hand washing
Procedures
Instructed patient what should you know about
caring for your midline catheter: Hand washing: Always wash your hands with soap and water before touching the catheter
or the area around it. Washing your hands will help prevent infection.
Instructed patient sterile technique includes: Hand washing, Wearing sterile gloves. Using a new trach tube, inner cannula, and trach tie. Using sterile water (new bottle or bag every 24 hours). Discarding suction catheters after each use.
Instructed patient Clean technique includes: Hand washing, Using gloves is optional. Re-using a trach tube and/or inner cannula that has been properly cleaned, Using prepared sterile water and normal saline. Re-using the same trach ties if they are properly cleaned. Re-using suction catheters if they are properly cleaned(up to 8 hrs or 3/per day)
Hand washing performed. Assembled supplies and created sterile field. Foley catheter removed and discarded using a double bag technique. Peri hygiene performed. Donned sterile gloves Insertion site area prepped using 3 swabs betadine. Foley catheter 20 Fr. 5 ML balloon inserted using sterile technique. Blood tinged urine immediate return that cleared to yellow noted. Catheter attached to collection bag for gravity drainage. Pt. tolerated well.
SN Instructed to the urostomy care: How to change the Urostomy bag: Prepare the new bag. Gather everything you need in the bathroom: plastic bags, toilet paper, paper towels or a soft washcloth, a clean cloth wipe, an additional skin barrier in the form of a paper towel (if desired) and a new bag.If the bag you use does not come with a skin barrier already made, take the measurements and now form the opening with scissors. Slowly remove the skin barrier lining. Put aside the skin barrier. Empty the used bag before removing it. To empty the bag, sit on the toilet or stand in front of it: Remove the used bag. To remove the used bag, sit on the toilet or stand in front of it. Carefully separate the skin from the skin barrier with one hand. To do this, start at the top edge of the skin barrier. With the other hand, slowly release the skin barrier from top to bottom. Seal the used bag tightly inside a plastic bag and dispose of it in the trash: Clean the area around the stoma. Use toilet paper to clean urine and mucus in the stoma or the skin around it. Clean the skin with warm water and a soft cloth wipe or a paper towel. Clean up to the stoma border. You can also do this while showering. Dry the skin without rubbing, using a clean towel; and Place the new bag. Use a folded paper towel or a piece of gauze to keep the stoma dry while placing the new pouch. Once you have changed the bag, wash your hands.
SN monitored the insertion site, including its appearance and the condition of the dressing. Palpated the site to determine if it's edematous or tender. Instructed the patient to report any pain or discomfort as soon as possible and reinforced caregiver knowledge on proper IV medication administration, Advised the patient and caregiver to keep the IV access site clean and dry at all times, make sure the site is covered before bathing, and use hand wipes for hand hygiene.
Patient was instructed on personal hygiene. One of the most effective ways to protect ourselves from illness, or infections is a good personal hygiene. This means not only washing the hands but also the body. Hygiene also means being careful not to cough or sneeze on others, cleaning things that touched when ill, putting items such as tissues into a bin.
Patient was instructed on tips for a good personal hygiene such as, Keep the skin clean. People who live in warm climates or tend to sweat need to take extra care. Do not re-wear the clothes without washing them.
Patient was instructed on personal hygiene. Personal hygiene includes health practices such as washing the hair at least once a week, bathing every day, brushing the teeth after every meal and at bed time, and cleaning the clothes.
Instructed patient when to resume usual activities, light housekeeping (dusting, setting the table, washing dishes, folding clothes) light gardening (potting plants, trimming flowers) needlework, reading, cooking meals, climbing stairs, Small mechanical jobs, shopping, attending sports events, church, movies, and restaurants, passenger in car, Walking, treadmill, stationary bike, shampooing hair and playing cards/games.
