COPE HEALTH S CHOLARS PRACTICAL EXAM 100% CORRECT . ambulating a patient: supplies ✔✔-non-skid shoes or socks gait belt (site - specific) assistive devices i.e canes, walkers ambulating a patient requirements ✔✔--RN/PT approval and direction -appropriate rail adjustment ambulate ✔✔-to walk from place to place fall risk ✔✔-a designation assigned to a patient whose stability is of concern in order to prevent falls from occurring process to ambulate a patient ✔✔--ask nurse if the patient is a fall risk patient and if he/she has been walked in the past 12 hours or on the unit in general -gather necessary supplies -introduce yourself to the patient and confirm that you are comfortable to assist with proceeding with ambulating (AIDET/KIAHI) -perform hand hygiene and apply gloves to assist patient out of bed -assess a. check brakes, check if any signs such as fall risk patient (a star), ensure patient is wearing non skid shoes or socks, identify catheters or monitor leads connected to the patient ( If they have an IV they can walk but do not touch buttons, unplug IV f rom wall, wrap chord around and walk with it) -adjust the bed * catheter patients cannot walk* helping a patient out of bed ✔✔--raise the head of the bed so the patient is in high fowler's position (90 degree angle) -use swivel technique to guide the patient so they are sitting on the side of the bed -while supporting the patient, and ask the patient to move to the edge of the bed until his/her feet are firmly planted on the ground swivel technique ✔✔-1. adjust the bed 2. raise the head of the bed so the patient is in fowler's position 3. ask the patient to bend their knees 4. place one hand on the patient's shoulder blade, and right arm " over and under " the patient's knees 5. ask them to scoot forward so their feet are touching the ground helping a patient stand up ✔✔-ask them to stand should with apart -ask if it is okay if you can place your right leg between the patient's feet -ask the patient if it is okay if you can place your hands on their hips to help raise them up -count to 3 and slowly stand up with them ambulation ✔✔-have two hands on the patient at all times -once you stand them up have them grab onto your left arm while your right is holding onto their shoulder blade or back -remove gloves while patient is still holding onto you, gel out -when returning gel back in while gloving in while the patient is still holding on to you **** cannot ambulate patient to restroom without a staff member providing an assisted fall ✔✔--if the patient indicated that he or she is becoming faint/ dizzy ,call out for assistance and guide the patient to the nearest sitting location (chair, bed, wheelchair, etc) -if the patient indicates that she or he is going to fall, call out for assistance and guide the patient down to the floor: a. keep a tight core and neutral spine b. call out for help as you guide the patient to the floor (the knee not facing the back of the patient, the other one is being used to guide them down), holding on to his/her core to direct their fall -protect the patient's head and neck******, do not move the patient once they have fallen, and do not move yourself either -do not leave the patient unattended, do not attempt to bring the patient back up or reposition them. stay with the patient until assistance comes. -patient falls are incidents, if this occurs please follow protocol positioning a patient supplies ✔✔-2-3 pillows -foam cushion -friction reducing device positioning a patient requirements ✔✔--RN approval and direction -clinical staff member presence -flat bed prepare to position a patient ✔✔-gather necessary supplies -perform hand hygiene and apply gloves -assess : catheters or monitor leads connected to the patient - check the brakes -adjust the bed so that it is flat and at a height that allows for proper body mechanics repositioning a patient up in bed ✔✔--side rails down -make sure bed is flat and the hip
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