance of the fluid should be reported to your doctor. Patient verbalized understanding.
Instructed patient how long will the catheter be in their abdomen. Fluid buildup is not likely to stop in the abdomen. You may keep the catheter in place as long as you need it.
Instructed patient you should drain fluid as directed by your doctor, usually every one to two days. You should not drain more than 1000mL per drainage. The catheter will be in your chest until fluid stops draining.
Instructed patient how to care for your nephrostomy tube, Inspect your tube on a daily basis as well as empty any urine that has collected in the drainage bag.
Sn educated caregiver on Hoyer Lift, when a patient is in a bed, roll them on their side toward you. Roll patient away from you onto their other side and pull sling flat and center it under patient. Position arm of hoyer lift over patient. Attach hooks and adjust links to provide proper position and flex. Before attempting to raise the patient, check to make sure that the hydraulic pressure release knob located near the pump handle is completely closed. Understanding was verbalized.
Instructed patient call your doctor if you have:fever or chills, redness, swelling, or pain that is getting worse, bleeding or drainage from the hole, cough or shortness of breath, even after you suction your tube, nausea or vomiting, any new or unusual symptoms.
Instructed patient once the hole in your neck is not sore from the surgery, clean the hole with a cotton swab or a cotton ball at least once a day to prevent infection.
