Home Health Care Nursing Laboratory
Transcription
Home Health Care Nursing Laboratory
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 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 University of Dammam College of Nursing Home Health care Laboratory Home Health Care Laboratory Page 3 University of Dammam College of Nursing Home Health care Laboratory 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. Home Health Care Laboratory 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 University of Dammam College of Nursing Home Health care Laboratory Home Health Care Laboratory Page 6 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory Page 7 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory Page 8 University of Dammam College of Nursing Home Health care Laboratory Home Health Care Laboratory Page 9 University of Dammam College of Nursing Home Health care Laboratory 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. Home Health Care Laboratory Page 10 University of Dammam College of Nursing Home Health care Laboratory 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: _________________________________________________ Home Health Care Laboratory Page 11 University of Dammam College of Nursing Home Health care Laboratory Home Health Care Laboratory Page 12 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory Page 13 University of Dammam College of Nursing Home Health care Laboratory Home Health Care Laboratory Page 14 University of Dammam College of Nursing Home Health care Laboratory List of equipments included in Home Care Laboratory Master room ( adult bed room) Child room Home Health Care Laboratory Page 15 University of Dammam College of Nursing Home Health care Laboratory Kitchen cabinet (upper and lower). Bathroom Home Health Care Laboratory Page 16 University of Dammam College of Nursing Home Health care Laboratory Basic patient care manikin adult Basic patient care manikin child. 927453 Soft-Fall Bedside Mat 36"W x 68"L x 2"H Home Health Care Laboratory Basic patient care manikin elderly Basic patient care manikin child 829802 Positioning and Torso Wedge Page 17 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory Page 18 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory Page 19 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory Page 20 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory Adjustable Height Bath Step Cat . n . 6327 Curved Bath Brush Page 21 University of Dammam College of Nursing Home Health care Laboratory Cat .n .559229 Autoclavable Fracture Bed Pan Cat .n .559234 Wash Basin Cat . n .557435 SelfWipe® Toilet Aid Home Health Care Laboratory 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 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory upper &lower Page 23 2 2nd Drawer University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory 1 Page 24 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory 920329 Page 25 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory 1 1 32Pcs from fundamental lab old/new from fundamnetal lab ANH00423 1 Page 26 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory Page 27 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory 1 1 Large( R)1/(L)2 Small ( R)1/ (L) 2 very small 3 Page 28 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory one has broken mercury glass kept in store room Page 29 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory SN B T Q0995cy D-TA02 one is missing in May2013 Page 30 University of Dammam College of Nursing Home Health care Laboratory Home Health Care Laboratory Page 31 University of Dammam College of Nursing Home Health care Laboratory 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 Page 32 University of Dammam College of Nursing Home Health care Laboratory ASSISTING WITH THE USE OF THE HYDRAULIC LIFT Performance checklist Student's Name :-----------------------------Group No :------------------------- ID :------------------------------------Rotation :--------------------------------- Instructor's Name :----------------------------------- 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. Home Health Care Laboratory Page 33 University of Dammam College of Nursing Home Health care Laboratory 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 Observes, records and reports any changes in condition and behavior or problems with equipment. Total Code : 2 = Correct / Complete 1 = Correct / Incomplete 0 = Not Done / Wrong Student's Signature :-----------------------------------------Instructor's Signature :---------------------------------------------- Home Health Care Laboratory Page 34 University of Dammam College of Nursing Home Health care Laboratory SLIDE BOARD TRANSFER PROCEDURE Performance checklist Student's Name :-----------------------------Group No :------------------------- ID :------------------------------------Rotation :--------------------------------- Instructor's Name :----------------------------------- procedure 2 1 Explains procedure to patient. 2 Washes hands 3 Assembles equipment 4 Puts on gloves, as needed. 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 Observes, records and reports any changes in condition 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 : 2 = Correct / Complete 1 = Correct / Incomplete 0 = Not Done / Wrong Student's Signature :----------------------------------Instructor's Signature :--------------------------------------Home Health Care Laboratory Page 35 University of Dammam College of Nursing Home Health care Laboratory TRANSFER FROM WHEELCHAIR TO SHOWER AND ASSISTING WITH SHOWER Performance checklist Student's Name :------------------------------ ID :------------------------------------- Group No :------------------------- Rotation :--------------------------------- Instructor's Name :----------------------------------- procedure 2 1 Explains procedure to patient. 2 Washes hands 3 Assembles equipment 4 Puts on gloves, as needed. 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 Observes, records and reports any changes in condition or behavior 1 0 Code : 2 = Correct / Complete 1 = Correct / Incomplete 0 = Not Done / Wrong Student's Signature :----------------------------------Instructor's Signature :--------------------------------------- Home Health Care Laboratory Page 36 University of Dammam College of Nursing Home Health care Laboratory TRANSFER FROM WHEELCHAIR TO TOILET Performance checklist Student's Name :-----------------------------Group No :------------------------- ID :------------------------------------Rotation :--------------------------------- Instructor's Name :----------------------------------- procedure 1 Explains procedure to patient. 2 Washes hands 3 Puts on gloves, as needed. 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 Observes, records and reports any changes in condition or behavior. 2 1 0 Code : 2 = Correct / Complete 1 = Correct / Incomplete 0 = Not Done / Wrong Student's Signature :---------------------------------Instructor's Signature :--------------------------------------Home Health Care Laboratory Page 37 University of Dammam College of Nursing Home Health care Laboratory ASSISTING WITH THE USE OF THE OXYGEN CONCENTRATOR Performance checklist Student's Name :-----------------------------Group No :------------------------- ID :------------------------------------Rotation :--------------------------------- procedure 1 Explains procedure to patient. 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 Home Health Care Laboratory 2 1 0 Page 38 University of Dammam College of Nursing Home Health care Laboratory 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 : 2 = Correct / Complete 1 = Correct / Incomplete 0 = Not Done / Wrong Instructor's Name :----------------------------------Instructor's Signature :---------------------------------------------- Home Health Care Laboratory Page 39 University of Dammam College of Nursing Home Health care Laboratory 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. Home Health Care Laboratory 2 1 0 Page 40 University of Dammam College of Nursing Home Health care Laboratory 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 : 2 = Correct / Complete 1 = Correct / Incomplete 0 = Not Done / Wrong Instructor's Name :----------------------------------Instructor's Signature :---------------------------------------------- Home Health Care Laboratory Page 41 University of Dammam College of Nursing Home Health care Laboratory Home Health Care Laboratory Page 42 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory Page 43 University of Dammam College of Nursing Home Health care Laboratory 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 Home Health Care Laboratory Page 44