STANDARD OPERATIONAL PROCEDURES (SOP) CARING FOR CLIENT'S NAILS

SOP CARING FOR CLIENT'S NAILS

A. DEFINITIONS

Actions taken by a nurse to clean the nails of the hands and feet which include soaking, cutting,
filing to maintain the health of the nails of the hands and feet

B. PURPOSE

Maintain client nail cleanliness

Avoid infection in the area around the client's nails

Provides comfort

Tidy up the client's appearance

Prevent the possibility of the patient being scratched if the nails are long

Prevent odors

C. INDICATION

Patients with problems with toenails and hands

Elderly patients

Pediatric to adult patients

Diabetes patient

D. PATIENT PREPARATION

Provide an explanation of the intent and purpose of the action

Position the patient as needed

E. TOOL PREPARATION

2 basins

Nail file

Towel

Washlap

Lotion

Disposable bath mat

Nail clipper

Gloves

Orange stick

F. HOW TO WORK

Washing hands

Hold tools close

Remove the patient's nail polish

Fill a basin with warm water 43-440 C

Place the basin on the bath mat and help the patient to immerse his feet

Get the patient table and place another basin on it, help the patient soak the fingernails.
Soaking is carried out for 10-20 minutes

Clean under the nails with an orange stick. remove the basin and dry the nails

Cut the patient's nails straight across at the fingertips with nail clippers. nail shape with a file.

Gently push back the cuticles using an orange stick

Put on gloves and rub the callus area of the client's feet with a washcloth

Clean under the fingers using an orange stick. Remove the feet from the basin and dry.

Clean and cut your thumbs straight across. Don't file the corners of your thumb nails

Give lotions to the client's feet

Help clients return to their original positions

Tidy up tools

Washing hands

Document the action

CONVERSATION

The process of implementing the action

Orientation

Nurse: "good morning ma'am, I introduce you to the Anggi nurse who is in service from 8 to 2
in the afternoon, how is your child?"

The patient's mother: "Early morning, my child has a slight fever but the smallpox wound
hasn't completely disappeared, my child likes to scratch the wound,"

Nurse: "Oh yes, your child likes to scratch the wound, and I see your child's nail is dirty and
long, later it will make the wound infected mom"

The patient's mother: "How is it going?"

Nurse: "OK, this morning I will cut your child's nails, are you willing?"

The patient's mother: "I am willing to breastfeed"

Nurse: "OK, I'll cut your child's nails, it won't be long, ma'am, it's only 10-15 minutes, we'll
just do it here, ma'am"
The patient's mother: "good breast"

Nurse: "Hello, good morning, beautiful child, I am Sister Anggi, I will cut your nails, so that
your nails are clean, and avoid bad germs that make your smallpox wound not heal, do you
want?"

Patient: "Morning nurse, yes I want it"

Work (describes the steps for nursing action in an operational manner)

Tools preparation:

Pedestal in the form of small perlak and base

My scissors

Towel

Crooked contains disinfectant solution

Basin filled with warm water

Soap

Nail brush

Clean gloves

Work mechanism

Place equipment near the client

Explain to the client about the purpose of implementing the procedure and the actions to be
taken

Washing hands

Put on gloves
Put the base under the client's hand

Soak your hands in a bowl filled with warm water for 1-2 minutes. If your nails are dirty,
brush them with a nail brush and soap, and rinse with lukewarm water. Next, brush with a
towel

Nails that have been soaked in warm water will soften, making them easy to cut

Place the client's hand on the bent containing the disinfectant solution so that the nails do
not scatter. Cut the nails according to the curvature of the nails, when finished, put the nail
clippers into the bend containing the dsinfectant solution

After cutting, file your nails flat and straight

Remove the gloves and insert them into the bend

Document the action

Termination

Nurse: “how about de? Are the nails clean and tidy? "

Patient: "already successful"

The patient looks as if his nails are clean and the patient's mother feels calm because her
child has not injured herself by scratching her pox wound.

Nurse: "how ma'am, can you do it at home?"

The patient's mother: "I can breastfeed, I'm not afraid anymore to cut my child's nails"

Nurse: "OK, then I suggest you do it after you see that your child's nails are getting long,
ma'am, and don't cut the nails too short, there will be wounds on your child's hands."

The patient's mother: "good breast"