Have the participants demonstrate proper hand washing technique, explain the universal precautions, and how to maintain clean, safe environment. Confidentiality principles Medication administration, per agency policy Individual agency competencies. h. i. j. k. 5. 6. During the participant’s performance of all skills, assess hand washing techniques, body mechanic practices, respect for the client’s privacy, and safety awareness/intervention. Do direct observation of the participant’s techniques in performing the following skills in a laboratory setting or in the client’s home: a.
Reading and recording temperature (using a mercury thermometer) 1. Wash hands 2. Read mercury level and if >97. 6, shake thermometer until mercury reads 96. 0 degrees F 3. Place thermometer under tongue in posterior sublingual pocket 4. Have the client hold the thermometer with lips closed 5. Maintain thermometer position for two to three minutes (five minutes 6. for axillary) 7. Remove thermometer and read at eye level 8. Wash thermometer in tepid soapy water or use antiseptic solution 9.
Record temperature on flow sheet 10. Report abnormal findings. Assess participant’s knowledge of normal range, how and where to document findings, and how long to leave thermometer in place. b. Taking a radial pulse: 1. Wash hands 17 1 W Su er or St ee 73 . S pe io tr et 1 31 W. up ri r S re t Du ut , M 55 06 ul th N 58 6 D lu h, MN 5 80 Ph ne 21 7 1 73 Fa 21 7 3 49 ho e 2 8 21 47 2 F x 18 73 0 99 P on 18 72 4 32 ax 2 8 33 04 9 2.
Place tips of first two or three middle fingers over groove along radial side of inner wrist 3. Lightly compress against radius and then relax pressure so pulse easily palpable 4. When pulse felt regularly, use watch with second hand to count rate for 15 seconds and multiply times four 5. If pulse irregular, count for a full minute 6. Document findings Assess participant’s knowledge of normal values, when and what to report and how long to count. c. Checking respiratory rate: 1. Wash hands 2.
Position the client for comfort with visibility of the client’s chest or place hand on upper abdomen or lower chest 3. Count respiration’s for 30 seconds and multiply times two 4. If irregular, slow or fast, count for a full minute 5. Document findings Assess the participant’s knowledge of normal range and when and what to report. d. Bathing a client in bed: 1. Gather equipment and wash hands 2. Remove clothing and cover the client with a blanket or towel for privacy 3. Fill basin with water and check temperature using inner wrist (warm not hot)