1. 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. 15.01Nursing Fundamentals

2. 5.01Nursing Fundamentals 72432 BATHING BATHING

3. 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

4. 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

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

6. 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!

7. Nursing Fundamentals 72437 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

8. Nursing Fundamentals 72438 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

9. Nursing Fundamentals 72439 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

10. Nursing Fundamentals 724310 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

11. Nursing Fundamentals 724311 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

12. 5.01Nursing Fundamentals 724312 SKILL 5.01J SKILL 5.01J Complete Bath Training Lab Assignment Engage in the Skill Acquisition Process for:

13. 5.01Nursing Fundamentals 724313 SKILL 5.01K SKILL 5.01K Partial Bath Training Lab Assignment Engage in the Skill Acquisition Process for:

14. 5.01Nursing Fundamentals 724314 SKILL 5.01L SKILL 5.01L Giving a Tub bath / Shower Training Lab Assignment Engage in the Skill Acquisition Process for:

15. 5.01Nursing Fundamentals 724315 Perineal Care Perineal Care

16. Nursing Fundamentals 724316 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

17. Nursing Fundamentals 724317 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

18. Nursing Fundamentals 724318 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

19. 5.01Nursing Fundamentals 724319 SKILL 5.01M SKILL 5.01M Giving Perineal Care Training Lab Assignment Engage in the Skill Acquisition Process for:

20. 5.01Nursing Fundamentals 724320 Back Rub Back Rub

21. Nursing Fundamentals 724321 GIVING A BACKRUB 5.01 Purpose Stimulate circulationStimulate circulation Prevent skin breakdownPrevent skin breakdown SoothingSoothing RefreshingRefreshing

22. Nursing Fundamentals 724322 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 3 - 5 minutesRub 3 - 5 minutes

23. 5.01Nursing Fundamentals 724323 SKILL 5.01N SKILL 5.01N Back Rub Training Lab Assignment Engage in the Skill Acquisition Process for:

24. Understand nurse aide skills needed for residents’ hygiene and grooming. 24  END  5.01 5.01Nursing Fundamentals