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NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Washing Hands -
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Washing Hands -
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Washing Hands -

Nursing Skills Clinical Action Checklist - Washing Hands -

No.

Items

a.

Preparation Stage

1.

Prepare supplies and materials; soap, single use towel or toilet paper, running water

2.

Remove hands and wrist accessories

3.

Roll up sleeves

4.

Turn on the water tap

5.

Wet hands

6.

Turn off the water tap

7.

Apply soap and lather thoroughly

b.

Main Stage

1.

Rub hands palm to palm in circular motion

2.

Rub right palm over left dorsum with fingers interlaced and vice versa

3.

Rub hands palm to palm with fingers interlaced

4.

Rub backs of fingers to opposing palms with fingers interlocked

5.

Rub rotationally left thumb clasped in right palm and vice versa

6.

Rub rotationally right fingertips on left palm and vice versa

c.

Finishing Stage

1.

Turn on the water tap

2.

Rinse hands in down position, elbow straight

3.

Turn off the water tap using elbow or toilet paper

4.

Dry hands completely using single use towel or toilet paper

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa Barat Telp. (022) 7567390
Email : necbandung@gmail.com; Website : www.nec-institute.com
NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Applying Medical
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Applying Medical
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Applying Medical

Nursing Skills Clinical Action Checklist - Applying Medical Gloves -

No.

Items

1.

Remove hand accessories

2.

Choose the right size of the gloves

3.

Wash and dry hands

4.

Peel the gloves package

5.

Identify the gloves position

6.

Start applying glove on your dominant hand (e.g. right)

7.

Pinch the cuff of left glove using thumb and two fingers

8.

Point the right fingertips

9.

Slide the fingers according to the space of the glove

10.

Raise the right hand

11.

Gently pull the glove

12.

Slide your fingers under the cuff of left glove with abducted thumb

13.

Point your left fingertips

14.

Slide the fingers according to the space of the glove

15.

Raise the left hand

16.

Gently pull the glove

17.

Interlace the gloved hands

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa Barat Telp. (022) 7567390
Email : necbandung@gmail.com; Website : www.nec-institute.com
NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Checking Vital
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Checking Vital
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Checking Vital

Nursing Skills Clinical Action Checklist - Checking Vital Signs -

No.

Items

a.

Checking Blood Pressure

1.

Wash hands

2.

Gather all equipment

3.

Cleanse stethoscope earpieces and diaphragm

4.

Identify patient and introduce yourself

5.

Ask for patient’s condition

6.

Mention your action along with its purposes

7.

Have the patient rest at least 5 minutes before measurement. Have the patient rest at least 5 minutes before measurement

8.

Determine previous baseline blood pressure of patient while waiting

9.

Identify factors likely to interfere which accuracy of blood pressure measurement

10.

Assist patient to comfortable position

11.

Ask patient to roll up the sleeve

12.

Put on the stethoscope

13.

Apply the cuff above the brachial artery for 3 fingers range

14.

Attach the manometer on the cuff and make sure it is shown in zero

15.

Fasten the valve clockwise

16.

Check the stethoscope diaphragm

17.

Locate the radial and brachial pulse

18.

Put the stethoscope diaphragm under the cuff and on the brachial artery

19.

Put your left index, middle, and ring finger on patient’s radial artery

20.

Squeeze the bulb until the manometer shows the appropriate scale (until the radial artery stops)

21.

Look at the manometer and listen to the pulse while releasing the valve counter clockwise slowly

22.

The first pulse you hear is called systolic pressure

23.

The last pulse you hear is called diastolic pressure

24.

Put off the cuff and the stethoscope

25.

Tell the patient that the procedure is done and inform the result to her

26.

Make documentation in SOAP form on the Objective Section

27.

Tidy up all equipment

b.

Checking Radial Pulse

1.

Straighten the patient’s right/left hand and make sure the patient feels comfortable and calm

2.

Place your index and middle fingers on inner aspect of patient’s wrist over the radial artery and apply light but firm pressure until pulse is felt/palpated

3.

Identify pulse rhythm

4.

Count pulse rate by using second hand on watch in one minute

c.

Checking Respiratory Rate

1.

Look carefully at the movement of patient chest

2.

Identify respiration rhythm

3.

Count respiratory rate in on minute

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa Barat Telp. (022) 7567390
Email : necbandung@gmail.com; Website : www.nec-institute.com
NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 d. Checking Oral Temperature Using Glass Thermometer 1.
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 d. Checking Oral Temperature Using Glass Thermometer 1.
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 d. Checking Oral Temperature Using Glass Thermometer 1.

d. Checking Oral Temperature Using Glass Thermometer

1.

Position the client in a sitting or lying position with the head of the bed elevated 45° to 60°

2.

Take the blue tip of thermometer

3.

Use a tissue to dry thermometer from bulb’s end toward fingertips

4.

Read thermometer by locating mercury level. It should read 35.5°C (96°F). If thermometer is not below normal body temperature reading, grasp thermometer with thumb and forefinger and shake vigorously by snapping the wrist in a downward motion to move mercury to a level below normal

5.

Place thermometer in client’s mouth under the tongue and along the gum line to the posterior sublingual pocket

6.

Instruct client to hold lips closed

7.

Leave in place for 3-5 minutes

8.

Remove thermometer and wipe with tissue away from fingers toward the bulb’s end

9.

Read at eye level and rotate slowly until mercury level is visualized.

10.

Shake thermometer down, and cleanse glass thermometer with soapy water, rinse under cold water, and return to storage container.

11.

Remove and dispose of gloves in receptacle. Wash hands

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa Barat Telp. (022) 7567390
Email : necbandung@gmail.com; Website : www.nec-institute.com
NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Positioning
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Positioning
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Positioning

Nursing Skills Clinical Action Checklist - Positioning Patient in Bed -

No.

Items

a.

Supine to Side-Lying

1.

Wash hands.

2.

Explain procedure to client.

3.

Gather all necessary equipment.

4.

Adjust bed to comfortable working height.

5.

Lower side rail on side of bed from which you are assisting client.

6.

Follow proper body mechanics guidelines.

7.

Slide your hands underneath the client.

 

Move the client to one side of the bed by lifting the client’s body toward you in stages:

- first the upper trunk

8.

- then the lower trunk

- and finally the legs.

(Lift the client’s body; do not drag the client across the sheets.)

9.

Place the client’s inside arm next to the client’s body with the palm of the hand against the hip.

10.

Cross the client’s outside arm and leg toward midline

11.

Log roll the client toward you using the client’s outside shoulder and hip

12.

Place pillows to support the client’s head and arms

 

If necessary, place pillows to support:

13.

 

- the topside leg,

- fully and equally the thigh, knee, ankle, and foot

 

- the back

b.

Side-Lying to Prone

1.

Remove positioning towels, pillows, or other support devices

2.

Assess whether the client’s position in bed needs to be adjusted to accommodate the continued movement into prone

3.

Move the client’s inside arm next to the client’s body with palm against hip

4.

Roll the client onto the stomach using the shoulder and hip as key points of control

5.

Place the head in a comfortable position to one side without excessive pressure to sensitive areas

6.

Place pillows under the trunk as needed to relieve pressure and increase comfort

7.

Place the client’s arms comfortably at the client’s side

8.

Uncross the legs with the feet approximately a foot apart

9.

Use a shallow pillow or a folded towel to support the client’s head comfortably

10.

Place a pillow under the abdomen to support the back

11.

If necessary, place additional pillow under the lower leg to reduce the pressure of the toes and forefoot against the bed

c.

Prone to Supine

1.

Remove positioning towels, pillows, or other supporting devices.

2.

Slide your hands underneath the client.

3.

Move the client segmentally to one side of the bed to accommodate the new position.

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa Barat Telp. (022) 7567390
Email : necbandung@gmail.com; Website : www.nec-institute.com
NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 4. Position the inside arm next to the client’s
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 4. Position the inside arm next to the client’s
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 4. Position the inside arm next to the client’s

4.

Position the inside arm next to the client’s body with the client’s palm next to the hip.

5.

Roll the client to supine by log rolling the client toward you using the client’s outside shoulder and hip for leverage.

6.

Have the client’s face positioned away from the direction of the roll to prevent undue pressure to the face or neck.

7.

When the client reaches supine, uncross the client’s arms and legs and place them comfortably into anatomical positions.

8.

Use a footboard to support the foot as well as heel protectors may be used.

9.

Place a pillow placed between the heel and gastrocnemius muscle to reduce the pressure on the heels

10.

Use a trochanter roll to prevent excessive external rotation of the lower extremity

11.

For comfort, use additional pillows to support the client’s head, arms, or lower back

12.

Be sure to replace side rails to upright position as well as lower bed to beginning position.

13.

Place call light within reach of the client

14.

Move bedside table close to bed and place items of frequent use within reach of the client

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa Barat Telp. (022) 7567390
Email : necbandung@gmail.com; Website : www.nec-institute.com
NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Making Occupied
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Making Occupied
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Making Occupied

Nursing Skills Clinical Action Checklist - Making Occupied Bed -

No.

Items

1.

Wash and dry hands.

2.

Explain procedure to client.

3.

Prepare equipment and bring them to the bedside.

4.

Put on curtain to provide privacy.

5.

Remove top sheet and blanket.

6.

Loosen bottom sheet at foot and sides of bed.

7.

Lower side rail nearest the nurse, if necessary for access.

8.

Position client on side, facing away from you.

9.

Reposition pillow under head.

10.

Fan-fold or roll bottom linens close to client toward the center of the bed.

11.

Smooth wrinkles out of mattress.

12.

Place clean bottom linens with the center fold nearest the client.

13.

Fan-fold or roll clean bottom linens nearest client and tuck under soiled linen.

14.

Maintain an adequate amount of sheet at head and foot of bed for tucking.

15.

Miter bottom sheet at head of bed, then at foot of bed.

16.

Fold the draw sheet in half.

17.

Identify the center of the draw sheet and place it close to the client.

18.

Fan-fold or roll draw sheet closest to client and tuck under soiled linen.

19.

Add protective padding if needed.

20.

Tuck draw sheet under mattress, working from the center to the edges.

21.

Draw sheet should be positioned under the lower back and buttocks.

22.

Log roll client over onto side facing you.

23.

Raise side rail.

24.

Move to other side of bed.

25.

Remove soiled linens by rolling into a bundle and place in linen hamper without touching uniform.

26.

Unfold/unroll bottom sheet; then draw sheet.

27.

Look for objects left in the bed.

28.

Grasp each sheet with knuckles up and over the sheet and pull tightly while leaning back with your body weight.

29.

Client may be positioned supine.

30.

Place top sheet over client with center of sheet in middle of bed.

31.

Unfold top of sheet over client.

32.

Place top blanket over client, same as the top sheet.

33.

Raise foot of mattress and tuck the corner of the top sheet and blanket under.

34.

Miter the corner. Repeat with other side of mattress

35.

Grasp top sheet and blanket over client’s toes and pull upward, then make a small fan-fold in the sheet.

36.

Remove soiled pillowcase.

37.

Grasp center of clean pillowcase and invert pillowcase over hand/arm.

38.

Maintain grasp of pillowcase while grasping center of pillow.

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa Barat Telp. (022) 7567390
Email : necbandung@gmail.com; Website : www.nec-institute.com
NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 39. Use other hand to pull pillowcase down over
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 39. Use other hand to pull pillowcase down over
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 39. Use other hand to pull pillowcase down over

39.

Use other hand to pull pillowcase down over pillow.

40.

Place pillow under client’s head.

41.

While changing pillowcase, client can be instructed to rest head on bed, or place a blanket under client’s head.

42.

Document procedure used to change linens and client’s condition during the procedure.

43.

Wash and dry hands.

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa Barat Telp. (022) 7567390
Email : necbandung@gmail.com; Website : www.nec-institute.com
NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Transferring
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Transferring
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Transferring

Nursing Skills Clinical Action Checklist - Transferring Patient from Bed to Wheelchair -

No.

Items

1.

Inform client about desired purpose and destination

2.

Assess client for ability to assist with the transfer and for presence of cognitive or sensory deficits

3.

Lock the bed in position

4.

Place any splints, braces, or other devices on the client

5.

Place the client’s shoes or slippers on the client’s feet

6.

Lower the height of the bed to lowest possible position

7.

Slowly raise the head of the bed if this is not contraindicated by the client’s condition

8.

Place one arm under the client’s legs and one arm behind the client’s back

9.

Slowly pivot the client so the client’s legs are dangling over the edge of the bed and he is in a sitting position on the edge of the bed

10.

Allow client to dangle for 25 minutes. Help support client if necessary

11.

Bring the chair or wheelchair close to the side of the bed. Place it at a 45° angle to the bed. If the client has a weaker side, place the chair or wheelchair on the client’s strong side

12.

Lock wheelchair brakes and elevate the foot pedals

13.

If you will be using a gait belt to assist the client, place it around the client’s waist

14.

Assist client to side of bed until feet are firmly on the floor and slightly apart

15.

Grasp the sides of the gait belt or place your hands just below the client’s axilla. Using a wide stance, bend your knees and assist the client to a standing position

16.

Standing close to the client, pivot until the client’s back is toward the chair

17.

Instruct the client to place hands on the arm supports, or place the client’s hands on the arm supports of the chair

18.

Bend at the knees, easing the client into a sitting position

19.

Assist client to maintain proper posture. Support weak side with pillow if needed.

20.

Secure the safety belt, place client’s feet on feet pedals, and release brakes if you will be moving the client immediately. Make sure tubes and lines, arms, and hands are not pinched or caught between the client and the chair. If the client is sitting in a chair, offer a footstool if available

21.

Wash and dry hands.

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa Barat Telp. (022) 7567390
Email : necbandung@gmail.com; Website : www.nec-institute.com
NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Administering
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Administering
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Administering

Nursing Skills Clinical Action Checklist - Administering Subcutaneous Injection -

No.

Items

1.

Wash and dry your hands.

2.

Apply sterile gloves

3.

Clean the rubber diaphragm of the vial with alcohol wipe.

4.

Discard the wipe into the kidney bowl.

5.

Remove the cap of the needle.

6.

Put the vial upside down in an eye-level.

7.

Without touching the needle, insert needle through vial diaphragm.

8.

Slowly pull down on the plunger to take the medication into the syringe.

9.

Pull the needle out of the vial.

10.

Put on the cap of the needle

11.

Change the needle

12.

Hold the syringe vertically and flick the barrel with fingernail.

13.

Carefully depress the plunger to push out the air into the first drop of medication comes out of the needle.

14.

Rotationally clean injection site with alcohol wipe once.

15.

Let the alcohol dry and discard the alcohol wipe into the kidney bowl.

16.

Insert the needle to the skin at 45 degrees angle.

17.

Gently pull back on the plunger to make sure that the tip of the needle is not in the blood vessel. If blood appears in the syringe, pull the needle out and discard the syringe, needle, and medication into kidney bowl then start the process again using new medication, syringe, and needle.

18.

Slowly inject the medication.

19.

When all the medication is injected, pull the needle out of the skin

20.

Discard the needle and its cap into the kidney bowl.

21.

Tidy up supplies.

22.

Wash and dry your hands.

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa Barat Telp. (022) 7567390
Email : necbandung@gmail.com; Website : www.nec-institute.com
NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Performing Vulva
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Performing Vulva
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Performing Vulva

Nursing Skills Clinical Action Checklist - Performing Vulva Hygiene -

No.

Items

1.

Prepare supplies

2.

Prepare room, and close curtain, window, and door

3.

Wear apron, wash hands in running water and dry them with clean towel

4.

Assist patient to put off her lower cloth carefully

5.

Put waterproof layer underneath patient buttock carefully while asking the patient to turn her body right and left

6.

Position the patient in dorsal recumbent by bending and widen her knees

7.

Bring supplies near to the patient

8.

Apply sterile or clean gloves and take anal 5 cleansing wipes or as necessary

9.

Clean right labia major (farthest part) using wipes with thumb and discard the wipes to kidney bowl

10.

Clean left labia major (closest part) using wipes with thumb and discard the wipes to kidney bowl

11.

Clean right labia minor (farthest part) using wipes with thumb and discard the wipes to kidney bowl

12.

Clean left labia minor (closest part) using wipes with thumb and discard the wipes to kidney bowl

13.

Clean the upper part of Mons pubis to anus using wipes with thumb and discard the wipes to kidney bowl

14.

Tidy up and decontaminate all supplies in 0.5 chlorine

15.

Assist patient to put on her lower cloth

16.

Put off apron, wash hands in running water, and clean them with clean towel

17.

Explain to the patient that the procedures have been all done

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa Barat Telp. (022) 7567390
Email : necbandung@gmail.com; Website : www.nec-institute.com
NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

NATIONAL ENGLISH CENTRE Registered in Ministry of National Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4

Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Helping Choking
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Helping Choking
Education No. 029/PLSM/JT/IX/2003 SK. DIKMEN No. 157/1.851.4 Nursing Skills Clinical Action Checklist - Helping Choking

Nursing Skills Clinical Action Checklist - Helping Choking Baby -

No.

Items

1.

Pick the baby up

2.

Turn the baby into backside position

3.

Mildly tap the baby’s back five times (back slap)

4.

Turn the baby into side-lying position

5.

Check the baby’s mouth for some substances using little finger

6.

If the steps don’t work, turn the baby into upside position

7.

Use index and middle fingers to push the baby’s chest five times with the interval of three seconds each (Chest thrust)

8.

Turn the baby into side-lying position

9.

Check again the baby’s mouth

10.

If the steps don’t work as well, Repeat the steps and call medical expert

National English Centre – Bandung Branch Jl. Rancabolang No. 53 Manjahlega, Rancasari Bandung - Jawa
National English Centre – Bandung Branch
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