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-
         i.            -----------------
       ii.            -------------------
     iii.            ------------------



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item Practical Procedures list : FON
Practical Procedures list : FON
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