1. Copyright © 2008 Delmar Learning. All rights reserved. Unit 1 Pre and Post-Procedural Activities

2. Copyright © 2008 Delmar Learning. All rights reserved. Beginning and Ending Procedure Actions Beginning and ending steps of all procedures are the same These are very important steps Commit them to memory and use them before and after caring for each patient

3. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Assemble supplies and equipment and bring to patient’s room Knock on the door and identify yourself

4. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Identify the patient according to facility policy Ask visitors to leave the room and advise where they may wait –As desired by patient

5. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Explain what you are going to do and what is expected of the patient Answer questions Maintain a dialogue with the patient during procedure Repeat explanations and instructions as needed

6. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Provide privacy by closing the door, privacy curtain, and window curtain –All three should be closed even if the patient is alone in the room Wash your hands or use an alcohol- based hand cleaner

7. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Set up supplies and equipment at bedside Use overbed table or other clean area Cover with a clean underpad, according to nursing judgment to provide a clean work surface

8. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Open packages Position items for convenient reach Take care to avoid positioning a container for soiled items in a manner that requires crossing over clean items to access it

9. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Position the patient for the procedure Support with pillows and props, as needed Place a clean underpad under wounds or medical devices, as needed

10. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Make sure the patient is comfortable and able to maintain the position throughout the procedure

11. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Cover the patient with a bath blanket and drape for modesty Fold the bath blanket back to expose only the area on which you will be working

12. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Raise the bed to a comfortable working height Apply gloves if contact with blood, moist body fluids (except sweat), secretions, excretions, or nonintact skin is likely

13. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Apply a gown if your uniform will have substantial contact with linen or other articles contaminated with blood, moist body fluid (except sweat), secretions, or excretions.

14. Copyright © 2008 Delmar Learning. All rights reserved. Beginning Procedure Actions Apply a mask and eye protection if splashing of blood or moist body fluid is likely Lower the side rail on the side where you will be working

15. Copyright © 2008 Delmar Learning. All rights reserved. Procedure Completion Actions Remove gloves Reposition the patient to ensure he or she is comfortable and in good body alignment

16. Copyright © 2008 Delmar Learning. All rights reserved. Procedure Completion Actions Replace the bed covers, then remove any drapes Place used drapes in plastic bag to discard in trash or soiled linen

17. Copyright © 2008 Delmar Learning. All rights reserved. Procedure Completion Actions Elevate the side rails, if used, before leaving the bedside Remove other personal protective equipment, if worn, and discard in plastic bag or according to facility policy

18. Copyright © 2008 Delmar Learning. All rights reserved. Procedure Completion Actions Wash your hands or use an alcohol- based hand cleaner Return the bed to the lowest horizontal position Open the privacy and window curtains

19. Copyright © 2008 Delmar Learning. All rights reserved. Procedure Completion Actions Position the call signal and needed personal items within reach Wash your hands or use an alcohol- based hand cleaner

20. Copyright © 2008 Delmar Learning. All rights reserved. Procedure Completion Actions Inform visitors that they may return to the room Document the procedure, your observations, and the patient’s response

21. Copyright © 2008 Delmar Learning. All rights reserved. Procedure Completion Actions Remove procedural trash and contaminated linen when you leave the room Discard in appropriate container or location, according to facility policy