home health care laboratory file 2015-2016 · reclining bath lift - sonaris bathlift. includes a...

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Edited by Coordinator of HHC Lab

Dr. Abeer Ali Assistant Professor of Internal Medicine

College of Nursing University Of Dammam

Home Health Care Nursing Laboratory

College of Nursing

2015 – 2016

1436 - 1437

University of Dammam College of Nursing

Home Health care Laboratory

Home Health Care Laboratory


Table of content

# Document Page

1. Vision, Mission, Objectives 3

2. Schedule of Occupancy 6

3. Standard of Conduct 9

4. Procedures 12

5. Inventory 14

6. Checklists 31

7. Students satisfaction Questionnaire 42




The home care lab is dedicated to providing its students with the clinical experience needed to provide care and companionship to patients in the comfort of their own home. Students will learn to offer help with activities of daily living such as bathing, feeding, dressing, transfers, and incontinence care. They will also learn to help clients with everyday tasks such as meal preparation, nutrition monitoring, help with shopping and running errands, medication reminders, assistance with walking, and most importantly—companionship and friendly conversation. Students also learn to provide, if the condition warrants, lab service, wound care, catheter care, help with tube feedings and IV therapy as well as in-home assessment and personal instructions to family members.

Mission: Provide high quality educational /training programs to produce well-rounded home care nurses capable of dealing with diverse populations of patients.

Vision: Be recognized as a premier lab of excellence in learning home healthcare skills.

Objectives: x Produce highly qualified home care nurses who are able to provide quality holistic care to their

patients. x Develop creative modes of teaching and updating patient assessment skills, empowering the

nursing staff to provide an advanced level of home care . in order to x Prepare home care nurses for advanced levels of practice through applying creative and

interactive, rather than rigid and proscriptive teaching, learning, and training strategies. x Emphasis on community-based care, health promotion, disease prevention, family involvement,

and self-care with the integration of technology. x Demonstrate accountability, responsibility, and professional values in the practice of home care

nursing. x Acquire the special clinical skills needed for the care of frail elderly as well as disabled and

non-ambulatory patients in institutional and home environments.

x Access services within the community's aging network which help to improve the quality of life of older persons

x Obtain the most valid and reliable clinical findings by applying the appropriate modifications necessary in the examination of older patients.

x Differentiate expected age-related health changes and their functional implications from pathological conditions and their effects.

x Acquire additional knowledge not only about common systemic diseases associated with aging but also their systemic and functional implications.




شيد معمل الرعاية الصحية المنزلية بكلية التمريض خصيصا ألمداد الطالبات بالمهارات السريرية الالزمة لرعاية و مرافقة المرضى فى منازلهم . و من خالل هذا المعمل سوف يتم تعليم الطالبات كيفية مساعدة

التنقل باالضافة الى مشاكل –البس ارتداء الم –تناول الطعام –المرضى فى احتياجاتهم اليومية كاالستحمام –االخراج الالارادى. كما سيتم تدريبهم على مساعدة مرضاهم فى القيام باالنشطة اليومية مثل تحضير الطعام

المساعدة فى المشى و محادثة الرفاق و االصدقاء. و -التذكرة بمواعيد االدوية –التسوق –مراقبة التغذية لمن طرق العناية بالجروح و القيام بالخدمات المخبرية ، و تركيب و العناية بجميع ايضا فان الطالبات سيتع

أنواع القساطر و أنابيب التغذية و العالج الوريدى . و هذا باالضافة الى تقديم المساعدات الالزمة و االرشادات الصحية ألفراد عائلة المرضى .

الرسالة :

لمى عالى الجودة و ذلك لتخريج متدربات للرعاية الصحية المنزلية على امداد الدارسات ببرنامج تدريبى ع للمرضى .درجة عالية من الكفاءة للعناية بشتى أنواع المشاكل الصحية

الرؤية:

أن نعرف كمعمل سباق و رائد فى تعليم الرعاية الصحية المنزلية .

االهداف : ة و لمواكبة هذا التطور فانه لزم علينا األتى:نظرا للتطورالمستمر فى الرعاية الصحية التخصصي

فى - العمل على تهيئة خريجات على درجة عالية من الكفاءة تؤهلهم ألمداد المرضى -1 برعاية صحية شاملة . -منازلهم

تحديث و ابتكار طرق متطورة للتدريس لتمكين الخريجات من مواكبة المتطلبات الحديثة فى الرعاية -2 المنزلية .الصحية

شرح وتعليم المتطلبات و المسئوليات و القيم المهنية فى ممارسة التمريض المنزلى . -3




Schedule of occupancy for Home Health Care Lab

Academic year 2015-2016

First Semester

Day/Time 8:00-12:00 N 12:00-1:00 PM 1:00-3:00 PM

Sunday

Nursing Management

Break Nursing Management Fatat Akaleej

Monday

Nursing Management

Break Nursing Management Fatat Akaleej

Tuesday Maintenance Fatat Akaleej Wednesday

Break Fatat Akaleej

Thursday

Break Fatat Akaleej

Home Care Lab Manager Coordinator of Home

Care Lab Clinical skill laboratories

Coordinator

Mrs. Hend Al ruwished Dr. Abeer Ali Dr. Radwa Hamdi Bakr




Schedule of occupancy for Home Health Care Lab For academic year 2014-2015

First semester:

Course Time Course Time Day Fatat Al Khaleej

Course 1-4 pm Nursing Management 8 am- 12 pm Sunday

Fatat Al Khaleej Course

1-4 pm Nursing Management 8 am- 12 pm Monday


1-4 pm Fundamentals of Nursing I

8am –12pm Tuesday


1-4 pm Fundamentals of Nursing I

8am –12pm Wednesday


1-4 pm Maintenance Thursday

Second semester:

Course Time Course Time Day Community Health Nursing (Bridging)

1-4 pm Critical Care Nursing 8 am- 12 pm Sunday

Community Health Nursing(Bridging)

1-4 pm Critical Care Nursing 8 am- 12 pm Monday

Maintenance Tuesday

Community Health Nursing

8am –12pm Wednesday

Community Health Nursing

8am –12pm Thursday

Lab Coordinator Dr. Abeer Ali




Code of Conduct for Home Care Laboratory Students are expected to demonstrate professional behavior and act as responsible adults consistent with standards associated with health care practitioners. A strict dress code is required inside the Home Care Lab. Students may be dismissed if they fail to comply with this dress code. It is the students’ responsibility to attend laboratory sessions and participate in Lab procedures and activities. The following misconduct is subject to disciplinary action: x All forms of dishonesty including cheating, plagiarism, knowingly furnishing false

information to the Lab, and the forgery, alteration, or use of laboratory documents or instruments of identification with the intent to defraud.

x Disruption or obstruction of teaching, or other laboratory activities. (Including, but

not limited to disruptions caused by cell phones, and other electronic devices.) x Vulgar or obscene language or an angrily raised voice which is perceived to have

an intimidating effect. x Unauthorized entry into or presence in Home Care Lab. x Violation of HC Lab policy and procedure on demonstrations.

Bulletin Board: x Bulletin boards for student are located at designated areas beside Lab entry (door). x Any official notifications, posters, and other promotional material for the Home

Care Laboratory will be available there for all students. x Any flyer not signed or stamped will be removed. Also, any flyer in a non-

designated will be removed.




CLINICAL SIMULATION LABORATORIES PHOTOGRAPHY RELEASE

I , ___________________________________ hereby agree to allow

___________________________________ to record or photograph my performance

in the clinical simulation lab , for use in simulation sessions for teaching purposes or

for use in educational materials , brochures, manuals and presentations.

Date: _____________________________________________________

Name: ____________________________________________________

Signature: _________________________________________________




List of procedures and simulations taking place in Home Care Lab

Procedures

� Stroke Rehabilitation: Nursing Intervention Strategies : o Rehabilitation following Stroke o Patient Education in the Home: Key Concepts and Application o Assisting stroke patient with dressing o Assisting with the use of Oxygen concentrator o Slid board transfer o Transfer from wheelchair to shower and assisting with shower o Transfer from wheelchair to toilet o Insertion and removal of Female Urethral Catheter

� ASSISTING WITH THE USE OF THE HYDRAULIC LIFT � HOME ASSESSMENT VISITS � NURSING BAG TECHNIQUE: The Community health nursing bag � PERINATAL NURSING ASSESSMENT / ANTINATAL &

POSTPARTUM CARE � ROLE PLAY � GUILINES FOR COMMUNITY ASSESSMENT

� Telehealth & Telenursing




List of equipments included in Home Care Laboratory

Master room ( adult bed room)

Child room




Kitchen cabinet (upper and lower).

Bathroom




Basic patient care manikin elderly Basic patient care manikin adult

Basic patient care manikin child Basic patient care manikin child.

829802

Positioning and Torso Wedge 927453

Soft-Fall Bedside Mat 36"W x 68"L x 2"H




A71160

BeasyTrans™ Easy Transfer A7114

The Transfer Handle

553682

Electric Patient Lift 7194 Get-U-Up™ Hydraulic Stand-Up

Lift Transport Sling, 29"W x 39"L

Slings for use with Electric Patient

Lift 5536-82 Padded U-Sling

926993 Patient Mover Standard




4525S Three-in-One Tri Stander from Tumble Forms 2

553687 Full Body Patient Sling. Mesh Medium, 41"W x 38"L

Kitchen

Cat.n. 564237 Maddak Redware

Tableware

Kings Assessment Kit555616 Cat .n.

Weighted Dining Kit Cat.n. 555651

Parkinson’s Deluxe Cat.n.557140

Weighted Kit




Pediatric Dining Kit 555651 Cat.n. Cat .n. 555683

-145401-1453-145201-1452-Cat.n. 14511455-145403 145404 -145402

Independence Drinkware with Interchangeable Lids Independence

Mug

Fit -Cat.n. 559317 Invacare IShower Chair With Back

Cat.n. A83031 Carex Plastic Transfer Bench With Commode

Cat.n Fit Shower Chair-Invacare I.567007 Bathmaster Sonaris

Sonaris Bathlift. -Reclining Bath Lift Includes a hand controller with battery &

echarg




Toilet Riser With Cat. n . 564230 Arms. The height from the toilet bowl to top of arm is 12"H. Width between

arms 171/2"

Cat . n .A92418 Carex Toilet Safety Frame

556277 Adjustable Height Bath Step

Cat . n .559314 Commode Ring and Toilet Seat

Cat . n . 6327 Curved Bath Brush

Dek® Nonslip -Cat .n . 6248 DriShower Surface




Autoclavable -Cat .n. 559230 Non

Fracture Bed Pan

Cat .n .559229 Autoclavable Fracture Bed Pan

Urinals. Cat .n . 600601 Carex Clear Bed

Male Urinal $ 14.99

Cat .n .559234 Wash Basin

-Cat .n . 6217 Telescoping Self

Examination Mirror

Cat . n .557435 SelfWipe® Toilet Aid




Inventory of Home Care skill Lab (2015-2016)

Remarks QTTY Equipent & Supplies & Furniture

Cabinet # Sr #

Brown color 1 Cupboardt w/ draw doors 1

5 drawers 1 Bed side table with mirror 2

Small w/2 drawers 2 Bed side cabinet 3

1 Cabinet w/ 5 drawers 4

1 Wooden Bed Double 5

1 Single bed 6

2 Lamp 7 upper &lower 2 Kitchen Cabinets 8 1 Nurses Station 9 1 Computer table 10 Arm chair 10 Chairs 11 Borwn color 2 Swivel Chair 12 1 Bulitin board 13

w/remote 1 Data Show 14 2 Dell CPU 15 2 Screen 16 2 Keyboard 17 2 Mouse 18 1 Emergency Cart 19 1 Tube bath 20 1 Sink 21 1 Toilet 22 1 Locker 23 w/remote 1 AKAI LCD TV 24 1 Wheel chair 25 1 wall watch 26 1 small white board 27

Bed side Cabinet 1 560-7042-0000 1 DRI Sleeper excel

Dra

wer

1 1

Not inside carton 1 Taking Timer & Clock 2

90507003 1 Eschenbach Videolupe /Quick look magnifier

3




1 Ez Read /Electronic Reading Aid /Electronic Pocket Vision Aid Viewer Vision Aid

2nd

Dra

wer

2

Bed side Cabinet 2 1178100 2 Laryngeal Mirror w/o handle

12mm #1178/00

1

Mode 8820 1 Taking Calculator

Dra

wer

1

2 1 Hand free Magnifier 3

78677-0000 1 Bar Magnifier

Dra

wer

2

1 1 Amerphone /Taking Telephone 2

Bed Side table w/mirror #25042 1 universal Holder Razor -

Toothbrush

Dra

wer

1

1

4081 1 Fone Holder Fone -Flipper 2

5575-07 1 Weighted Disposable -Razor cuff 3 Black Color 1 Multi purpose power Grip /Polly

power Grip 4

81002575 1 Plast utensil Holder

Dra

wer

2

1 1S#081124783 1 Universal Holder 2 EN37 1 Dexterity (Carex) 3 1 Doorknob Gipper 4 1 Everyday foot examination mirror 5

73887-0000 1 combination Button Aid Zipper Pull

6

1 Carex Weekly Pill Turtle XL w/reminder clock pill Organizer

Dra

wer

3 1

81016526 1 Multi-MedOrganizer 2 78677-0000 1 Eye Drop Dispenser 3 1 Easy Out Tube Squeezer 4 White Color 1 Pant Clip

Dra

wer

4

1 769721000 1 Reacher Clip 2 1 Buttoner -Zipper Pull 3 6364 1 Easy -Pull Hairbrush 4 2 Pediatric Plastic Base Utensil

Holder 5

1 Buckingham Bra-Angel

Dra

wer

5 1

81016641 1 Pill Spiltter 2

73817 1 Wear Ease R Shoe Fasteners 3




PK2Black shoe Fasteners

81002575 1 Plast untensil Holder 4 Cabinet with 5 drawer

72506-2000 1 Bath room self wipe Toilet Aid

1 741330050 Maddak INC

1 Bathroom Lotion Applicator 2

2868503134 1 Elite Soapy Sole Blue color set 3 1 Curved bath brush 4 913030-skil Care 1 Bath Mitt 5 cat#1902432 1

1 Peak flow meter / Spiropet (spirometer )

6

1 Sani-bag-Commod lining 7 each pkts w/10small plugs

12pkts Deciguard for ear 8

Outside Cabinets # 13240 1 Electric Patient Lift 1 #13052 1 Invacare ® Hydraulic Lift 2 # 4525S 1 Three in one TRI Stander from

Tumble forms 3

#5670-07 1 Bathmaster Sonaris Reclining Bath Lift # 5642-70,71,72

4

Cat.n. 559317 1 Invacare I-Fit Shower Chair With Back

5

Cat.n. A83031 1 Carex Plastic Transfer Bench With Commode

6

Cat . n .A92418 1 Carex Toilet Safety Frame 7 Cat. n . 564230 1 white color Toilet Riser With

Arms. 8

553687 1 Full Body Patient Sling. Mesh Medium,blue color

9

926993 2 Adult & Pedia Patient Mover Standard

10

A71160 2 Adult & pedia BeasyTrans™ Easy Transfer

11

A7114 1 The Transfer Handle 12 36"W x 68"L x 2"H 2 Soft-Fall Bedside Mat (blue ) 13 1 Bath step White color 14 1 Oxygen Concentrator 15 920329 1 ADA Approved Grab Bar /white

wall grab bar 16




554969 1 Long bath mat ( placed inside the bath tube )

17

cat# 6248 1 Dri-Dek ® Non slip shower surface /blue color

18

Cat#AA3940 1 Ring cushion /white color placed on bath seat

19

2 attached in child bed and one inside cupboard

3pairs Vinyl Bed rail pads ( Full rail ) blue colored

20

W30 XH 23 attached in child bed

2 Standers bed rails 30with pouch black color

21

weighs 6Lbs/563424 1 Freedom Grip ®Adjustable Travel Handle

22

1 Full body patient adult on sling 23 1 child manikin in the single bed 24 1 pediatric manikin on TRI Stander 25 from fundamental lab 1 Manual bed 26 old/new from fundamnetal lab

2 Geri Manikin 27

ANH00423 1 Invacare ®Stand Up Lift .Dimensions

28

Kitchen Cat .n. 555616 placed in black box

32Pcs Kings Assessment Kit 1

Cat.n. 564237 ( Plate, fork,spoon,cup )red color 745380001

1 Maddak Redware Dinnerware set 2

1451 1 Independand handle Mug 3

1452 1 Independand cup 10.Oz with 2 lids

4

1 weighted gray cup with one handle

5

1453 2 Independand 2 handle Mug 6

145401 6 Replacement Lids with spouts 7

145402 6 Replacement Lids with splash 8

145403 6 Independant cup with 6flo Lid 9 145404 6 Replacement Nosey lids 10 1455 2 Independand clear cup 11




81002997 1 Adjustable weighted plastisol teaspoon

in b

lack

bag

12

18003003 1 Adjustable weighted spork 13

11791 2 Keatlery WTD Fork 14 11792 2 Keatlery WTD Knife 15 11793 1 Keatlery WTD Teaspoon 16 11794 2 Keatlery WTD Soup spoon 17 81006089 1 CTD Builtup HDL Teaspoon 18 81003698 1 Plastic HDL EXT TEASPN 19 81002922 1 SURE GRIP KNIFE 20 081002724Rocker 1 Weighted Tea spoon 21 81004456 1 Rocker Knife Soild Stainless Steel 22 81002542 1 Economy Meat cutter 23 81000660 1 DLX foam Handle Builtup Knife 24 81002732 1 Weighted Plastisol CTD Teaspoon 25 81002765 1 Weighted Fork 26 #40005 1 universal holder Heavy weighte 27 81000629 1 Deluxe foam HDLE Built up Fork 28 81000652 1 DLX foam Handl Built-up TBL

Spoon 29

81006113 1 Coated Built -up Handle fork 30 81000454 10PK Child's feeding spoon 31

81000694 1 Swivel spork 32 81002856 1 Ped Flex CTD youth SPN 33 81003169 1 FOOD GUARG CLIPON white

color 34

81005222 1 Food guard red 35

81004670 2 Inner Lip Plate White 36 1 Round Scoop Dish White color 37 handle not available 1202126

1 comfy feeder 38

2 plastic green cups 39 1 Noby green fram color plate 40

12037 1 Deluxe handle held shower spray 41

Inside cupboard

6638 1 Daily Care Kit 1




73823-0001 1 Long Shoe horn &Stock remover w/non slip Handle

2

# 6309L 2 posey lateral Wedge small #6309S& large

3

#9268-09 2 Commode transfer Board 4

#909150 Blue color 1 Skill Care -Shower ,Pon,Shirt ,BK w/hood blue color

5

1 Crème Colored wash basin 6

#75414-1000 1 Wall switch Extension handle 7

#73856-0000 1 Sockeez compression stocking removal

8

#555322 1 Sock-N-Shoe Aid 9 #A69820 1 Dressing Stick/sock Aid Build up

Grip Dressing Stick 10

#2108 1 Deluxe Dressing Stick 19 long for small adult or adolescents

11

white color 73824-2000

1 shoehorn with T Handle - 12

1 Press on (TM)One -Handed Nail Clipper

13

1 Long Handle Toenail Clipper 14

#73842-0000 White color

1 Heel Guid Rigide Sock Aid 15

6008 1 Insulin Holder Table Stand 16

31698 2 Superslide 29w/BRIP&STD HAND HOLE (WOOD)

17

1 Taking Scal /bathroom Scale 18 14Wx171/2L(36x44cm) 1 Multi-Task Dressing Vest ,Child

Vest 19

25Lx23W(58x64cm) 1 Multi-Task Dressing Vest large Adult Vest

20

3 large & 3 small 6 Sand bags 21 2 Googl Black color 22 Large( R)1/(L)2 Small ( R)1/ (L) 2 very small 3

9 External Pad /Green Color 23

1 KoKen green colored fitting 24




2 Koken White colored Post w/ties attached type

25

5536-82 Green color 4 Slings for use with Electric Patient LiftPadded U-Sling

26

8186 1 Lacing Blocks /LCG Blocks 27

(small -large ) 2 Posey safty Roll Belt 28 for pedia 1 Mannual Resusitator 29 white color 1 First aid box 30 2 red /1 blue /2 Brown 081169747

Foam tubing Assorted 31

1 Baby Scale Digital 32 Black Color 1-888-593-0377

2 Safty Sure transfer Belt 33

73854-0002 1 Ezy Sock Helper 34

1 urinal White color 35

#559230 1 Non -autoclave Fracture Bed Pan 36

#559232 1 Non autoclave Stackable Bed Pan 37

#400570 1 Side Flap protector 38 1 Blue Pneumonatic cuff pressure

w/air compressor and connections tubes for inflation

39

31478white color 2 Transfer Board 39 91089879 big and small 2 Bed cradle 40 2 Breast pump 41 red color tansfere from male college ( TAITAN)model TNHD810

1 digital weighing Scale 42

Cat # 76966000 2 Vee - Zee C5 Reacher 43 Locker

one has broken mercury glass kept in store room

3 Mercurial Sphygmomanometer 1

6 Littmann stethoscope 2

PHC 8731 3 thermometer 10 second Digital 3

1 handle & 3 Plates 1 Laryngoscope 4




1 CJPS Medical system vital point Home monitor system w/accessories ( ECG cable,thermometer prob,pulse oximeter cable,Bp cable with cuff,one touch glucometer ,charger ,black bag ) and weight scale

5

SN B T Q0995cy 5 One touch ultra 2 glucometer 6

12 Measurment tap 7

D-TA02 one is missing in May2013

4 digital thermometer 8

2 Penlight Riester 9

added in December 2013

1 Nebulizer 10


5 artery forceps 11


5 Bandage scissor 12

1 Tunning fork 13 1 Percussion hummer 14

11 Torniquet 15


2 Accu- check glucometer 16

Feb-14 1 WelchALLyn Thermometer 17

1 Lab Top 18




Assisting stroke patient with dressing

Performance checklist

Student's Name :------------------------------ ID :-------------------------------------

Group No :------------------------- Rotation :---------------------------------

Instructor's Name :-----------------------------------

procedure 2 1 0 1 Explains procedure to client 2 Washes hands 3 Assembles clothes in the order they are to be put on. 4 Puts on gloves, as necessary 5 Moves client to center of bed. 6 Removes night clothing, if necessary. 7 Covers client with a sheet. 8 Uncovers upper body first. 9 Assists with shirt. 10 Uncovers lower body. 11 Assists with underpants or shorts and remainder of

clothes

12 Assists with socks and shoes as needed 13 Washes hands. 14 Observes, records and reports any changes in condition

or behavior.

Total Code :

2 = Correct / Complete 1 = Correct / Incomplete 0 = Not Done / Wrong Student's Signature :------------------------------------------ Instructor's Signature :----------------------------------------------




ASSISTING WITH THE USE OF THE HYDRAULIC LIFT


Student's Name :------------------------------ ID :-------------------------------------



procedure 2 1 0 1 Explains procedure to patient. 2 Washes hands 3 Assembles equipment 4 Puts on gloves, as needed. 5 Checks whether valves are working on lift. 6 Clears the floor around the area you are working. 7 Opens legs of lift stand to widest position 8 Brings wheelchair or chair close to bed. Locks wheels of

wheelchair and bed (if hospital bed). 9 If possible, raises or lowers height of bed to ccommodate

height of lift.

10 If available, raises side rails on far side of bed. 11 Rolls one edge of the sling up to one-half of width. 12 Places sling on bed on the far side of the client. Sling

should be midway between head and thigh of patient

13 Rolls the patient toward self and moves sling so it covers one-half of patient’s back.

14 Rolls patient back onto the sling and over on other side

(over the hump of the sling).

15 Keeping the patient rolled away from self, unrolls the sling, making sure it is flat and unwrinkled

16 Rolls patient onto back and adjusts sling so that it is

midway between client’s head and thigh

17 Raises the lift (closes valve and pumps up the lift arm). 18 Steadies the swinging bar as it is positioned over the

patient.

19 Lowers arm and attaches the chains or hangers to the sling (longer chain to the thigh part of the sling and shorter chain to the head area), being sure the chain or hangers are away from the patient’s body

20 Tells patlient when starting to pump up the lift.




procedure 2 1 0 21 After lifting the patient a few inches and before moving

the lift away, checks all connections to make sure they are fastened tightly and working properly.

22 Pumps us the lift until the patient is in a half-sitting position.

23 Lifts patient’s feet and removes from bed. 24 Moves to the handles or bar of the lift for steering 25 Gently and slowly moves the base of the lift out from

under the bed, and slowly turns it toward the wheelchair or chair.

26 Positions the lift so patient is over the wheelchair or chair 27 Lowers the patient to the seat by slowly opening the valve

until patient is just above the seat.

28 Holds the sling near the head and puts knees against the patient’s knees. Supports the patient’s upper body against self. Uses knees to push gently on the patient’s knees. Then, releases the valve so that the patient sits in the wheelchair or chair.

29 Removes the S-shaped hooks while holding onto the bar 30 Closes the valve and pumps the lift up out of patient’s

way

31 Moves lift away. 32 Washes hands 33 Observes, records and reports any changes in condition

and behavior or problems with equipment.

Total

Code :

2 = Correct / Complete

1 = Correct / Incomplete

0 = Not Done / Wrong

Student's Signature :------------------------------------------

Instructor's Signature :----------------------------------------------




SLIDE BOARD TRANSFER PROCEDURE


Student's Name :------------------------------ ID :-------------------------------------



procedure 2 1 0 1 Explains procedure to patient. 2 Washes hands 3 Assembles equipment 4 Puts on gloves, as needed. 5 Places wheelchair or chair at a 45 degree angle to the

bed or alternate chair. 6 If wheelchair, locks brakes and removes armrest if able. 7 If patient is without clothing, the board should be covered

with a pillowcase. 8 Places slide board like a bridge between bed and

wheelchair, chair to chair, etc 9 Has patient lean away from slide board 10 Places slide board under buttocks, transferring towards

the patient’s strong side if possible.

11 Ensures that the slide board is securely placed before patient begins transfer.

12 Directs patient to place hands on the slide board at each

side adjacent to thighs

13 Directs patient to take a series of small push-ups across the board until client reaches the other side of the board.

14 Assists patient, as necessary, with each push-up. 15 Uses gait belt, as necessary. 16 Cleans and stores slide board when transfer is complete. 17 Washes hands. 18 Observes, records and reports any changes in condition

or behavior.

Code :

2 = Correct / Complete 1 = Correct / Incomplete


Student's Signature :----------------------------------Instructor's Signature :---------------------------------------




TRANSFER FROM WHEELCHAIR TO SHOWER AND ASSISTING WITH SHOWER


Student's Name :------------------------------ ID :-------------------------------------



procedure 2 1 0 1 Explains procedure to patient. 2 Washes hands 3 Assembles equipment 4 Puts on gloves, as needed. 5 Positions wheelchair at appropriate angle to shower 6 Places towel on shower chair/stool. 7 Locks wheels. 8 Raises footrests 9 Stands patient up appropriately 10 Pivots patient so back is toward shower chair 11 Assists patient to sit in shower chair. 12 Places toilet articles within patient’s reach 13 Allows patient privacy 14 Ensures that soap is rinsed off patient 15 Assists in drying patient. 16 Gets clean clothing ready 17 Reverses steps seven to nine. 18 Covers patient to avoid chilling 19 Washes hands. 20 Observes, records and reports any changes in condition

or behavior

Code :

2 = Correct / Complete 1 = Correct / Incomplete


Student's Signature :----------------------------------Instructor's Signature :---------------------------------------




TRANSFER FROM WHEELCHAIR TO TOILET


Student's Name :------------------------------ ID :-------------------------------------



procedure 2 1 0 1 Explains procedure to patient. 2 Washes hands 3 Puts on gloves, as needed. 4 Checks bathroom for supports and grab bars 5 Places wheelchair, facing toilet 6 Locks wheels 7 Raises footrests. 8 Assists client to stand. 9 Rotates patient until back is toward toilet. 10 Arranges clothing. 11 Assists patient to sit on toilet. 12 Allows privacy. 13 Assists in cleaning patient after toileting. 14 Washes hands. 15 Reverses steps six to nine. 16 Assists patient to wash hands 17 Washes hands. 18 Observes, records and reports any changes in condition

or behavior.

Code :




Student's Signature :----------------------------------

Instructor's Signature :---------------------------------------




ASSISTING WITH THE USE OF THE OXYGEN CONCENTRATOR


Student's Name :------------------------------ ID :-------------------------------------


procedure 2 1 0 1 Explains procedure to patient. 2 Washes hands 3 Assembles equipment 4 Cleans air filter. 5 Washes humidifying bottle, if used. 6 Checks the humidifying bottle to make sure it has an

adequate amount of distilled water in it, and the bottle is screwed on tightly, if used.

7 Attaches the air tube, if not on, to the humidifying bottle or oxygen concentrator.

8 Takes and records the client’s pulse and respiratory rate. 9 Turns on the switch to the oxygen concentrator. 10 Checks that air is bubbling through the humidifying bottle. 11 Checks that air is flowing through the nasal cannula. 12 Ensures that flow meter is set to appropriate level as

noted in the care plan.

13 Assists the client in applying the nasal cannula. 14 Takes and records the client’s pulse and respiratory rate. 15 Turns off the oxygen concentrator. 16 Assists the client in removing the nasal cannula.

17 Washes hands. 18 Observes for difficulty breathing; rapid pulse and

respirations; cold, clammy skin; blue or darkened lips, fingernails, eyelids; client unable to sit still; client does not respond when you call client’s name, has headaches; or complains of no energy.

19 Records the use of the oxygen concentrator and observations of the client, and any problems with the oxygen concentrator.




procedure 2 1 0 21 Reports to supervisor IMMEDIATELY if client has

difficulty breathing; has rapid pulse and respirations, has cold, clammy skin; has blue or darkened lips, fingernails, and eyelids; is unable to sit still; does not respond when you call client’s name; has headaches; or complains of having no energy.

Total

Code :









echniqueTag Bursing Nhecklist on CPerformance

Student name: ID:

Group: Rotation: Date:

Items 2 1 0

1 Bag contents and arrangement

2 Place the bag on the table or any flat surface lined with Plastic cover sheet or paper lining, clean side out

3 Put the bag’s handles or strap beneath the bag.

4 Take out hand towel, soap dish and apron and the place them at one corner of the work area

5 Do hand washing

6 Put on Gown or apron right side out and wrong side with crease touching the body, sliding the head into the neck strap. Neatly tie the straps at the back.

7 Put out things most needed for the specific case (e.g.) thermometer, B.P. kidney basin, cotton ball, waste paper bag) and place at one corner of the work area

8 Place waste plastic or paper bag outside of work area & fixed with plaster.

9 Close the bag.

10 Proceed to the specific nursing care or treatment.

11 Clean and disinfect the things used

12 Hand washing again.

13 Open the bag and put back all articles in their proper places.




14 Remove apron folding away from the body, with soiled side folded inwards, and the clean side out. Place it in the bag.

15 Fold the linen/plastic lining, clean; place it in the bag and close the bag.

Total score /30

Code :









Students satisfaction Questionnaire for Home Care Laboratory procedures

NAME :---------------------------- ID:----------------------- LEVEL:--------------------- GROUP:--------------------------- DATE:------------------- SEMESTER:------------

1. Before the procedure sessions in Home Care Lab , how would you rate your level of understanding of the theory of caring post stroke patient ?

□ Poor level of understanding of the theory □ Good level of understanding of theory

□ Confident in my understanding of theory and able to apply it in practice

2. Before the procedure sessions, how would you rate your level of understanding of the

practical requirements for caring post stroke patient ? □Poor level of understanding of the practical requirements □Good level of understanding of the practical requirements but not yet competent in the application of associated practice/clinical skills □Competent in the application of associated practice/clinical skills □Confident and competent in the application of clinical skills which is supported by a good level of understanding of the associated theory

3. Had you undertaken simulated stroke rehabilitation / nursing intervention before these

sessions? Yes □ No □

If yes please give details below

4. Have you ever undertaken stroke rehabilitation / nursing intervention in the clinical areas prior to simulation sessions?

Yes □ No □ If yes please give details below

5. How would you rate your confidence level after the simulation experience undertaken in the Home Care skills laboratory?

□ No confidence at all □ Some confidence but not yet competent □ Quietly confident and I am able to perform competently with close supervision □ I am confident and feel able to perform with minimal supervision □ I am confident and competent in my clinical performance




6. How many times did you practice rehabilitation procedures during the simulation session? 0 □ 1 -3 □

� For each of the next questions please rate your agreement with the statement where 1 = strongly disagree (SD) 2= disagree (D)

3= agree (A) 4= strongly agree (SA)

4 (SA)

3 (A)

2 (D)

1 (SD)

7. I feel well prepared to perform the skill of post stroke rehabilitation in practice

□

□

□

□ 8. I have a good understanding of the relationship

between theory and practice

□

□

□

□

9. I feel more confident in the application of theory in the clinical areas in relation to post stroke rehabilitation

□

□

□

□ 10. My knowledge and understanding of the clinical

equipment has increased

□

□

□

□

11. The facilitator in the simulation made me question what I do.

□

□

□

□ 12. I feel more able to develop my clinical skills in

practice

□

□

□

□

13. I feel able to answer relevant questions asked by patients

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