II. PERFORMANCE OF THE MANIPULATION
| Parameter name | Meaning |
| Topic of the article: | II. PERFORMANCE OF THE MANIPULATION |
| Category (thematic category) | Medicine |
1. Fill containers with warm water and place them nearby.
2. Measure the temperature of the water. It should be no higher than 37º
3. Place an oilcloth under the patient's arm.
4. Help the patient wash their hands with soap in the first container.
5. Place the patient's brush in a second container with warm water for a few minutes.
6. Place the patient's hands on a towel and wipe them dry.
7. Cut the patient's nails with scissors.
8. Apply the cream to the patient's hands. Do the same with the other hand.
9. Put a towel, oilcloth in a laundry bag.
III. END OF MANIPULATION.
1.Place the patient comfortably in bed.
2. Place the scissors in a container for disinfection.
3. Take off the gloves, place them in a container for disinfection.
4.Treat hands hygienically, dry
Shaving the patient
Target : cosmetic effect, creation of emotional comfort.
I PREPARATION FOR HANDLING
Introduce yourself to the patient, obtain informed consent from the patient, explain the course and purpose of the procedure. Wash your hands twice with soap and water. Treat hands hygienically, dry. Wear gloves. Place a chair at the head of the bed on the working side; Place two containers for warm water on a chair.
prepare equipment:
Water thermometer, liquid soap, non-sterile gloves, water T 40-45 ° C, oilcloth, brush and cream for and after shaving, towel, cloth
II. PERFORMANCE OF THE MANIPULATION
1. Moisten a napkin in water, wring it out and put on the patient's face for 5-10 minutes.
2. Remove the napkin, apply shaving cream with a brush
3. Shave the patient, pulling the skin with the other hand in the opposite direction to the movement of the razor.
4. Wipe your face with a damp and then dry cloth
5. Take off gloves, wash your hands
Shaving the skin of the preoperative or damaged area
Equipment
- Skin antiseptic,
- Oilcloth
Non-sterile gloves
Non-sterile gauze napkins
Sterile gauze wipes
Shaving aid (cream, foam)
Razor for single use
- Hair disposal container
Oilcloth apron
Hair clipper (if extremely important), screen
II. PERFORMANCE OF MANIPULATION - concept and types. Classification and features of the category "II. PERFORMANCE OF HANDLING" 2017, 2018.
Lesson # 5 Braking system Topic # 8 Control mechanisms On the device of automotive technology Conducting a group lesson Plan - outline Teacher of the POPON cycle, Lieutenant Colonel Fedotov S.А. "____" ....
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Safety razors can be disposable or reusable. Before shaving, look for moles on the face, as their damage is very dangerous for the patient's health. Suggest that he use shaving cream as it reduces the risk of cuts and makes the skin more elastic. After shaving, it is best to use a lotion containing alcohol, which is an antiseptic.
When using a safety razor, be careful not to cut your hands. Store the razor in a glass with the blade down. When shaving, wear latex gloves.
If the patient can shave on their own, give them the option.
Shaving the patient with a safety razor
Equipment: kidney-shaped tray, oilcloth, napkin for compress, napkin for removing cream residues, towels, patient's individual machine (or disposable), cream or foam, diaper, shaving brush (shaving brush), lotion.
I. Preparation for the procedure
- Explain the course of the upcoming procedure and obtain the patient's consent to perform it.
- Prepare the necessary equipment.
- Place the patient in a Fowler position. Cover the neck and chest with oilcloth and diaper.
- Wear gloves.
- Fill the tray with water (40-45 ° C).
Rice. 4.33. Shaving the patient with a safety razor
II. Procedure execution
- Moisten a napkin in water, wring it out and place it on the patient's cheeks and chin for 5-10 minutes (or moisten the face).
- Apply shaving cream or shaving foam to the skin, distribute it evenly with a shaving brush.
- Drive the machine down, pulling the skin up; shave first one cheek, then under the nose, then the other cheek, under the lower lip and the neck area under the chin.
- Moisten a napkin with water, squeeze it out and wipe your face.
- Dry it with a dry cloth with light blotting movements and moisten the skin with lotion.
- Give a mirror so that the patient can see himself.
III. Completion of the procedure
- Remove gloves and place them in the waste tray.
- Wash the hands.
Helping the patient to shave with an electric shaver
Equipment: soap, washing mitt, water container, lotion, electric shaver.
I. Preparation for the procedure
- Explain the course of the upcoming procedure and obtain consent to its implementation.
- Fill the tray with warm water (40-45 ° C), place it on a clean surface: check the temperature of the water with the back of your hand.
- Help the patient to sit up (if the patient is unconscious, slightly raise his head).
- Place a towel on the patient's chest.
- Examine the face to identify moles, birthmarks, foci of inflammation (these places must be "bypassed").
- Suggest that the patient wash his face with soap (or wash his face with a terry mitten).
Rice. 4.34. Shaving a patient with an electric razor
II. Procedure execution
- Help the patient to wet the face with shaving lotion: hair becomes softer, shaving is easier.
- With the fingers of one hand, pull the skin of the face, with the other, shave off the hair in a circular motion (to the chin and neck).
- Wipe your face with a damp terry mitten and wipe it dry with a towel that covered the patient's chest.
III. Completion of the procedure
- Give the patient a mirror so he can make sure he is well shaved.
- Offer to wet your face with aftershave.
- Wash the hands.
Introduce yourself to the patient, obtain informed consent from the patient, explain the course and purpose of the procedure. Wash your hands twice with soap and water. Treat hands hygienically, dry. Wear gloves, an apron. Place a chair at the head of the bed on the working side; Place two containers for warm water on a chair.
prepare equipment:
Water thermometer
liquid soap
non-sterile gloves
manicure scissors
two tanks for water
II. Performing manipulation
Fill containers with warm water, place them next to them.
Measure the temperature of the water. It should be no higher than 37º
Place an oilcloth under the patient's arm.
Help the patient wash their hands with soap in the first container.
Place the patient's brush in a second container of warm water for a few minutes
Place the patient's hands on a towel and wipe them dry.
Use scissors to trim the patient's nails.
Apply the cream to the patient's hands. Do the same with the other hand.
Put a towel, oilcloth in a laundry bag.
III. THE ENDINGMANIPULATION.
Position the patient comfortably in bed.
Place the scissors in a container for disinfection.
Remove gloves, place them in a container for disinfection.
Treat hands hygienically, dry
Shaving the patient
Target : cosmetic effect, creation of emotional comfort.
I preparation for manipulation
Introduce yourself to the patient, obtain informed consent from the patient, explain the course and purpose of the procedure. Wash your hands twice with soap and water. Treat hands hygienically, dry. Wear gloves. Place a chair at the head of the bed on the working side; Place two containers for warm water on a chair.
prepare equipment:
Water thermometer, liquid soap, non-sterile gloves, water T 40-45 ° С, oilcloth, brush and cream for and after shaving, towel, cloth
II. Performing manipulation
Moisten a napkin in water, wring it out and put on the patient's face for 5-10 minutes
Remove the napkin, apply shaving cream with a brush
The patient is shaved by pulling the skin with the other hand in the opposite direction to the movement of the razor.
Wipe your face with a damp, then dry cloth
Take off gloves, wash your hands
Shaving skin preoperative or damaged area
Equipment
Non-sterile gloves
Non-sterile gauze napkins
Sterile gauze wipes
Shaving aid (cream, foam)
Disposable razor
Hair disposal container
Oilcloth apron
Hair clipper (if necessary), screen
Skin antiseptic,
Preparing for the procedure.
Introduce yourself to the patient, explain the purpose and course of the upcoming procedure (if the patient is conscious). Make sure that the patient has informed consent for the upcoming procedure.
Ensure the confidentiality of the procedure (invite the patient to a specially designated room or install a screen).
Prepare the necessary equipment.
Help the patient to undress and take the necessary position (lying on his back, stomach, sitting on a chair). If necessary, place an oilcloth under the area of the leather to be treated.
Wear non-sterile gloves and an oilcloth apron.
Assess the condition of the skin in the area of surgery or the wound site (presence of lesions, rashes, neoplasms and signs of infection).
Determine the boundaries of shaving, taking into account the possible expansion of the surgical access.
Performing the procedure.
Treat the patient's skin with an approved skin antiseptic.
Make sure the skin is dry.
Proceed directly to shave the skin using a shaving product, if necessary: drive the machine down, pulling the skin up, until the hair is completely removed (when shaving the affected area, the direction of movement is from the edges of the wound outward, put a sterile napkin on the wound so as not to get hair ).
If the blade becomes dirty with hair, remove it with a tissue.
Treat the skin after shaving with a skin antiseptic.
End of the procedure.
Place hair in a container for disposal.
Place shaving razor, gloves and other used materials in a disinfection container.
Treat hands hygienically, dry.
Equipment:
Disinfection container.
Disinfectant.
Water thermometer
Liquid soap. Shampoo.
Shaving cream.
After Shave Cream.
Hand cream.
Non-sterile gloves.
Gauze napkins.
Towel.
Dirty laundry bag.
Water container, jug.
Inflatable bath
Washing head
I Preparation for the procedure:
4) Put on a disposable apron.
I Performing the procedure:
II End of the procedure:
Nail care
I Preparation for the procedure:
2) Identify the patient, introduce himself, explain the course and purpose of the procedure. Make sure that the patient has voluntary informed consent for the upcoming procedure. In the absence of such, check with a doctor for further actions.
3) Treat hands hygienically, dry. Wear gloves.
II Execution of the procedure:
III End of the procedure:
4) Treat hands hygienically, dry.
5) Ask the patient how he feels.
Shaving a seriously ill patient
I Preparation for the procedure:
1) Prepare everything necessary for the procedure, close the windows, provide the patient with confidentiality conditions.
2) Identify the patient, introduce himself, explain the course and purpose of the procedure. Make sure that the patient has voluntary informed consent for the upcoming procedure. In the absence of such, check with a doctor for further actions.
3) Treat hands hygienically, dry. Wear gloves.
II Execution of the procedure:
III End of the procedure:
3) Remove gloves, place them in a container for disinfection.
4) Wash your hands and dry them.
5) Ask the patient how he feels.
6) Make an appropriate entry on the performed procedure in the medical documentation
The technology of performing a simple medical service "Hair, nail care, shaving of a seriously ill patient"
Equipment:
Disinfection container.
Disinfectant.
Water thermometer
Liquid soap. Shampoo.
Shaving cream.
After Shave Cream.
Hand cream.
Non-sterile gloves.
Gauze napkins.
Individual hair brush (or comb).
Towel.
Dirty laundry bag.
Shaving razor (disposable) with safety blade
Manicure scissors (sterile).
Water container, jug.
Oilcloth apron. Roller (support under the patient's shoulders).
Inflatable bath
Washing head
I Preparation for the procedure:
1) Prepare everything necessary for the procedure, close the windows, provide the patient with confidentiality conditions.
2) Identify the patient, introduce himself, explain the course and purpose of the procedure. Make sure that the patient has voluntary informed consent for the upcoming procedure. In the absence of such, check with a doctor for further actions.
3) Treat hands hygienically, dry. Wear gloves.
4) Put on a disposable apron.
5) Place a chair at the head of the bed on the working side; Place the empty water container on the chair.
6) Fill another container with warm water and place it next to it. Measure the temperature of the water.
7) Undress the patient to the waist and cover the bare part of the body with a sheet, put a roller under the shoulders.
I Performing the procedure:
1) Remove all hairpins, hairpins. Take off your glasses. Comb the patient's hair.
2) Place an oilcloth under the patient's head and shoulders, the end of which is lowered into a container standing on a chair; on the edge of the oilcloth, put a rolled-up towel around the head, or use an inflatable bath.
3) Cover the patient's eyes with a towel or diaper.
4) Fill a jug with water and gently dampen the patient's hair.
5) Apply some shampoo and wash hair with both hands, gently massaging the patient's scalp.
6) Pour water into a jug and rinse off all the shampoo (if the patient asks, wash his hair with shampoo again).
7) Unfold a clean dry towel, lift the patient's head and dry his hair. If he is cold, wrap his head in a towel or kerchief. I
II End of the procedure:
1) Put the oilcloth, towel, roller lying under the head in a waterproof bag.
2) Change the sheet if necessary.
3) Comb the patient's hair. Offer him a mirror.
4) Treat hands hygienically, dry.
5) Ask the patient how he feels.
6) Make an appropriate entry on the performed procedure in the medical records.
Nail care
I Preparation for the procedure:
1) Fill the container with warm water, help the patient wash their hands with soap and water. Prepare the necessary equipment.
2) Identify the patient, introduce himself, explain the course and purpose of the procedure. Make sure that the patient has voluntary informed consent for the upcoming procedure. In the absence of such, check with a doctor for further actions.
3) Treat hands hygienically, dry. Wear gloves.
4) Place the patient's hands on a towel and wipe them dry.
II Execution of the procedure:
1) Cut the patient's nails with scissors.
2) Apply the cream to the patient's hands.
3) Put the towel in the laundry bag.
III End of the procedure:
1) Conveniently position the patient in bed.
2) Place the scissors in a container for disinfection.
3) Remove gloves, place them in a container for disinfection.
4) Treat hands hygienically, dry.
5) Ask the patient how he feels.
6) Make an appropriate entry on the performed procedure in the medical records.
Shaving a seriously ill patient
I Preparation for the procedure:
1) Prepare everything necessary for the procedure, close the windows, provide the patient with confidentiality conditions.
2) Identify the patient, introduce himself, explain the course and purpose of the procedure. Make sure that the patient has voluntary informed consent for the upcoming procedure. In the absence of such, check with a doctor for further actions.
3) Treat hands hygienically, dry. Wear gloves.
II Execution of the procedure:
1) Apply shaving cream to the patient's skin. With the fingers of one hand, pull the skin of the face, with the other, shave with straight movements from the chin to the cheeks.
2) Suggest to the patient to use aftershave lotion.
3) Offer the patient a mirror after the procedure.
III End of the procedure:
1) Place the machine and the shaving brush in a container for disinfection, dispose of the disposable machine.
2) Conveniently position the patient in bed.
3) Remove gloves, place them in a container for disinfection.
4) Wash your hands and dry them.
5) Ask the patient how he feels.
6) Make an appropriate entry on the performed procedure in the medical documentation
Additional information about the specifics of the technique
After shampooing, especially for women with long hair you should put a towel or kerchief on your head to avoid hypothermia. Toenails should be trimmed straight without rounding corners to prevent ingrowth. If the patient's skin is damaged, it should be treated with 70% alcohol. It is recommended to shave a seriously ill patient with an electric razor to reduce irritation and the risk of skin infection. When performing the entire complex of procedures, you should introduce yourself once.
The patient or his parents / legal representatives (for children under 15 years old) must be informed about the upcoming procedure. The information about the procedure communicated to him includes information about the purpose of the given action. Written confirmation of the consent of the patient or his relatives (proxies) for hair, nail and shaving care is not required, since these actions are not potentially dangerous to the patient's life and health.
Indications:
Contraindications:, infected skin. Equipment:
Shaving cream
After Shave Cream
Hand cream
Non-sterile gloves
Towel
Shaving razor (disposable) with safety blade.
| 1. Preparation for the procedure | Rationale and References * / why and why we do this / |
| 1.1. Prepare everything you need for the procedure, close the windows, provide the patient with confidentiality. 1.2. Identify the patient, introduce yourself, explain the course and purpose of the procedure. Make sure that the patient has voluntary informed consent for the upcoming procedure. In the absence of such, check with a doctor for further actions. 1.3. Treat hands hygienically, dry. Wear gloves. | To ensure clarity in work. Ensuring the patient's right to information Ensuring infectious safety. |
| Rationale and References * / why and why we do this / | |
| 2.1. Apply shaving cream to the patient's skin. With the fingers of one hand, pull the skin of the face, with the other, shave with straight movements from the chin to the cheeks. 2.2. Suggest to the patient to use after shave lotion. 2.3. Offer the patient a mirror after the procedure | Infectious safety is respected To ensure clarity in work. |
| 3. End of the procedure | Rationale and References * / why and why we do this / |
| 3.1. Place the machine and the shaving brush in a container for disinfection, dispose of the disposable machine. 3.2. Conveniently position the patient in bed. 3.3. Remove gloves, place them in a container for disinfection. 3.4. Wash your hands and dry them. 3.5. Ask the patient how he feels. 3.6. Make an appropriate record of the procedure performed in the medical records. | Ensuring infectious safety Continuity in the work of a nurse. |
| Possible Complications / / if necessary / |
|
| • Damage to the skin. If the patient's skin is damaged, it should be treated with 70% alcohol. |
|
| Specific information |
|
Resolution of the Chief State Sanitary Doctor of the Russian Federation of May 18, 2010 No. 58 "Sanitary and Epidemic Requirements for Organizations Carrying Out Medical Activities" SanPiN 2.1.3.2630-10.
National standard of the Russian Federation GOST 52623.4-2015 Technologies for performing simple medical services of invasive interventions
WASHING THE HEAD IN BED
(according to the nomenclature - code А14.01.002)
Indications: meeting the need for personal hygiene.
Contraindications: critical condition of the patient .
Equipment:
Water tank
Water thermometer
Towel
Comb (individual)
Oilcloth apron
Non-sterile gloves
Roller (support under the patient's shoulders) Inflatable bath (for shampooing).
Algorithm for performing the procedure
| 1.1. Prepare everything you need for the procedure, close the windows, provide the patient with confidentiality. 1.2. Identify the patient, introduce yourself, explain the course and purpose of the procedure. Make sure that the patient has voluntary informed consent for the upcoming procedure. In the absence of such, check with a doctor for further actions. 1.3. Treat hands hygienically, dry. Wear gloves. 1.4. Put on a disposable apron. 1.5. Place a chair at the head of the bed on the working side; Place the empty water container on the chair. 1.6. Fill another container with warm water and place it next to it. Measure the temperature of the water. 1.7. Undress the patient to the waist and cover the bare part of the body with a sheet, put a roller under the shoulders. | Ensuring the patient's right to information Ensuring infectious safety. To ensure clarity in work. |
| 2. The sequence of the procedure | Rationale and References * / why and why we do this / |
| 2.1. Remove all hairpins, hairpins. Take off your glasses. Comb the patient's hair. 2.2. Place an oilcloth under the patient's head and shoulders, the end of which is lowered into a container standing on a chair; on the edge of the oilcloth, put a rolled-up towel around the head, or use an inflatable bath. 2.3. Cover the patient's eyes with a towel or diaper. 2.4. Fill a jug with water and gently dampen the patient's hair. 2.5. Apply some shampoo and wash hair with both hands, gently massaging the patient's scalp. 2.6. Pour water into a jug and rinse off all the shampoo (if the patient asks, wash his hair with shampoo again). 2.7. Unfold a clean, dry towel, lift the patient's head and dry his hair. If he is cold, wrap his head in a towel or kerchief. | The safety of the patient is ensured. Personal hygiene |
| 3. End of the procedure | Rationale and References * / why and why we do this / |
| 3.1. Put the oilcloth, towel, roller lying under the head in a waterproof bag. 3.2. Change the sheet if necessary. 3.3. Comb the patient's hair. Offer him a mirror. 3.4. Treat hands hygienically, dry. 3.5. Ask the patient how he feels. 3.6. Make an appropriate record of the procedure performed in the medical records | Provides infectious safety Provides patient comfort Ensures work continuity |
| Possible Complications / during the procedure or after its completion / / if necessary / |
|
| After shampooing, especially women with long hair, put a towel or kerchief over their heads to avoid hypothermia |
|
| Specific information/ labor protection, prof. harmfulness, etc. / |
|
The algorithm was developed on the basis of regulatory documents:
Federal Law of November 21, 2011 N 323-FZ "On the Basics of Health Protection of Citizens in Russian Federation
Resolution of the Chief State Sanitary Doctor of the Russian Federation dated 09.12.2010 No.
163 "Sanitary and Epidemiological Requirements for Medical Waste Management" SanPiN 2.1.7.2790-10.
Nomenclature of health services (Ministry of Health and social development Russian Federation, 2011)
4. Resolution of the Chief State Sanitary Doctor of the Russian Federation of May 18, 2010 No. 58 "Sanitary and Epidemic Requirements for Organizations Carrying Out Medical Activities" SanPiN 2.1.3.2630-10.
