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Nurse Assistant Skills

Nurse Assistant Skills. Nurse assistants are important members of the health care team. Measuring and Recording Intake and Output. Intake: fluids taken in by patient What is included in intake Output: fluids eliminated by patient What is included in output Records must be accurate

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Nurse Assistant Skills

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  1. Nurse Assistant Skills Nurse assistants are important members of the health care team

  2. Measuring and RecordingIntake and Output

  3. Intake: fluids taken in by patient • What is included in intake • Output: fluids eliminated by patient • What is included in output • Records must be accurate • Fluids usually measured by metric system Measuring and RecordingIntake and Output(continued)

  4. Agencies follow different policies for recording I&O • Careful instructions should be given to patients on I&O • Standard precautions Measuring and RecordingIntake and Output(continued)

  5. Good nutrition is an important part of a patient’s treatment • Make mealtimes as pleasant as possible • Mealtimes are regarded as social time • Proper preparation for mealtime • Delay of meals • Check food tray Feeding a Patient

  6. Allow patient to feed themselves whenever possible • Test temperature of food • Principles to follow while feeding • Relaxed, unhurried atmosphere • Observe amount eaten • Observe for any signs of choking Feeding a Patient

  7. Elimination of body waste is essential • Terminology • Many patients sensitive about using bedpan/urinal • Accurate observations important • Standard precautions • Use of gloves important Assisting with a Bedpan/Urinal

  8. Catheters: hollow tubes usually made of rubber or plastic • French or straight catheter • Foley catheter • External condom catheter • Urinary-drainage units • Leg bags for ambulation Providing Catheter andUrinary-Drainage Unit Care

  9. Careful observation of catheter and drainage unit • When catheter and urinary-drainage unit in place, preferable never to disconnect unit • If necessary to disconnect catheter, follow agency policy • Catheter care Providing Catheter and Urinary-Drainage Unit Care

  10. Observation of urine • Follow correct procedure to empty drainage unit to prevent contamination and infection • Bladder training program • Keep records Providing Catheter andUrinary-Drainage Unit Care

  11. Assisting patient with intake and output important part of care • Provide privacy and respect patient’s rights at all times • Observe standard precautions • Follow correct procedures Summary

  12. Laboratory tests are performed on specimens to detect disease • Specimens must be collected correctly for tests to be accurate • Routine urine specimen • Clean-catch or midstream-voided urine Collecting Stool/Urine Specimens

  13. Sterile catheterized urine specimen • 24-hour urine specimen • Routine stool (feces) specimen • Stool for occult blood • Label all specimens correctly • Use standard precautions Collecting Stool/Urine Specimens

  14. Enemas • Retention enemas • Nonretention enemas • Types of enemas • Cleansing • Disposable • Oil retention Enemas and Rectal Treatments

  15. Impactions—removed by licensed or advanced care provider • Rectal tube • Suppositories Enemas and Rectal Treatments(continued)

  16. Enemas and rectal treatments cannot be administered without a doctor’s order • Follow correct procedures at all times • Observe standard precautions to prevent spread of infection Summary

  17. Chemical restraints—medications • Physical restraints—protective devices • Conditions that may require restraints • Types of physical restraints • Points to remember when using restraints • Complications of restraints Applying Restraints

  18. Most health care facilities have specific rules and policies regarding the use of restraints • Be aware of legal responsibilities Applying Restraints

  19. Blood must have oxygen • Signs of oxygen shortage • Deficiency of oxygen (hypoxia) • Methods of administration of oxygen • Ways of providing oxygen to the patient • Humidifier Administering Oxygen

  20. Safety precautions • Pulse oximeters • Points to check while oxygen in use • Legal considerations Administering Oxygen(continued)

  21. Care given to the body immediately following death • Begins when a doctor has pronounced the patient dead • Difficult but essential part of patient care Giving Postmortem Care

  22. Dealing with death and dying • Patient’s rights apply after death • Family member may want to view body • Procedure for postmortem care will vary with different facilities Giving Postmortem Care

  23. Morgue kits • Care of valuables and belongings • Two people often work together to complete care • Observe agency policy Giving Postmortem Care

  24. The nursing assistant provides quality personal care for patients • Many skills are required to perform approved procedures • Standard precautions must be observed • Record observations carefully • Know your legal responsibilities Summary

  25. A large part of the body is fluid, so there must be a balance between the amount of fluid taken into the body and the amount lost from the body • Swelling and edema • Dehydration • Intake and output (I&O) forms vary between facilities Measuring and RecordingIntake and Output

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