Understand nurse skills needed for residents’ hygiene and grooming. Unit B Resident Care Skills Resident Care Skills Essential Standard NA5.00 Understand nurse aide’s role in providing residents’ hygiene, grooming, and skin care. Understand nurse aide’s role in providing residents’ hygiene, grooming, and skin care. Indicator 5.01 Understand nurse aide skills needed for residents’ hygiene and grooming. Understand nurse aide skills needed for residents’ hygiene and grooming Nursing Fundamentals

5.01Nursing Fundamentals BATHING BATHING

Nursing Fundamentals 72433BATHING 5.01 Purpose of Bathing Removes perspiration, dirt and microorganismsRemoves perspiration, dirt and microorganisms Stimulates circulationStimulates circulation Exercises body partsExercises body parts

Nursing Fundamentals 72434BATHING 5.01 Purpose of Bathing (continued) Refreshes, relaxes and promotes physical comfortRefreshes, relaxes and promotes physical comfort Removes odorsRemoves odors Allows for evaluation of skin conditionAllows for evaluation of skin condition

Nursing Fundamentals 72435BATHING 5.01 Methods of Bathing Partial bathPartial bath Complete bed bathComplete bed bath Tub bathTub bath ShowerShower

Nursing Fundamentals 72436BATHING 5.01 Receive instructions from supervisor regarding method of bathing and skin care products to useReceive instructions from supervisor regarding method of bathing and skin care products to use Provide privacyProvide privacy Reduce drafts by closing windows, drapes and doors!Reduce drafts by closing windows, drapes and doors!

Nursing Fundamentals BATHING - GUIDELINES 5.01 Use good body mechanicsUse good body mechanics Keep covered for warmth and privacyKeep covered for warmth and privacy Protect safety of resident:Protect safety of resident: –never leave unattended in bathtub or shower –take precautions to prevent slips and falls –have temperature no higher than 105°F for tub or shower

Nursing Fundamentals BATHING GUIDELINES 5.01 Establish a schedule.Establish a schedule. Refer to agency policy/procedure for shower scheduleRefer to agency policy/procedure for shower schedule Do not force bathe!Do not force bathe! If the resident refuses a bath, come back later to see if the resident has changed their mind and is ready for a bathIf the resident refuses a bath, come back later to see if the resident has changed their mind and is ready for a bath

Nursing Fundamentals BATHING GUIDELINES 5.01 Rinse skin completely if not using no-rinse productRinse skin completely if not using no-rinse product Encourage to do as much as possible for selfEncourage to do as much as possible for self Pat skin dryPat skin dry Observe condition of skinObserve condition of skin

Nursing Fundamentals BATHING GUIDELINES 5.01 Color of skin, lips, nail beds and sclera of eyesColor of skin, lips, nail beds and sclera of eyes Location and description of rashesLocation and description of rashes Dry skinDry skin Bruises or open areas on skinBruises or open areas on skin

Nursing Fundamentals BATHING GUIDELINES 5.01 Pale or reddened areas, especially over bony parts Drainage or bleeding from wounds or orifices Skin temperature Complaints of pain or discomfort

5.01Nursing Fundamentals SKILL 5.01J SKILL 5.01J Complete Bath Training Lab Assignment Engage in the Skill Acquisition Process for:

5.01Nursing Fundamentals SKILL 5.01K SKILL 5.01K Partial Bath Training Lab Assignment Engage in the Skill Acquisition Process for:

5.01Nursing Fundamentals SKILL 5.01L SKILL 5.01L Giving a Tub bath / Shower Training Lab Assignment Engage in the Skill Acquisition Process for:

5.01Nursing Fundamentals Perineal Care Perineal Care

Nursing Fundamentals PERINEAL CARE 5.01 Used to clean genital and anal areas Prevents infectionPrevents infection Prevents odorsPrevents odors Promotes comfortPromotes comfort 1 st washcloth to wash the front perineum 2nd washcloth to rinse the front perineum

Nursing Fundamentals PERINEAL CARE 5.01 Rules of medical asepsis and Standard Precautions followed Work from cleanest to dirtiest area (front to back) urethral area – cleanest anal area – dirtiest

Nursing Fundamentals PERINEAL CARE 5.01 Delicate area that needs special careDelicate area that needs special care –Use warm water –Wash gently (1 cloth) –Rinse well (2 nd cloth) –Pat dry

5.01Nursing Fundamentals SKILL 5.01M SKILL 5.01M Giving Perineal Care Training Lab Assignment Engage in the Skill Acquisition Process for:

5.01Nursing Fundamentals Back Rub Back Rub

Nursing Fundamentals GIVING A BACKRUB 5.01 Purpose Stimulate circulationStimulate circulation Prevent skin breakdownPrevent skin breakdown SoothingSoothing RefreshingRefreshing

Nursing Fundamentals GIVING A BACKRUB 5.01 Use a combination of strokesUse a combination of strokes –Long, smooth strokes – relaxing –Short, circular strokes – stimulating Use warmed lotion applied with palms of handsUse warmed lotion applied with palms of hands Rub minutesRub minutes

5.01Nursing Fundamentals SKILL 5.01N SKILL 5.01N Back Rub Training Lab Assignment Engage in the Skill Acquisition Process for:

Understand nurse aide skills needed for residents’ hygiene and grooming. 24  END  Nursing Fundamentals