BSN RD Bath & Occupied Bed 3 PDF

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Return Demo Guidelines...

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BSN Skills Return Demonstration Bathing & Occupied Bed Making

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SKILLS MODULE VIDEO: PERSONAL HYGIENE: BATHING: COMPLETE BED BATH; PERINEAL CARE (MALE) & BED MAKING: REPLACING LINENS ON AN OCCUPIED BED Student Name:

D#:

Course Number and Name:

If Other:

Session:

Year:

Course Coordinator:

Campus Location:

If Other:

Program: Skill Completed in 30 minutes: Yes, how long _____________ Essential Elements Met:

Yes

Number of Self-Identifiable Breaks Utilized: No, how long _____________ No

Student Verbalized All Steps of Return Demonstration:

Yes

No

Faculty Name Evaluating Attempt #1:

Attempt #1 Date _____________ and Outcome: Satisfactory Unsatisfactory

Faculty Name Evaluating Attempt #2:

Attempt #2 Date _____________ and Outcome: Satisfactory Unsatisfactory Requirements:

Essential Elements:

• Student must complete all essential elements of the skills return demonstration in a one-on-one, non-cueing environment with faculty evaluating.

During nursing skills return demonstration, students must complete all essential elements, which are bolded throughout the skills checklist. Unsafe nursing behaviors, unsafe actions, not completing skill within designated time-frame or omitting any bolded essential element(s) without self-identifying, will result in an unsatisfactory for the return demonstration. Only the bolded areas count towards unsatisfactory rating.

• Students are not allowed to use notes or any resources, with the exception of the supplies and/or equipment for the skill (tape, pulse oximeter, etc.). • Students must verbalize their steps as they are performing them throughout the return demonstration. • Students must complete Bathing and Occupied Bed Making Return Demonstration within 30 minutes. • Students must complete and submit the Direct Patient Care Documentation: Laboratory Courses the same day the return demonstration is completed (or as directed by course coordinator). Documentation is not included in this time-frame. Students will earn a Satisfactory/Unsatisfactory grade on the return demonstration. A satisfactory return demonstration does not imply proficiency or an ability to proceed into a clinical learning setting to perform any nursing skills independently. Additional return demonstrations may be required by your faculty. Failure to demonstrate successful return demonstrations of any required skill could limit and/or impact future learning opportunities.

Self-Identifiable Breaks: Self-identifiable breaks are defined as the acknowledgment made by a student during a return demonstration of either a missed action or the incorrect performance of an action that is required for the successful skill completion. Students have a designated number of self-identifiable breaks for each return demonstration. • One self-identifiable break for Bathing permitted. • One self-identifiable break for Perineal Care permitted. • One self-identifiable break for Occupied Bed-Making permitted.

• A student may be unsatisfactory one time on a single skill with an opportunity to remediate. If the student fails to complete the remediation session and satisfactorily complete the same skill on a second attempt, it will result in course failure. • A student may only be unsatisfactory on two different skills. If unsatisfactory on a third skill, it will result in a course failure. The steps to perform have been modified from ATI® skills module videos. Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661 12-200292.1

©2020 Chamberlain University LLC. All rights reserved.

1120pflcpeADA

BSN Skills Return Demonstration Bathing & Occupied Bed Making

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NR-224 Course Outcomes Met with Bathing and Occupied Bed Making Return Demonstration:

NR-299 Course Outcomes Met with Bathing and Occupied Bed Making Return Demonstration:

• CO1 Differentiate between the components and apply the principles of the nursing process in the learning laboratory setting using simulated patient care scenarios (PO1).

• CO3 Participate in health promotion, illness prevention and rehabilitative activities as a member of the healthcare team (PO2).

• CO2 Apply the concepts of health promotion and illness prevention in the laboratory setting (PO2).

• CO4 Demonstrate communication skills necessary for interaction with other health team members and for providing basic nursing care to individuals and families (PO3).

• CO3 Demonstrate communication skills necessary for interaction with other health team members and for providing basic nursing care in a simulated environment (PO3). • CO7 Demonstrate beginning roles and responsibilities associated with professional nursing while planning for cost-effective basic nursing care to individuals and families (PO7). • CO8 Explain the rationale for selected nursing interventions based upon current nursing literature (PO8).

• CO6 Discuss health promotion, illness prevention, health maintenance, health restoration and rehabilitation in relation to the nurse’s role in working with various populations, including the older adult (POs 1, 2). • CO7 Explain and apply principles of legal, ethical and professional standards in relation to clinical nursing practice (PO6). • CO8 Demonstrate the beginning roles and responsibilities associated with health promotion and nursing care (PO7).

Supplies: Clean gloves, bath blanket, towels, washcloths, two basins, warm water, soap, clean gown, deodorant, waterproof pad, fresh linen (fitted and flat sheet), blanket, bedspread (if applicable), disinfectant wipes, dirty linen receptacle, trash receptacle, bedside table or chair.

BATHING (MALE) Step No.

Complete

Incomplete

Self-Identified Break

Step to Perform

1

Introduces self to patient

2

Identifies patient with two identifiers

3

Provides privacy

4

Places supplies on a clean surface

5

Performs hand hygiene Informs patient of procedure to be performed:

6

Rationale for performing bed bath and changing linens Answers questions

Obtains verbal consent to perform bed bath including perineal care and changing linens

Assesses patient for: 7

Contact lenses

DVT

Cultural concerns with perineal care

Tolerance to lay flat when needed

8

Places patient supine with head of bed elevated 30° to 45°

9

Raises bed to level of hips

10

Places dirty linen receptacle near bed within reach

11

Dons clean gloves and lowers side rail on working side of bed

12

Places bath blanket over patient

13

Pulls top bed linens to foot of bed while patient holds onto top of blanket and discards into dirty linen receptacle

14

Removes patient’s gown and discards into dirty linen receptacle

15

Removes pillow and places towel under patient’s head Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661

12-200292.1

©2020 Chamberlain University LLC. All rights reserved.

1120pflcpeADA

BSN Skills Return Demonstration Bathing & Occupied Bed Making

Step No.

Complete

Incomplete

Page 3 of 5

Self-Identified Break

Step to Perform Cleans around each eye, wiping from inner to outer canthus and dry the area:

16

Right eye

Left eye

Washes with soap, rinses with clear water and dries with washcloth: 17

Forehead

Cheeks

Neck

Ears

Nose

Around mouth

18

Places towel underneath patient’s arm and washes with soap, rinses with clear water and dries from fingers to axilla using long firm strokes:

19

Raises patient’s arm one at a time and places it on bed above head and wash with soap, rinse with clear water and dry axilla:

20

Discards used towels and washcloths into dirty linen receptacle

21

Folds bath blanket down to umbilicus

22

Washes with soap, rinses with clear water and dries the patient’s chest and abdomen using long firm strokes

Right arm

Right arm

Left arm

Left arm

Washes with soap, rinses with clear water and dries:

23

Umbilicus

24

Between skin folds

Under breasts (verbalizes)

Covers patient’s chest and abdomen Exposes, lifts, washes with soap, rinses with clear water and dries patient’s legs and feet, supporting knee and ankle and places towel under leg. Covers patient’s legs with bath blanket: Long firm strokes from ankle to knee, then knee to thigh

25

Left leg Right foot

Right leg

Left foot

26

Raises side rail

27

Discards used towels and washcloths into dirty linen receptacle

28

Empties basins and refills with fresh warm water

29

Removes gloves and discards into trash receptacle

30

Performs hand hygiene

Evaluator Comments:

PERINEAL CARE (MALE) Step No.

Complete

Incomplete

Self-Identified Break

Step to Perform

1

Dons clean gloves and lowers side rail on working side of bed

2

Drapes patient’s abdomen and perineal area with bath blanket or towel

3

Lowers bed linens to mid-thigh level

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661 12-200292.1

©2020 Chamberlain University LLC. All rights reserved.

1120pflcpeADA

BSN Skills Return Demonstration Bathing & Occupied Bed Making

Step No.

Complete

Incomplete

Page 4 of 5

Self-Identified Break

Step to Perform

4

Places towel or waterproof pad between patient’s legs

5

Folds edge of blanket back onto abdomen

6

Informs patient their perineal area will be exposed and their penis will be washed Washes with soap, rinses with clear water and dries:

7

Upper things

Inguinal area

Grasps shaft of penis gently and cleanses tip of penis at urethral meatus in circular motion from center outward

8

Washes with soap, rinses with clear water and dries: 9

Shaft of penis from tip to base in downward motion using gentle but firm strokes

Scrotum including underlying skin folds

10

Places blanket back over perineal area, requests patient to roll onto side facing away

11

Moves bath blanket and gown to expose buttocks and places towel under buttocks

12

Washes with soap, rinses with clear water and dries outer buttocks first then inner buttocks

13

Removes towel and discards towel and washcloths into dirty linen receptacle

14

Raises side rail, assess patient’s comfort level and fatigue and if they are okay to remain on their side while changing bath water and gloves

15

Empties basin water and refills with warm water

16

Removes gloves and discards into trash receptacle

17

Performs hand hygiene

18

Dons clean gloves

19

Lowers side rail and folds blanket to expose patient’s back

20

Washes, rinses and dries patient’s back from neck to above buttocks using long, firm strokes

21

Asks patient if they would like lotion and applies, places pillow back under head and assists patient into clean gown

22

Removes bath blanket and discards into dirty linen receptacle

23

Assists patient to comfortable position

24

Removes and discards gloves into trash receptacle

25

Performs hand hygiene

26

Dons clean gloves

Evaluator Comments:

OCCUPIED BED MAKING Step No.

Complete

Incomplete

Self-Identified Break

Step to Perform

1

Removes bedspread, folds and places on clean surface (if bedspread clean)

2

Places bath blanket over top sheet and removes top sheet while patient holds onto top of blanket. Discards top sheet into dirty linen receptacle Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661

12-200292.1

©2020 Chamberlain University LLC. All rights reserved.

1120pflcpeADA

BSN Skills Return Demonstration Bathing & Occupied Bed Making

Step No.

Complete

Incomplete

Self-Identified Break

Page 5 of 5

Step to Perform

3

Ensures opposite side rail is up and assists patient to side-lying position facing away

4

Repositions pillow

5

Loosens bottom linens, fold or roll them toward patient and tuck underneath patient’s shoulders, back and buttocks

6

Cleanses mattress with disinfectant wipe

7

Unfolds bottom sheet and places in middle of bed

8

Folds or rolls top layer of bottom sheet toward patient, then pulls corners of bottom layer over corners of mattress

9

Places waterproof pad or draw sheet on top of the linens in middle of bed

10

Folds or rolls top layer toward patient and assists patient with rolling towards you over folded linens

11

Raises side rail and moves to other side of bed

12

Lowers side rail, loosens and removes bottom linens and discards into dirty linen receptacle

13

Pulls clean linens out from under patient, ensuring no wrinkles are present

14

Positions waterproof pad under patient’s buttocks and repositions pillow

15

Raises side rail

16

Assists patient back to supine position

17

Places top sheet over patient and unfolds top sheet from top to bottom

18

Removes bath blanket and discards into dirty linen receptacle

19

Places bedspread over top sheet and unfolds

20

Moves to foot of bed, lifts corner of mattress and tucks bottom of bedspread and top sheet under mattress using modified mitered corner technique

21

Removes used pillowcase and discards into dirty linen receptacle and replaces with fresh pillowcase: Grasps the pillow at open end with one hand and pulls the case back over the pillow with the other hand

22

Removes and discards gloves into trash receptacle

23

Performs hand hygiene

24

Reassess patient comfort level/fatigue; elevates head of bed as needed

25

Side rails up (if applicable)

26

Performs hand hygiene

27

Bed is in lowest position

28

Bed is locked

29

Call light within reach

30

Performs hand hygiene

Evaluator Comments:

Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661 12-200292.1

©2020 Chamberlain University LLC. All rights reserved.

1120pflcpeADA...