Saturday, June 18, 2016

Nursing Procedure: How to Give Eat Patient Via NGT


 FEED PATIENTS VIA NGT



STANDAR
OPERATING
PROCEDURE


DEFINITIONS
Incorporating liquid food / drug via naso gastric tube
GOALS
  1. Maintaining nutritional status
  2. Administration of drugs
POLICY
Patients who can not eat by mouth
EMPLOYEE
Nurse
EQUIPMENT
  1. Boiled water
  2. Liquid food / medicine
  3. Funnel
  4. 5/10 cc syringe
  5. Tissue
  6. Perlak / pengalas
  7. Crooked
  8. Gloves
PROCEDURE IMPLEMENTATION
Phase Pra Interaction
  1. To verify the data previously when there
  2. Washing hands
  3. Placing the device near the patient correctly
Phase Orientation
  1. Greet and say hello to the patient's name
  2. Describe the purpose and procedures of action on the family / patient
  3. Asking for consent and readiness of clients
Work Phase
  1. Maintaining privacy
  2. Adjust the position of the patient in semi-Fowler position /          Fowler (if no contraindications)
  3. Wearing gloves
  4. Installing pengalas on your chest
  5. Determine the position of NGT by aspiration of gastric contents
  6. installing funnel
  7. Entering boiled water, open the clamp, elevate 30 cm, before the expiry of the clamp back
  8. Incorporating liquid food, open clamps, elevating 30 cm, clamps back before it runs out
  9. Entering boiled water, open the clamp, elevate 30 cm, before the water runs out the clamps back
  10. Closing the end of NGT with syringe / clamps
  11. Clean the leftovers in patients
  12. tidying patients
Phase Termination 

  1. To evaluate actions 
  2. Saying goodbye to the client Tidy tools 
  3. Washing hands 
  4. Noting the activities in the nursing record sheet

Nursing Procedure: How to Take a Bath Patient in Bed


HOW TO BATH A PATIENT IN A BED



STANDAR
OPERATING
PROCEDURE


DEFINITIONS
Clean the patient's body with clean water and soap
GOALS
  1. Cleaning the skin and eliminate body odor
  2. Carry out personal hygiene
  3. Providing a sense of comfort

POLICY
Patients who need help bathing in bed
EMPLOYEE
Nurse

EQUIPMENT
  1. 1 sets of clean clothes
  2. The shower basin 2 pieces
  3. Hot and cold water
  4. Washcloth 2 pieces
  5. Perlak and small towels 1 piece
  6. Great towels 2 pieces
  7. Blanket bath / slipcover
  8. plastic apron
  9. An enclosed place for dirty clothes
  10. Bath soap
  11. Powder
  12. Clean gloves
  13. Bedpan / urinal and pengalas
  14. bottle cebok

PROCEDURE IMPLEMENTATION
Phase Pre Interaction
  1. To verify the client's treatment program
  2. Washing hands
  3. Placing the device near the patient correctly
Phase Orientation
  1. A greeting as a therapeutic approach
  2. Describe the purpose and procedures of action on the client / family
  3. Asking the client's readiness before the activities carried out
Work phase
  1. Maintaining privacy
  2. Washing hands
  3. Replacing the covers clients with a blanket bath
  4. Undress on clients
  5. washing face
  6. Waving a small perlak and a small towel under the head
  7. Offers patients using soap or not
  8. Cleansing the face, ears with a damp washcloth in the drain anaesthetized
  9. Scrolling perlak and towels
  10. wash ARM
  11. Lose belly client gets a bath blanket
  12. Installing a large towel over the chest transversely clients and clients both hands placed on the towel
  13. Moisten hands of the client with a washcloth to clean water, lathered, rinsed with warm water (do starting from the farthest extremity client)
  14. Wash CHEST AND STOMACH
  15. To undress under the client and lowered the blanket to the lower abdomen, hands placed over the head, unfurling a towel on the client side
  16. Wash armpits and chest and abdomen with a wet washcloth, lathered, rinsed with warm water and dried, then cover with a towel
  17. wash BACK
  18. Tilting the patient towards nurses
  19. Waving a towel behind the back to the buttocks
  20. Moisten the back until the buttocks with a washcloth, lathered, rinsed with warm water and dried
  21. Giving powder on the back
  22. Reverting to the supine position, and then help the patient to wear
  23. washing feet
  24. Issued a blanket feet of the patient from the bathroom properly
  25. Waving a towel under the leg, bending the knee
  26. Moisten the legs from the ankle to the groin, lathered, rinsed with clean water, then dried
  27. Do the same for the other foot
  28. Wash Fold THIGH AND GENITAL REGION
  29. Waving a towel under the buttocks, then opened the bottom blanket bath
  30. Moisten the groin and genital area with water, lathered, rinsed, then dried
  31. Lifting the towel, helped wear down clients
  32. Tidy up the client, replace the bath with a blanket bed blankets
Phase Termination
  1. Evaluating the results of the action
  2. Saying goodbye to patients
  3. Clean up and return the device to its original place
  4. Washing hands
  5. Noting the activities in the nursing record sheet