The Importance of Handwashing
★ Hand-washing steps:
a. Wash hands
b. Lather hands with soap
c. Scrub for 20 seconds
d. Rinse hands
e. Dry your hands with a towel
★ Should take 2 minutes
★ Hand-washing before and after gloves on and off and when touching a patient
★ Clothes should NEVER touch the sink
How to Properly Remove Gloves
★ Steps:
a. Use your hand to grab the glove at the opposite wrist
■ DO NOT touch your bare skin
b. Turn it inside out by pulling it
c. Clasp the glove with your gloved hand
d. For the second glove, insert your hand inside the glove under your palm
■ Pull the glove inside out
e. Throw away the gloves
f. Follow with handwashing
Measuring & Recording Weight
★ Reading a weight scale steps:
a. Wash hands
b. Pull the curtain closed for patient’s privacy
c. Ask if patient is dizzy
■ Dizzy = Give them time to rest & water
■ Not dizzy = Tell patient to stand and use one of your arms as an aid if
needed
d. Walk patient to scale
e. Zero out the scale (make sure scale is at 0 lbs.)
f. Assist patient up the scale
g. Weigh the patient
h. Assist patient off scale and back to the chair
i. Read the weight measured from scale
j. Clear the scale
k. Wash hands, place call light in patient’s hand
l. Pull the curtain closed before leaving
Recording Blood Pressure
★ Systolic: High measurement
★ Diastolic: Low measurement
★ Supplies needed:
○ Blood pressure cuff
○ Stethoscope
★ After entering the room, closing the curtain, announcing yourself and your purpose,
and checking your patient’s identity:
1. Wash hands
2. Raise patient’s bed to sitting position
3. Position patient’s arm with palm up and elbow level w/heart
4. Wrap cuff 1 inch above the antecubital (surface of arm in front of elbow)
5. Locate the brachial artery & place stethoscope over it
6. Inflate cuff safely; should be no more than 30 mm above the last pulse heard
7. When you no longer hear the pulse, deflate slowly
8. Stop when you hear pulse
a. Record measurements
b. Systolic measurement
9. Continue until you hear the last beat
a. Diastolic measurement
b. Record measurement
10. Remove cuff
11. Leave respectfully & put call button in patient’s hands
Pulse & Respiration Rate
★ Pulse rate: # of heart beats per minute
○ Normal for adult: 60-100
■ Irregular = Tell a nurse immediately
★ Respiration rate: # of breaths per min
○ Taken after pulse rate
■ Because patient is unaware of it being taken
○ Normal for adult: 12-20 breaths/min
★ Measuring pulse:
○ Knock patient’s door, introduce yourself & your duty , close the curtain, check
patient’s ID
○ Wash hands
○ Lie patient down
■ Support their forearm with 1 hand
○ Place 2 fingers on radial pulse
■ Found on wrist down the thumb
○ Record patient’s beat for 1 minute
★ Measure respiratory rate:
○ Tell patient you are going to record pulse 1 more time
■ Instead record respiration
○ While holding wrist, count respiration from chest
■ First chest fall = 1 breath
○ Count & record respiration for 1 min
○ Wash hands
○ Place call light in patient’s hands