Skill 07-4+Unconscious+Oral+Care PDF

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Summary

lab notes...

Description

1 Skill Checklists for Taylor's Clinical Nursing Skills. A Nursing Process Approach, 5th edition Name

Date

Unit

Position

Instructor/Evaluator:

Position

Needs Practice

Satisfactory

Excellent

SKILL 7-4

Providing Oral Care for the Dependent Patient Goal: The patient has a clean mouth and clean teeth; is free from impaired oral mucous membranes; and verbalizes, if able, anunderstanding about the importance of oral care.

Comments

1. Perform hand hygiene and put on PPE, if indicated. 2. Identify the patient. Explain the procedure to the patient. 3. Assemble equipment on overbed table or other surface within reach. 4. Close the room door or curtains. Place the bed at an appropriate and comfortable working height, usually elbow height of the caregiver (VHACEOSH, 2016). Lower one side rail and position the patient on the side, with head tilted forward. Place towel across the patient’s chest and emesis basin in position under chin. Depending on equipment in use, connect the suction toothbrush or suction catheter to suction tubing and turn on suction. Put on gloves. 5. Gently open the patient’s mouth by applying pressure to the lower jaw at the front of the mouth. Do not use fingers to hold the patient’s mouth open. Use another toothbrush or mouth prop to keep the mouth open (Johnson & Chalmers, 2011). Remove dentures, if present. 6. If using a regular toothbrush and suction catheter, one care giver provides oral cleaning and the other removes secretions with the suction catheter. 7. Brush the teeth and gums carefully with toothbrush and paste or other oral cleanser. Lightly brush the tongue. 8. Moisten toothbrush with water to rinse the oral cavity. Position the patient’s head to allow for return of water. If using regular toothbrush, use suction catheter to remove the water and cleanser from oral cavity. 9. Using the suction swab, apply a therapeutic antiseptic mouth rinse as indicated. Apply oral moisturizer as indicated. 10. Clean the dentures before replacing. 11. Apply lubricant to the patient’s lips. 12. Remove equipment and return the patient to a position of comfort. Remove gloves. Raise the side rail and lower the bed. 13. Remove additional PPE, if used. Perform hand hygiene.

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