Riddling Wine Rack Toronto

daily patient care in the ICU:

made daily care to patients admitted to the ICU will be made with great care due to serious condition in which found. For this, the Nurse (Nurse) is responsible for directing the movements that you have to do to the patient. Work both the Nursing Assistant as with Celador in these demonstrations.

• hygiene, either skin, mouth, or eyes, etc ...
• bed linen changing.
• diaper change, douching, or changing her nightgown sweating
• postural changes.

The patient's personal hygiene:

• Patients without lesions core:

hygiene will be conducted by the nursing assistant helped by Warden and provide supervision and assistance of the nurse DUE.

The hygiene of the patient must be in an order that is established:

1. Eyes.
2. Cara.
3. Boca.
4. Ears.
5. neck and shoulders.
6. arms, hands and armpits.
7. Chest and breasts.
8. Abdomen.
9. Legs and Feet.
10. genital region.
11. Back and buttocks.

1-Hygiene of the patient's eyes: can be done by the nursing assistant or nurse as needed DUE .

Steps :

• will prepare the necessary materials:

-Batea

-saline.
-sterile gauze.

-syringe.

-Ointments

if necessary, prescribed by the physician. Steri-Strip
if necessary.

Action Protocol

• explain the patient what can we do: We will communicate with the patient when you're going to do any technique. Although it is capable of sedation. Thus achieving greater normality in our work. Many have recognized the voice of carers after long periods of unconsciousness.

We wash our hands:

• we put on the gloves. Click on the image for placement of sterile gloves.

• will preserve the privacy of the patient and holding the shortest possible time naked.
• will place the patient supine without a pillow. Always with the help and supervision of the nurse DUE.
• trying to undress the patient is covered with a towel or blanket.
• If it is first removed her nightgown over her head, and then by the arms. If you can not first one and then the other.
• If you had any trauma to the extremity or the existence of endovenous . First be removed the healthy limb nightgown and finally the victim.
• 's eyes with water will wash without soap and then will dry. The patient's head is tilted facing the person making hygiene. Whenever the patient's condition permits. If in doubt always ask. We will take
• impregnate gauze and saline. We will clean
• eye from the inner corner of the eye outwards . Thus facilitating the elimination of possible bacteria in a stream. Likewise, one or more gauzes used for each eye to avoid possible contamination the other eye.

• We must dry the eyelid folds (to prevent mold).
• Apply the ointment if necessary. Use
• Steri Strip if necessary to close the eyelids.

eye hygiene will at least 1 time a day and as often as necessary.
2 - Hygiene of the patient's face:

• We must also use water without soap and then will dry.

3 - Hygiene of the patient's mouth: can be done by the nursing assistant or nurse according DUE need.

Steps:

• prepare the necessary materials:

debate.

-Gauze

- Gloves.

-Swab.

-rubber.

-Tongue depressor.

-suction probe connected to the vacuum connection.

-Glass with mouthwash.

-towels.

-syringe.

-Vaseline.

mouthwash Protocol:

• We wash our hands and put on our gloves.
  

1. will place the patient supine with the head tilted to the side of the Nursing Assistant.
2. Put a towel or rubber below the face, to avoid soiling or wetting the pillow. Soak
3. several swabs in liquid mouthwash.
4. dissecting forceps with a gauze wrap a tongue depressor. Clean
5. gums, palate, tongue and teeth. "Use 1 swab for each area discarding used.
6. intubated patients: Oral hygiene is performed mouth watering with the oral solution. Loading it into a 20cc syringe and removing the liquid by suction. Be repeated as many times as necessary.
   
7. Apply Vaseline on the lips of the patient. If the patient requires oxygen does not apply petroleum jelly, and they are at risk of burns.

4-Laundering ears

Materials:

-gloves.

-sticks.

-Gauze.

Ear Wash Protocol:

• We wash our hands.
• put on our gloves.
• will place the patient supine with the head tilted to the side of the Nursing Assistant.
• With clean cotton swab the ear.
• With ears clean dressings.

5 - Neck and Shoulders and Underarms:

• First lather, then rinse and finally drying.

6 - Arms, hands

• will use the same technique of soap, then rinse and finally drying.
• will take particular care not to wet the path of venipuncture to avoid obstructing the work of nurses DUE.
• When washing hands patient we must look at the condition of the patient's nails. We may use nail brush if necessary.
• patient will cut the nails following the shape of the finger. " round."

7-Chest:

• continue lathering, clarifying and finally dried.
• In the case of a patient (woman ) we will not forget submammary area which we must dry thoroughly.

8-Abdomen:

• Lather, rinse and then dry.
• In the case of women must wash the area of \u200b\u200bthe folds, dry well and apply moisturizer if necessary.
  

9-Legs and Feet:

• Lather, rinse and finally drying.
• When washing the feet use nail brush if necessary and cut nails " Straight."
• is very important to wash and dry thoroughly between toes, thus avoiding the occurrence of fungal infections caused by fungi.

10-Genital Region: The patient will genital hygiene itself should be capable. If it were not, be done by the Nursing Assistant. Before performing the cleaning back and buttocks.

Materials:

-Gloves

-towels

-Wedge and rabbit

-Basin for hot water temperature 37 degrees Celsius.

-Gauze

-Salvacamas

-disposable sponge soaps.

Genital washing Protocol:

1. We wash our hands and put on our gloves.
2. We put the patient in lithotomy position if women. If male in supine and legs apart.
3. We cover the patient with a towel and leaving the genital area exposed. We put the savacamas
4. under the buttocks of the patient. If necessary we would put two. Wet
5. genital area with warm water. Wash genital

Women: Position gynecology.

• soaped up and clarify the genital area in the following order:

1. or mons pubis.
2. inner thigh area.
3. meatus.
4. Labia minora.
5. labia.
6. Perineum.
7. Year.

• With one hand separate the labia and wash with your other hand up and down using a gauze or sponge. Then from the center out using another new gauze.
• gauze or sponge with another pass up and down between the folds between the labia major and minor.
• Rinse with water and dry.
• Place the patient in lateral decubitus (left or right) and sponge perianal area: Always perineum anus. never go back "to vajina." Rinse with clean water and dry.

Washing the genitals in men supine position.

• shampoo the penis and testicles.
• Retract the foreskin and clean the glans meatus with circular movements using gauze out exclusively for that area.
• Aclararmos with water and dry them well. Put
• foreskin covering the glans, thus avoiding the appearance of Balanitis, or inflammation of the barnacle-preputial sulcus.
• Place patient in lateral decubitus (right or left) and sponge perianal area: Always perineum anus.

If the patient has a urinary catheter must perform a series of care

Cleaning and Maintenance of the IUC:

To prevent infections that cause the patient to be probed must perform a range of care.

Material Needed

• non-sterile gloves.
• swabs or dressings.
• saline. Clip
  
• Kock.
• antibacterial solution. Save or protective
• bed.
• Basin.
• water and soap.
• Sponge.

Technique:

1. Explain to the patient what we do.
2. Wear gloves.
3. place the patient in the proper position: Men: supine position. Women: supine with knees apart and bent.
4. Wash perineal area with saline, swabs kocher holding it with tweezers.
5. Clean with soap and water meatus and the area around the probe. Men: retract the foreskin and clean the glans. Women: should be separate lips and clean the meatus from front to back.
   
6. clean the part closest to the meatal swabs antibacterial solution, the area closest to the meatus to the distal site. Collect
7. material.
8. Arrange the patient. (If we are wet or soiled bed linen will be changed as needed.) Check
   
9. binding of the probe with the tube of the bag. Change
10. occasionally clamping area of \u200b\u200bthe probe "will prevent ulcers"
    
11. Note the technique performed.

11-Back and Buttocks: We will look at first is not contraindicated patient mobilization, as it is very common that they have suffered an injury which prevents us from moving the patient can .

• If the patient can be mobilized: place it in the left lateral decubitus position or right as it suits us.

In intubated patients:
- The nurse will be on the bedside taking care of the patient's neck and hold the laryngeal tube. Tell you when you start the mobilization of the patient.
- Warden will be responsible for moving the patient.
- The nursing assistant do the hygiene of the patient's back and buttocks. Lather, rinse and dry. Hydrate the patient's skin by applying cream.
done this made the bed you need to use the bed as soon as possible, taking all the clothes previously prepared.

1. will cover the patient with a folded towel or blanket.
2. be released by the clothes he is to the patient's back and folded into the patient. (Bottom sheet, intrusive, salvacamas).
3. mattress half now be exposed. We must put the clean clothes in the area. First will place the sheet and fastening it by the miter on that side. Stretch out the bottom sheet to the patient either to leave no wrinkles. The end of the bottom sheet corresponding to the other side of the bed, fold it together with the patient's back. Second meddling post the posting. The stretch to the patient and let it clean folded along the bottom sheet in contact with the patient's back. Third salvacamas We put the top of the draw sheet and bottom sheet. If the patient had diaper should leave the diaphragm on that side.
4. would put the patient supine. We will put on her nightgown. Place it in decubitus lateral (right or left) that was contrary to lying previously. First withdraw the laundry folded earlier we had left (as you can now remove all). Stretch out the clean clothes we had left folded earlier. It is very important that there are no wrinkles or the bottom sheet or the meddling. Second will post the bottom sheet by subjecting the miter and meddling.
5. set the patient supine. I can one on each arm almohoda protect the forearms and a pillow across the width of the bed. Contact the Achilles' heel protect the heels.
6. We put the sheet, quilt and then look by the miter on both corners of the footboard. If the patient is cold we'll add a blanket.

In patient tubing: will be the same way but the nurse can work with the nursing assistant and uncoupling to bed faster. Since we do not have to hold the head and the patient's breathing tube. The caretaker is responsible for the mobilization of the patient when required by the nurse DUE.

1 - Materials To Make A Bed Hospital:

• Sheets:

1. Bajera : Four Corners can be adjustable. Bends to the right width and inland. Countertop
2. : Dual across and with the back towards the interior.
3. meddling : Put on the rubber to avoid skin contact with plastic. Bends to the right width and inland.

Bath Towel
• : to cover the patient and warmth.
  

• Underpad: It is impermeable and soft material and placed over the draw sheet and will contact the patient's buttocks. Manta
• : No weight should be no burden to the patient. Bends to the right width and inland.
• Pillow: Pillow Covers and protects.

• Patients with spinal cord injuries or burns:

Such patients have a contraindication to its mobilization. For this there are special cranes which enable it to lift without having to change its position. The crane with a base consisting of bars and ribbons on which the patient will be deposited. It can lift the patient to later make a personal hygiene in the back of the patient or to change the bed clothes to be wet or simply require their return.




La Camilla equipped with tape is designed for lifting and moving extremely demanding horizontal elevations. Lift straps easily placed under the patient without having to rotate.
designs have three different widths: standard (70 cm), width (80 cm) and adjustable (60-90 cm).
The maximum load is between 200-250 kg depending on model. (The picture is of Liko IC Mod 600)

Elevation with ribbons

Place conveyor belts under the body in the desired positions. The nursing staff responsible
determine the amount of tapes needed for each case (see alternatives below.)
For security reasons, the Liko Camilla Mod 600 IC is designed for lifting straps are secured automatically when the load was properly attached to the tapes. Therefore, place the patient in bed before the tapes can loosen or move.

• Begin by placing tape over the body positions the tapes subsequently rise.

• Place small pocket knife on the tape. Turn tape for the pocket facing abajo.Es much easier to place the tapes if the surface / bed sheet is taut and smooth.

Place

• tapes under the patient using a spatula. Take the tape approximately 40 ° from the bed and gently push the knife diagonally downward and upward.

• Take the tape and slide side to have the same length on both sides. Each time you locate each tape, attach the ends of tape above the patient

• Remove the side rails and place the tape over the closure of the tapes, as shown. NOTE! Always start by placing the tape from the top down. tape seals can slide from side to match the position of the lifting tape.

• Lower the stretcher to the bed just above the center of gravity of the patient, usually just below the navel.

• Slide the side rail toward you. Then, take a full turn (360 °) to side rail, as shown in the illustration. NOTE! The ends of the tape are then under the tapes.

• Place the side rails on the elevated rail bed to be blocked. Make sure the tapes do not get stuck elevation between the lifting rail and side rail. If that happens, adjust the lift rail with the control on the underside or replace the lift strap.

• Double safety lock inward above the side rail. (Note that even a partial shift, ie less than 180 º, protect the side rail to disengage unintentionally).

• Adjust each lift strap sliding the end of the tape inside - slightly down toward the patient, as shown in the illustration.

is

• can start lifting. Check that the patient is suspended in the desired position, ie horizontally or head usually slightly higher. See Adjusting the center of gravity during a lift with tape / sheet elevation.

When you are finished with the elevation

• Lower the patient to a solid base. Mismatch lifting straps lifting them up, as shown in the picture. When all the tapes out of adjustment in elevation, you can disengage and remove the side rail. Remember to make back the safety catch so that it is at an angle of 90 ° to lift rail.

• Remove tape carefully engineered lifting under the patient with the spatula. For less friction, slide the ends of the tapes under the same tapes in elevation. Or, smoothly lifting straps located under the patient without a spatula.

CG Set

• If the patient is not balanced during the lift, make adjustments by lowering the patient to a solid base to relieve the weight of the tapes. In this position, the side rails can be moved by the elevated rail bed to achieve the right balance.

How to bed when the patient is high on the lift plate:

Materials:

Sheets:

1. Bajera : Four Corners can be adjustable. Bends over and the right inland. Countertop
2. : Dual to reverse acho and inland.
3. meddling: is placed on the rubber to avoid skin contact with plastic. Bends to the right width and inland.

• Towel Bath: to cover the patient and warmth.
  

• Underpad: It is impermeable and soft material and placed over the draw sheet and will contact the patient's buttocks. Manta
• : No weight should be no burden to the patient. Bends to the right width and inland.
• Pillow: Pillow Covers and protects.

Action Protocol:

• Take all necessary materials.

• Wash hands.

• Place the bed in a horizontal position and braking.

• Explain the procedure to the patient.

• Prepare sexy in order.

• order to continue to break and make the bed. Nursing assistant 1, 1 DUE Nurse, 1 Celador.

necessary materials and placement order:

• in the chair is placed in the following order:

1. Pillow and pillowcase.
2. Bedspread.
3. Manta.
4. Worktop.
5. meddle.
6. rubber.
7. Bajera.
8. mattress cover or rain cover.

Technical or Action Protocol:

• Warden will be responsible for the placement of the tape lift the stretcher and patient management with the crane. Also assist in the realization of the bed if necessary.

  The nursing assistant is responsible for carrying out the bed, cleaning the patient with the help of Nurse (DUE).

1. Wash hands. Curbing
2. wheels of the bed and placed in horizontal position.
3. Remove dirty clothes, piece by piece without shaking. And double that needs changing.
4. Place the clothes in the chair in order. All Lingerie
5. opens gently, without aerating and centering it starting with the header.

• Place mattress cover, and whether it will zip to your feet.
• The bottom sheet: With miter corners (first in the head and then to the feet). Angle of 45 degrees.
• draw sheet: They generally focus on the 1 / 3 of the bed. You can also use a bottom sheet folded in half.
• The Top: It unfolds from the head to toe and is made miter.
• The Manta: miter was placed with the feet. And you can leave a crease at the feet to allow patient mobility.
• Quilt: The Place to the head, is submitted on the blanket and fold the fold of the counter above the quilt. Countertop, blanket and bedspread can be submitted jointly to the feet and the bed can be left:
  

1. Open: Doing half turban shaped corner.
2. Closed: Full Mitra.

• Place pillowcase.

Click here if you want to see the mobilization of the patient with normal crane.