Practical Procedures list : FON

1.1  Bed making

                    i.Open bed / admission bed
       ii.            Occupied /bed
     iii.            Closed bed
     iv.            Post-operative bed
       v.            Cardiac bed
     vi.            Divided bed: (burns and amputation )

1.2  Positions

                 i.    Dorsal recumbent (supine)
       ii.            Lateral (side lined)
     iii.            Fowler’s
     iv.            Sim’s (semi prone)
       v.            Lithotomy
     vi.            Prone
    vii.            Trendlenburg  & reverse trendlenburg

1.3   Personal care

         i.            Mouth care

·         ·         Conscious patients

·         ·         Unconscious patients

       ii.            Bath

·         ·         Assisting for bathing in bath room

·         ·         Sponge bath

     iii.             care of hair

·         ·         Combing

·         ·         Hair wash

·         ·         Pediculosis treatment

        iv.            Nail and foot care

1.4  Moving and transferring

         i.            Lifting and moving patient in bed

       ii.            Transferring the patient from-

·         ·         Bed to chair / wheelchair or vice versa

·         ·         Bed to trolley/ stretcher or vice versa

     iii.            Walking with aids

·         ·         Crutch walking

·         ·         Cane walking

·         ·         Walker

1.5  Observation

1.   Vital signs

         i.            Temperature

§    ·         Oral

§  ·         Rectal

§  ·         Axillary, groin

         ii.            Pulse

     iii.            Respiration
     iv.            Blood pressure

1.6  Assessment of patient

·         ·         Skin, nail

·         ·         Head & face

·         ·         Eye

·         ·         Ear

·         ·         Nose & sinuses 

·         ·         Oral cavity

·         ·         Neck

·         ·         Thorax

·         ·         Abdomen

·         ·         External genitalia and anus

·         ·         Back and extremities

·         ·         Neurological status

1.7  Collection of specimen and observation

                 i.            Urine

·         ·         Routine

·         ·         Culture ‘

·         ·         24 hours

                ii.            Sputum

·         ·         Afb

·         ·         Gram staining

              iii.            Blood –routine

·         ·         Cbc

·         ·         Coagulation

·         ·         Biochemistry

·         ·         Microbiology

   iv.            Gastric contents

·         ·         Vomitus

·         ·         Faeces

               v.            Blood sugar glucometer slides

1.8  Nutritional needs

                i.            Types of diet

·         General

·         Special

                ii.             making diet requisition
     iii.             feeding helpless patient
     iv.             insertion of nasogastric tube
       v.             nasogastric feeding (gastric gavage)
     vi.             intake and output

1.9  Recording and reporting

         i.            Reports

·          oral

·         Written

       ii.            Nursing care plan – i

     iii.            Nursing care plan – ii

1.10          Care , disinfection and sterilization of medical devices

      i.            Non –critical items

    ii.            Semi – critical items

  iii.            Critical items

1.11          Biomedical waste management

            i.            Segregation (color coding : black , blue , red, yellow and sharps)

          ii.            Collection

        iii.            Transportation

        iv.            Disposal

1.12          Application of heat

                    i.            Hot water bottles/ bag
       ii.            Local hot bath (hand ,foot,sitz)
     iii.            Heating pads
     iv.            Fomentations:
  ·         Simple
·         Medicated
·         Surgical
 

1.13          Application of cold

                   i.            Application of ice bag / cap/ poultice
       ii.            Cold compress
     iii.            Cold or tepid sponge
     iv.            Cold pack
 

1.14          Inhalations

         i.            Moist:

·         ·         Nelson /inhaler

       ii.            Dry:

a.       Oxygen inhalation

o   Nasal catheter

o   Face mask

o   Nasal prongs

o   Hood

o   Venture mask

b.       Nebulisation

     iii.            Chest physiotherapy

1.15          Elimination

         i.            Bed pan
       ii.            Urinal
     iii.            Perineal care
     iv.            Urinary catheterization
       v.            Enema

·         ·         Cleansing

·         ·         Retention

·         ·         Procto –clysis

     vi.            Bowel wash / colonic irrigation
    vii.            Introduction of suppository
  viii.            Flatus tube insertion
 

1.16          Admission and discharge

         i.            Admission  procedure
       ii.            Discharge procedure
     iii.            Transfer
     iv.            Mlc ,lama, abscond

1.17          Care of dead

         i.            Death pack : mlc ,hiv/ aids infectious body
       ii.            Death report
     iii.            Support of grieving patient and family
     iv.            Requisites for organ donation
       v.            Embalming method : procedure to be observed

1.18          Bandaging

         i.            Circular – finger
       ii.            Spiral – upper and lower extremity
     iii.            Reverse spiral
     iv.            Figure of eight:

·         Shoulder joint

·         Elbow joint

·         Hip joint

·         Knee joint

·         Ankle joint

       v.            Application of splints
     vi.            Triangular (arm sling)
    vii.            Binders (chest and abdomen )
  viii.            Head
      ix.            Eye
       x.            Ear
      xi.            Stump
    xii.            Neck collar (hard , soft)

1.19          Medications

         i.            Oral medicine

·         Liquid

·         Tablets

·         Powder

       ii.            Rectal medicine
     iii.            Parenteral medication

·         Intramuscular

·         Subcutaneous

·         Intradermal

·         Intravenous: routine drugs ( except dyes , cancer chemotherapy, immunosuppresants)

·         Venipuncture

·         Starting of intravenous infusion

·         Assisting blood transfusion

Presentation of patient histoy and physical examination-

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