Home Health Care Nursing Laboratory

Transcription

2015 – 2016
College of Nursing
1436 - 1437
Home Health Care Nursing Laboratory
Edited by
Coordinator of HHC Lab
Dr. Abeer Ali
Assistant Professor of Internal Medicine
College of Nursing
University Of Dammam
}
University of Dammam
College of Nursing
Home Health care Laboratory
Table of content
#
Document
Page
1.
Vision, Mission, Objectives
3
2.
Schedule of Occupancy
6
3.
Standard of Conduct
9
4.
Procedures
12
5.
Inventory
14
6.
Checklists
31
7.
Students satisfaction Questionnaire
42
Home Health Care Laboratory
Page 2
College of Nursing
Page 3
College of Nursing
The home care lab is dedicated to providing its students with the clinical experience needed to
provide care and companionship to patients in the comfort of their own home. Students will learn to
offer help with activities of daily living such as bathing, feeding, dressing, transfers, and
incontinence care. They will also learn to help clients with everyday tasks such as meal preparation,
nutrition monitoring, help with shopping and running errands, medication reminders, assistance
with walking, and most importantly—companionship and friendly conversation. Students also learn
to provide, if the condition warrants, lab service, wound care, catheter care, help with tube feedings
and IV therapy as well as in-home assessment and personal instructions to family members.
Mission:
Provide high quality educational /training programs to produce well-rounded home care nurses
capable of dealing with diverse populations of patients.
Vision:
Be recognized as a premier lab of excellence in learning home healthcare skills.
Objectives:
Produce highly qualified home care nurses who are able to provide quality holistic care to their
patients.
Develop creative modes of teaching and updating patient assessment skills, empowering the
nursing staff to provide an advanced level of home care . in order to
Prepare home care nurses for advanced levels of practice through applying creative and
interactive, rather than rigid and proscriptive teaching, learning, and training strategies.
Emphasis on community-based care, health promotion, disease prevention, family involvement,
and self-care with the integration of technology.
Demonstrate accountability, responsibility, and professional values in the practice of home care
nursing.
Acquire the special clinical skills needed for the care of frail elderly as well as disabled and
non-ambulatory patients in institutional and home environments.
Access services within the community's aging network which help to improve the quality of life
of older persons
Obtain the most valid and reliable clinical findings by applying the appropriate modifications
necessary in the examination of older patients.
Differentiate expected age-related health changes and their functional implications from
pathological conditions and their effects.
Acquire additional knowledge not only about common systemic diseases associated with aging
but also their systemic and functional implications.
Page 4
‫‪University of Dammam‬‬
‫‪College of Nursing‬‬
‫‪Home Health care Laboratory‬‬
‫شيد معمل الرعاية الصحية المنزلية بكلية التمريض خصيصا ألمداد الطالبات بالمهارات السريرية الالزمة‬
‫لرعاية و مرافقة المرضى فى منازلهم ‪ .‬و من خالل هذا المعمل سوف يتم تعليم الطالبات كيفية مساعدة‬
‫المرضى فى احتياجاتهم اليومية كاالستحمام – تناول الطعام – ارتداء المالبس – التنقل باالضافة الى مشاكل‬
‫االخراج الالارادى‪ .‬كما سيتم تدريبهم على مساعدة مرضاهم فى القيام باالنشطة اليومية مثل تحضير الطعام –‬
‫مراقبة التغذية – التسوق – التذكرة بمواعيد االدوية ‪ -‬المساعدة فى المشى و محادثة الرفاق و االصدقاء‪ .‬و‬
‫ايضا فان الطالبات سيتعلمن طرق العناية بالجروح و القيام بالخدمات المخبرية ‪ ،‬و تركيب و العناية بجميع‬
‫أنواع القساطر و أنابيب التغذية و العالج الوريدى ‪ .‬و هذا باالضافة الى تقديم المساعدات الالزمة و االرشادات‬
‫الصحية ألفراد عائلة المرضى ‪.‬‬
‫الرسالة ‪:‬‬
‫امداد الدارسات ببرنامج تدريبى علمى عالى الجودة و ذلك لتخريج متدربات للرعاية الصحية المنزلية على‬
‫درجة عالية من الكفاءة للعناية بشتى أنواع المشاكل الصحية للمرضى ‪.‬‬
‫الرؤية‪:‬‬
‫أن نعرف كمعمل سباق و رائد فى تعليم الرعاية الصحية المنزلية ‪.‬‬
‫االهداف ‪:‬‬
‫نظرا للتطورالمستمر فى الرعاية الصحية التخصصية و لمواكبة هذا التطور فانه لزم علينا األتى‪:‬‬
‫‪ -1‬العمل على تهيئة خريجات على درجة عالية من الكفاءة تؤهلهم ألمداد المرضى ‪ -‬فى‬
‫منازلهم ‪ -‬برعاية صحية شاملة ‪.‬‬
‫‪ -2‬تحديث و ابتكار طرق متطورة للتدريس لتمكين الخريجات من مواكبة المتطلبات الحديثة فى الرعاية‬
‫الصحية المنزلية ‪.‬‬
‫‪ -3‬شرح وتعليم المتطلبات و المسئوليات و القيم المهنية فى ممارسة التمريض المنزلى ‪.‬‬
‫‪Page 5‬‬
‫‪Home Health Care Laboratory‬‬
College of Nursing
Page 6
College of Nursing
Schedule of occupancy for Home Health Care Lab
Academic year 2015-2016
First Semester
Day/Time
8:00-12:00 N
12:00-1:00 PM
1:00-3:00 PM
Nursing
Management
Break
Nursing
Management
Fatat Akaleej
Nursing
Management
Break
Nursing
Management
Fatat Akaleej
Sunday
Monday
Tuesday
Wednesday
Maintenance
Thursday
Break
Fatat Akaleej
Fatat Akaleej
Break
Fatat Akaleej
Clinical skill laboratories
Coordinator
Coordinator of Home
Care Lab
Home Care Lab Manager
Dr. Radwa Hamdi Bakr
Dr. Abeer Ali
Mrs. Hend Al ruwished
Page 7
College of Nursing
Schedule of occupancy for Home Health Care Lab
For academic year 2014-2015
First semester:
Day
Sunday
8 am- 12 pm
Course
Nursing Management
1-4 pm
Monday
8 am- 12 pm
Nursing Management
1-4 pm
Tuesday
8am –12pm
Wednesday
Thursday
Time
Fundamentals of
Nursing I
8am –12pm
Fundamentals of
Nursing I
Maintenance
Time
1-4 pm
1-4 pm
1-4 pm
Course
Fatat Al Khaleej
Course
Fatat Al Khaleej
Course
Fatat Al Khaleej
Course
Fatat Al Khaleej
Course
Fatat Al Khaleej
Course
Second semester:
Day
Sunday
Monday
Time
8 am- 12 pm
Course
Critical Care Nursing
Time
1-4 pm
8 am- 12 pm
Critical Care Nursing
1-4 pm
Course
Community Health
Nursing (Bridging)
Community Health
Nursing(Bridging)
Maintenance
Tuesday
Wednesday
8am –12pm
Thursday
8am –12pm
Community Health
Nursing
Community Health
Nursing
Lab Coordinator
Dr. Abeer Ali
Page 8
College of Nursing
Page 9
College of Nursing
Code of Conduct for Home Care Laboratory
Students are expected to demonstrate professional behavior and act as responsible
adults consistent with standards associated with health care practitioners.
A strict dress code is required inside the Home Care Lab. Students may be dismissed
if they fail to comply with this dress code.
It is the students’ responsibility to attend laboratory sessions and participate in Lab
procedures and activities.
The following misconduct is subject to disciplinary action:
All forms of dishonesty including cheating, plagiarism, knowingly furnishing false
information to the Lab, and the forgery, alteration, or use of laboratory documents
or instruments of identification with the intent to defraud.
Disruption or obstruction of teaching, or other laboratory activities. (Including, but
not limited to disruptions caused by cell phones, and other electronic devices.)
Vulgar or obscene language or an angrily raised voice which is perceived to have
an intimidating effect.
Unauthorized entry into or presence in Home Care Lab.
Violation of HC Lab policy and procedure on demonstrations.
Bulletin Board:
Bulletin boards for student are located at designated areas beside Lab entry (door).
Any official notifications, posters, and other promotional material for the Home
Care Laboratory will be available there for all students.
Any flyer not signed or stamped will be removed. Also, any flyer in a nondesignated will be removed.
Page 10
College of Nursing
CLINICAL SIMULATION LABORATORIES
PHOTOGRAPHY RELEASE
I
,
___________________________________
hereby
agree
to
allow
___________________________________ to record or photograph my performance
in the clinical simulation lab , for use in simulation sessions for teaching purposes or
for use in educational materials , brochures, manuals and presentations.
Date: _____________________________________________________
Name: ____________________________________________________
Signature: _________________________________________________
Page 11
College of Nursing
Page 12
College of Nursing
List of procedures and simulations taking place in Home Care Lab
Procedures
Stroke Rehabilitation: Nursing Intervention Strategies :
o Rehabilitation following Stroke
o Patient Education in the Home: Key Concepts and Application
o Assisting stroke patient with dressing
o Assisting with the use of Oxygen concentrator
o Slid board transfer
o Transfer from wheelchair to shower and assisting with shower
o Transfer from wheelchair to toilet
o Insertion and removal of Female Urethral Catheter
ASSISTING WITH THE USE OF THE HYDRAULIC LIFT
HOME ASSESSMENT VISITS
NURSING BAG TECHNIQUE: The Community health nursing bag
PERINATAL NURSING ASSESSMENT / ANTINATAL &
POSTPARTUM CARE
ROLE PLAY
GUILINES FOR COMMUNITY ASSESSMENT
Telehealth & Telenursing
Page 13
College of Nursing
Page 14
College of Nursing
List of equipments included in Home Care Laboratory
Master room ( adult bed room)
Child room
Page 15
College of Nursing
Kitchen cabinet (upper and lower).
Bathroom
Page 16
College of Nursing
Basic patient care manikin adult
Basic patient care manikin child.
927453
Soft-Fall Bedside Mat 36"W x 68"L x
2"H
Basic patient care manikin elderly
Basic patient care manikin child
829802
Positioning and Torso Wedge
Page 17
College of Nursing
A7114
The Transfer Handle
A71160
BeasyTrans™ Easy Transfer
7194 Get-U-Up™ Hydraulic Stand-Up
Lift Transport Sling, 29"W x 39"L
553682
Electric Patient Lift
926993
Patient Mover Standard
Slings for use with Electric Patient
Lift 5536-82 Padded U-Sling
Page 18
College of Nursing
553687 Full Body Patient Sling. Mesh
Medium, 41"W x 38"L
4525S
Three-in-One Tri Stander
from Tumble Forms 2
Kitchen
Cat .n. 555616 Kings Assessment Kit
Cat.n. 564237 Maddak Redware
Tableware
Cat.n.557140 Parkinson’s Deluxe
Weighted Kit
Cat.n. 555651 Weighted Dining Kit
Page 19
College of Nursing
Cat.n. 555651 Pediatric Dining Kit
Cat .n. 555683
Cat.n. 1451-1452-145201-1453-145401145402-145403 145404 -1455
Independence Drinkware with
Interchangeable Lids Independence
Mug
Cat.n. 559317 Invacare I-Fit
Shower Chair With Back
Cat.n. A83031
Carex Plastic
Transfer Bench With Commode
Invacare I-Fit Shower ChairCat.n
.567007
Bathmaster Sonaris
Reclining Bath Lift - Sonaris Bathlift.
Includes a hand controller with battery &
charge
Page 20
College of Nursing
Cat . n .A92418 Carex Toilet Safety
Frame
Cat. n . 564230 Toilet Riser With
Arms. The height from the toilet bowl
to top of arm is 12"H. Width between
arms 171/2"
Cat . n .559314 Commode Ring and
Toilet Seat
556277
Cat .n . 6248 Dri-Dek® Nonslip
Shower Surface
Adjustable Height Bath
Step
Cat . n . 6327 Curved Bath Brush
Page 21
College of Nursing
Cat .n .559229
Autoclavable
Fracture Bed Pan
Cat .n .559234
Wash Basin
Cat . n .557435 SelfWipe® Toilet Aid
Cat .n. 559230 Non-Autoclavable
Fracture Bed Pan
Cat .n . 600601 Carex Clear Bed Urinals.
Male Urinal $ 14.99
Cat .n . 6217 Telescoping SelfExamination Mirror
Page 22
College of Nursing
Inventory of Home Care skill Lab (2015-2016)
Sr #
Cabinet #
Equipent & Supplies &
Furniture
QTTY
Remarks
Cupboardt w/ draw doors
1
Brown color
2
Bed side table with mirror
1
5 drawers
3
Bed side cabinet
2
Small w/2 drawers
4
Cabinet w/ 5 drawers
1
5
Wooden Bed Double
1
6
Single bed
1
7
8
9
10
Lamp
Kitchen Cabinets
Nurses Station
Computer table
2
2
1
1
11
12
13
Chairs
Swivel Chair
Bulitin board
10
2
1
Arm chair
Borwn color
14
15
Data Show
Dell CPU
1
2
w/remote
16
17
18
19
20
21
Screen
Keyboard
Mouse
Emergency Cart
Tube bath
Sink
2
2
2
1
1
1
22
23
Toilet
Locker
1
1
24
25
26
27
AKAI LCD TV
Wheel chair
wall watch
small white board
1
1
1
1
w/remote
1
Bed side Cabinet 1
DRI Sleeper excel
1
560-7042-0000
Taking Timer & Clock
1
Not inside carton
Eschenbach Videolupe /Quick
look magnifier
1
90507003
2
3
Drawer 1
1
upper &lower
Page 23
2
2nd
Drawer
College of Nursing
Ez Read /Electronic Reading Aid
/Electronic Pocket Vision Aid
Viewer Vision Aid
1
Bed side Cabinet 2
2
3
1
2
Drawer Drawer
2
1
1
3
4
1
2
3
4
5
Drawer 2
2
Drawer 1
1
6
3
4
5
1
2
3
Drawer 4
1
2
Drawer 5
2
3
4
Drawer 3
1
Laryngeal Mirror w/o handle
12mm #1178/00
Taking Calculator
Hand free Magnifier
2
1178100
1
1
Mode 8820
Bar Magnifier
Amerphone /Taking Telephone
1
1
78677-0000
Bed Side table w/mirror
universal Holder Razor 1
Toothbrush
Fone Holder Fone -Flipper
1
#25042
4081
Weighted Disposable -Razor cuff
Multi purpose power Grip /Polly
power Grip
Plast utensil Holder
Universal Holder
Dexterity (Carex)
Doorknob Gipper
Everyday foot examination mirror
1
1
5575-07
Black Color
1
1
1
1
1
81002575
1S#081124783
EN37
combination Button Aid Zipper
Pull
Carex Weekly Pill Turtle XL
w/reminder clock pill Organizer
Multi-MedOrganizer
Eye Drop Dispenser
Easy Out Tube Squeezer
1
73887-0000
1
1
1
81016526
78677-0000
Pant Clip
Reacher Clip
1
1
White Color
769721000
Buttoner -Zipper Pull
Easy -Pull Hairbrush
Pediatric Plastic Base Utensil
Holder
Buckingham Bra-Angel
Pill Spiltter
1
1
2
6364
1
1
81016641
Wear Ease R Shoe Fasteners
1
73817
1
Page 24
College of Nursing
PK2Black shoe Fasteners
4
Plast untensil Holder
1
81002575
72506-2000
741330050 Maddak
INC
2868503134
Cabinet with 5 drawer
1
2
Bath room self wipe Toilet Aid
Bathroom Lotion Applicator
1
1
3
Elite Soapy Sole Blue color set
1
4
5
6
Curved bath brush
Bath Mitt
Peak flow meter /
Spiropet (spirometer )
1
1
1
1
7
8
Sani-bag-Commod lining
Deciguard for ear
1
12pkts
913030-skil Care
cat#1902432
each pkts w/10small
plugs
Outside Cabinets
1
2
Electric Patient Lift
Invacare ® Hydraulic Lift
1
1
# 13240
#13052
3
Three in one TRI Stander from
Tumble forms
Bathmaster Sonaris Reclining
Bath Lift # 5642-70,71,72
Invacare I-Fit Shower Chair
With Back
Carex Plastic Transfer Bench
With Commode
Carex Toilet Safety Frame
white color Toilet Riser With
Arms.
1
# 4525S
1
#5670-07
1
Cat.n. 559317
1
Cat.n. A83031
1
1
Cat . n .A92418
Cat. n . 564230
9
Full Body Patient Sling. Mesh
Medium,blue color
1
553687
10
Adult & Pedia Patient
Mover Standard
Adult & pedia
BeasyTrans™ Easy Transfer
The Transfer Handle
Soft-Fall Bedside Mat (blue )
Bath step White color
2
926993
2
A71160
1
2
1
A7114
36"W x 68"L x 2"H
Oxygen Concentrator
ADA Approved Grab Bar /white
wall grab bar
1
1
4
5
6
7
8
11
12
13
14
15
16
920329
Page 25
College of Nursing
17
Long bath mat ( placed inside the
bath tube )
1
554969
18
Dri-Dek ® Non slip shower
surface /blue color
Ring cushion /white color placed
on bath seat
Vinyl Bed rail pads ( Full rail )
blue colored
1
cat# 6248
1
Cat#AA3940
19
20
21
3pairs
2 attached in child bed
and one inside
cupboard
W30 XH 23 attached in
child bed
weighs 6Lbs/563424
2
23
Standers bed rails 30with pouch
black color
Freedom Grip ®Adjustable Travel
Handle
Full body patient adult on sling
24
25
26
27
child manikin in the single bed
pediatric manikin on TRI Stander
Manual bed
Geri Manikin
1
1
1
2
28
1
1
Invacare ®Stand Up Lift
.Dimensions
Kitchen
Kings Assessment Kit
2
Maddak Redware Dinnerware set
1
3
Independand handle Mug
1
Cat .n. 555616 placed
in black box
Cat.n. 564237 ( Plate,
fork,spoon,cup )red
color 745380001
1451
4
Independand cup 10.Oz with 2
lids
weighted gray cup with one
handle
1
1452
6
Independand 2 handle Mug
2
1453
7
Replacement Lids with spouts
6
145401
8
Replacement Lids with splash
6
145402
9
Independant cup with 6flo Lid
6
145403
10
Replacement Nosey lids
6
145404
11
Independand clear cup
2
1455
22
5
1
1
32Pcs
from fundamental lab
old/new from
fundamnetal lab
ANH00423
1
Page 26
College of Nursing
Adjustable weighted plastisol
teaspoon
1
81002997
13
Adjustable weighted spork
1
18003003
14
Keatlery WTD Fork
2
11791
15
16
Keatlery WTD Knife
Keatlery WTD Teaspoon
2
1
11792
11793
17
18
Keatlery WTD Soup spoon
CTD Builtup HDL Teaspoon
2
1
11794
81006089
19
Plastic HDL EXT TEASPN
1
81003698
20
21
SURE GRIP KNIFE
Weighted Tea spoon
1
1
81002922
081002724Rocker
Rocker Knife Soild Stainless Steel
1
81004456
Economy Meat cutter
DLX foam Handle Builtup Knife
1
1
81002542
81000660
25
26
Weighted Plastisol CTD Teaspoon
Weighted Fork
1
1
81002732
81002765
27
universal holder Heavy weighte
1
#40005
28
29
1
1
81000629
81000652
30
31
Deluxe foam HDLE Built up Fork
DLX foam Handl Built-up TBL
Spoon
Coated Built -up Handle fork
Child's feeding spoon
1
10PK
81006113
81000454
32
33
Swivel spork
Ped Flex CTD youth SPN
1
1
81000694
81002856
34
1
81003169
35
FOOD GUARG CLIPON white
color
Food guard red
1
81005222
36
Inner Lip Plate White
2
81004670
37
38
Round Scoop Dish White color
comfy feeder
1
1
39
plastic green cups
2
40
Noby green fram color plate
1
41
Deluxe handle held shower spray
1
12037
1
6638
22
23
24
in black bag
12
handle not available
1202126
Inside cupboard
1
Daily Care Kit
Page 27
College of Nursing
2
Long Shoe horn &Stock remover
w/non slip Handle
1
73823-0001
3
posey lateral Wedge small
#6309S& large
2
# 6309L
4
Commode transfer Board
2
#9268-09
5
1
#909150 Blue color
6
Skill Care -Shower ,Pon,Shirt ,BK
w/hood blue color
Crème Colored wash basin
7
Wall switch Extension handle
1
#75414-1000
8
Sockeez compression stocking
removal
Sock-N-Shoe Aid
Dressing Stick/sock Aid Build up
Grip Dressing Stick
1
#73856-0000
1
1
#555322
#A69820
11
Deluxe Dressing Stick 19 long for
small adult or adolescents
1
#2108
12
shoehorn with T Handle -
1
white color 738242000
13
1
14
Press on (TM)One -Handed Nail
Clipper
Long Handle Toenail Clipper
15
Heel Guid Rigide Sock Aid
1
16
Insulin Holder Table Stand
1
#73842-0000 White
color
6008
17
Superslide 29w/BRIP&STD
HAND HOLE (WOOD)
2
31698
18
Taking Scal /bathroom Scale
1
19
Multi-Task Dressing Vest ,Child
Vest
Multi-Task Dressing Vest large
Adult Vest
1
14Wx171/2L(36x44cm)
1
25Lx23W(58x64cm)
21
Sand bags
6
3 large & 3 small
22
Googl Black color
2
23
External Pad /Green Color
9
24
KoKen green colored fitting
1
9
10
20
1
1
Large( R)1/(L)2
Small ( R)1/ (L) 2
very small 3
Page 28
College of Nursing
25
Koken White colored Post w/ties
attached type
2
26
4
5536-82 Green color
27
Slings for use with Electric Patient
LiftPadded U-Sling
Lacing Blocks /LCG Blocks
1
8186
28
Posey safty Roll Belt
2
(small -large )
29
Mannual Resusitator
1
for pedia
30
31
First aid box
Foam tubing Assorted
1
white color
2 red /1 blue /2 Brown
081169747
32
33
Baby Scale Digital
Safty Sure transfer Belt
1
2
34
Ezy Sock Helper
1
35
urinal White color
1
36
Non -autoclave Fracture Bed Pan
1
#559230
37
Non autoclave Stackable Bed Pan
1
#559232
38
Side Flap protector
1
#400570
39
1
39
40
Blue Pneumonatic cuff pressure
w/air compressor and connections
tubes for inflation
Transfer Board
Bed cradle
41
Breast pump
2
42
digital weighing Scale
1
43
Vee - Zee C5 Reacher
2
2
2
Black Color 1-888593-0377
73854-0002
31478white color
91089879 big and small
red color tansfere from
male college (
TAITAN)model
TNHD810
Cat # 76966000
Locker
1
Mercurial Sphygmomanometer
3
2
Littmann stethoscope
6
3
thermometer 10 second Digital
3
PHC 8731
4
Laryngoscope
1
1 handle & 3 Plates
one has broken mercury
glass kept in store
room
Page 29
College of Nursing
5
CJPS Medical system vital point
Home monitor system
w/accessories ( ECG
cable,thermometer prob,pulse
oximeter cable,Bp cable with
cuff,one touch glucometer
,charger ,black bag ) and weight
scale
1
6
One touch ultra 2 glucometer
5
7
Measurment tap
12
8
digital thermometer
4
9
Penlight Riester
2
10
Nebulizer
1
added in December
2013
11
artery forceps
5
12
Bandage scissor
5
added in December
2013
added in December
2013
13
Tunning fork
1
14
Percussion hummer
1
15
Torniquet
11
16
Accu- check glucometer
2
added in December
2013
17
WelchALLyn Thermometer
1
Feb-14
18
Lab Top
1
SN B T Q0995cy
D-TA02 one is missing
in May2013
Page 30
College of Nursing
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College of Nursing
Assisting stroke patient with dressing
Performance checklist
Student's Name :-----------------------------Group No :-------------------------
ID :------------------------------------Rotation :---------------------------------
Instructor's Name :-----------------------------------
procedure
1
Explains procedure to client
2
Washes hands
3
Assembles clothes in the order they are to be put on.
4
Puts on gloves, as necessary
5
Moves client to center of bed.
6
Removes night clothing, if necessary.
7
Covers client with a sheet.
8
Uncovers upper body first.
9
Assists with shirt.
10
Uncovers lower body.
11
12
Assists with underpants or shorts and remainder of
clothes
Assists with socks and shoes as needed
13
Washes hands.
14
Observes, records and reports any changes in condition
or behavior.
2
1
0
Total
Code :
2 = Correct / Complete
1 = Correct / Incomplete
0 = Not Done / Wrong
Student's Signature :-----------------------------------------Instructor's Signature :---------------------------------------------Home Health Care Laboratory
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College of Nursing
ASSISTING WITH THE USE OF THE HYDRAULIC LIFT
ID :------------------------------------Rotation :---------------------------------
procedure
1
Explains procedure to patient.
2
Washes hands
3
Assembles equipment
4
Puts on gloves, as needed.
5
Checks whether valves are working on lift.
6
Clears the floor around the area you are working.
7
Opens legs of lift stand to widest position
8
10
Brings wheelchair or chair close to bed. Locks wheels of
wheelchair and bed (if hospital bed).
If possible, raises or lowers height of bed to ccommodate
height of lift.
If available, raises side rails on far side of bed.
11
Rolls one edge of the sling up to one-half of width.
12
Places sling on bed on the far side of the client. Sling
should be midway between head and thigh of patient
Rolls the patient toward self and moves sling so it covers
one-half of patient’s back.
Rolls patient back onto the sling and over on other side
(over the hump of the sling).
Keeping the patient rolled away from self, unrolls the
sling, making sure it is flat and unwrinkled
Rolls patient onto back and adjusts sling so that it is
midway between client’s head and thigh
Raises the lift (closes valve and pumps up the lift arm).
9
13
14
15
16
17
18
19
20
2
1
0
Steadies the swinging bar as it is positioned over the
patient.
Lowers arm and attaches the chains or hangers to the
sling (longer chain to the thigh part of the sling and
shorter chain to the head area), being sure the chain or
hangers are away from the patient’s body
Tells patlient when starting to pump up the lift.
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College of Nursing
procedure
21
23
After lifting the patient a few inches and before moving
the lift away, checks all connections to make sure they
are fastened tightly and working properly.
Pumps us the lift until the patient is in a half-sitting
position.
Lifts patient’s feet and removes from bed.
24
Moves to the handles or bar of the lift for steering
25
Gently and slowly moves the base of the lift out from
under the bed, and slowly turns it toward the wheelchair
or chair.
Positions the lift so patient is over the wheelchair or chair
22
26
27
28
29
30
2
1
0
Lowers the patient to the seat by slowly opening the valve
until patient is just above the seat.
Holds the sling near the head and puts knees against the
patient’s knees.
Supports the patient’s upper body against self.
Uses knees to push gently on the patient’s knees.
Then, releases the valve so that the patient sits in the
wheelchair or chair.
Removes the S-shaped hooks while holding onto the bar
31
Closes the valve and pumps the lift up out of patient’s
way
Moves lift away.
32
Washes hands
33
and behavior or problems with equipment.
Total
Code :
Student's Signature :-----------------------------------------Instructor's Signature :----------------------------------------------
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College of Nursing
SLIDE BOARD TRANSFER PROCEDURE
ID :------------------------------------Rotation :---------------------------------
procedure
2
1
2
Washes hands
3
Assembles equipment
4
5
Places wheelchair or chair at a 45 degree angle to the
bed or alternate chair.
If wheelchair, locks brakes and removes armrest if able.
6
7
8
9
10
14
15
Uses gait belt, as necessary.
16
Cleans and stores slide board when transfer is complete.
17
Washes hands.
18
or behavior.
12
13
0
If patient is without clothing, the board should be covered
with a pillowcase.
Places slide board like a bridge between bed and
wheelchair, chair to chair, etc
Has patient lean away from slide board
Places slide board under buttocks, transferring towards
the patient’s strong side if possible.
Ensures that the slide board is securely placed before
patient begins transfer.
Directs patient to place hands on the slide board at each
side adjacent to thighs
Directs patient to take a series of small push-ups across
the board until client reaches the other side of the board.
Assists patient, as necessary, with each push-up.
11
1
Code :
Student's Signature :----------------------------------Instructor's Signature :--------------------------------------Home Health Care Laboratory
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College of Nursing
TRANSFER FROM WHEELCHAIR TO SHOWER AND ASSISTING WITH SHOWER
Student's Name :------------------------------
ID :-------------------------------------
Group No :-------------------------
Rotation :---------------------------------
procedure
2
1
2
Washes hands
3
Assembles equipment
4
5
Positions wheelchair at appropriate angle to shower
6
Places towel on shower chair/stool.
7
Locks wheels.
8
Raises footrests
9
Stands patient up appropriately
10
Pivots patient so back is toward shower chair
11
Assists patient to sit in shower chair.
12
Places toilet articles within patient’s reach
13
Allows patient privacy
14
Ensures that soap is rinsed off patient
15
Assists in drying patient.
16
Gets clean clothing ready
17
Reverses steps seven to nine.
18
Covers patient to avoid chilling
19
Washes hands.
20
or behavior
1
0
Code :
Student's Signature :----------------------------------Instructor's Signature :---------------------------------------
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College of Nursing
TRANSFER FROM WHEELCHAIR TO TOILET
ID :------------------------------------Rotation :---------------------------------
procedure
1
2
Washes hands
3
4
Checks bathroom for supports and grab bars
5
Places wheelchair, facing toilet
6
Locks wheels
7
Raises footrests.
8
Assists client to stand.
9
Rotates patient until back is toward toilet.
10
Arranges clothing.
11
Assists patient to sit on toilet.
12
Allows privacy.
13
Assists in cleaning patient after toileting.
14
Washes hands.
15
Reverses steps six to nine.
16
Assists patient to wash hands
17
Washes hands.
18
or behavior.
2
1
0
Code :
Student's Signature :---------------------------------Instructor's Signature :--------------------------------------Home Health Care Laboratory
Page 37
College of Nursing
ASSISTING WITH THE USE OF THE OXYGEN CONCENTRATOR
ID :------------------------------------Rotation :---------------------------------
procedure
1
2
Washes hands
3
Assembles equipment
4
Cleans air filter.
5
Washes humidifying bottle, if used.
6
8
Checks the humidifying bottle to make sure it has an
adequate amount of distilled water in it, and the bottle is
screwed on tightly, if used.
Attaches the air tube, if not on, to the humidifying bottle or
oxygen concentrator.
Takes and records the client’s pulse and respiratory rate.
9
Turns on the switch to the oxygen concentrator.
10
Checks that air is bubbling through the humidifying bottle.
11
Checks that air is flowing through the nasal cannula.
12
13
Ensures that flow meter is set to appropriate level as
noted in the care plan.
Assists the client in applying the nasal cannula.
14
Takes and records the client’s pulse and respiratory rate.
15
Turns off the oxygen concentrator.
16
Assists the client in removing the nasal cannula.
17
Washes hands.
18
Observes for difficulty breathing; rapid pulse and
respirations; cold, clammy skin; blue or darkened lips,
fingernails, eyelids; client unable to sit still; client does not
respond when you call client’s name, has headaches; or
complains of no energy.
Records the use of the oxygen concentrator and
observations of the client, and any problems with the
oxygen concentrator.
7
19
2
1
0
Page 38
College of Nursing
procedure
21
2
1
0
Reports to supervisor IMMEDIATELY if client has
difficulty breathing; has rapid pulse and respirations, has
cold, clammy skin; has blue or darkened lips, fingernails,
and eyelids; is unable to sit still; does not respond when
you call client’s name; has headaches; or complains of
having no energy.
Total
Code :
Instructor's Name :----------------------------------Instructor's Signature :----------------------------------------------
Page 39
College of Nursing
Performance Checklist on Nursing Bag Technique
Student name:
Group:
ID:
Rotation:
Date:
Items
1
Bag contents and arrangement
2
Place the bag on the table or any flat surface lined with
Plastic cover sheet or paper lining, clean side out
3
Put the bag’s handles or strap beneath the bag.
4
Take out hand towel, soap dish and apron and the place
them at one corner of the work area
5
Do hand washing
6
Put on Gown or apron right side out and wrong side with
crease touching the body, sliding the head into the neck
strap. Neatly tie the straps at the back.
7
Put out things most needed for the specific case (e.g.)
thermometer, B.P. kidney basin, cotton ball, waste paper
bag) and place at one corner of the work area
8
Place waste plastic or paper bag outside of work area &
fixed with plaster.
9
Close the bag.
10
Proceed to the specific nursing care or treatment.
11
Clean and disinfect the things used
12
Hand washing again.
13
Open the bag and put back all articles in their proper places.
2
1
0
Page 40
College of Nursing
14
Remove apron folding away from the body, with soiled side
folded inwards, and the clean side out. Place it in the bag.
15
Fold the linen/plastic lining, clean; place it in the bag and
close the bag.
Total score
/30
Code :
Instructor's Name :----------------------------------Instructor's Signature :----------------------------------------------
Page 41
College of Nursing
Page 42
College of Nursing
Students satisfaction Questionnaire for Home Care Laboratory procedures
NAME :---------------------------GROUP:---------------------------
ID:----------------------DATE:-------------------
LEVEL:--------------------SEMESTER:------------
1. Before the procedure sessions in Home Care Lab , how would you rate your level of
understanding of the theory of caring post stroke patient ?
□ Poor level of understanding of the theory
□ Good level of understanding of theory
□ Confident in my understanding of theory and able to apply it in practice
2. Before the procedure sessions, how would you rate your level of understanding of the
practical requirements for caring post stroke patient ?
□Poor level of understanding of the practical requirements
□Good level of understanding of the practical requirements but not yet competent in the
application of associated practice/clinical skills
□Competent in the application of associated practice/clinical skills
□Confident and competent in the application of clinical skills which is supported by a good level of
understanding of the associated theory
3. Had you undertaken simulated stroke rehabilitation / nursing intervention before these
sessions?
Yes □
No □
If yes please give details below
4. Have you ever undertaken stroke rehabilitation / nursing intervention in the clinical areas
prior to simulation sessions?
Yes □
No □
If yes please give details below
5. How would you rate your confidence level after the simulation experience undertaken in
the Home Care skills laboratory?
□ No confidence at all
□ Some confidence but not yet competent
□ Quietly confident and I am able to perform competently with close supervision
□ I am confident and feel able to perform with minimal supervision
□ I am confident and competent in my clinical performance
Page 43
College of Nursing
6. How many times did you practice rehabilitation procedures during the simulation session?
0□
1 -3 □
For each of the next questions please rate your agreement with the statement where
1 = strongly disagree (SD)
2= disagree (D)
3= agree (A)
4= strongly agree (SA)
7. I feel well prepared to perform the skill of post stroke
rehabilitation in practice
1
(SD)
2
(D)
3
(A)
4
(SA)
□
□
□
□
□
□
□
□
10. My knowledge and understanding of the clinical
equipment has increased
□
□
□
□
11. The facilitator in the simulation made me question
what I do.
□
□
□
□
12. I feel more able to develop my clinical skills in
practice
□
□
□
□
13. I feel able to answer relevant questions asked by
patients
□
□
□
□
8. I have a good understanding of the relationship
between theory and practice
9. I feel more confident in the application of theory in
the clinical areas in relation to post stroke
rehabilitation
Page 44

Home Health Care Nursing Laboratory

Transcription

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