Health Care NC2 Assessment Personal

Procedures:
Guide
1.Gather needed materials like the tissue or
I. UC1: PREPARE AND MAINTAIN BEDS towelette , soap, soap dish nailbrush, water
A. Introduction: 2. Regulate room temperature. Switch
1. Name off/closed aircon and fans.
2. School 3. . Prepare and Assess the hands. If there is a
3. Task wound and long nails. If long nails , cut it first.
B. Purpose: To provide comfort to the patient 4. Remove hand jewelleries except for wedding
and make the patients room clean. ring. Jewelleries can harbour microorganisms.
C. Materials: 5. Stand in front of the sink 1-2 inches because
1. Bottom Sheet the sink in itself is contaminated.
2. Rubber Sheet (Rubber Draw Sheet) 6. Open the faucet and adjust/regulate the flow
3. Draw Sheet (Cotton Draw Sheet) of water.
4. Pillowcase 7. Wet hands thoroughly with water from
5. Pillow cleanest to dirtiest. ( wrist to
6. Top Sheet hands/fingers).Hands tip down.
8. Apply soap, form a lather, using friction:
D. House-keeping: pay attention to the palm,
1. Purpose: To maintain the cleanliness of back of the palm,
the room and for the patient’s comfort. inter-digital area,
2. Materials: ceiling broom, soft broom, interlacing or rub finger interlaced
dustpan, mop, damped cloth (trapo) Rub finger tips on palm use circular
3. Procedure: motion or tip of the fingers in circular
a. Clean the ceiling manner,
b. Make a mitten with a towel/cloth brush nails. then 2-3 inches above the
c. Wipe the bed wrist.
d. Wipe the foam and AIR OUT THE Rub finger tips on palm use circular
BED DON’T DROP BEC. motion.
MICROORGANISMS WILL SPREAD Brush nails with nail brush. (raise both
OUT. hands up) (last diay ang nail brush)
e. Wipe the side table 9. Pat dry. (use one face of the towellete in
f. Discard the towel every hand)
g. Sweep the floor and collect dust 10.Turn off faucet using tissue or towel.
using dustpan 11. Discard towel to the hamper.
h. Mop the floor zig zag manner
E. Hand-washing: Ma’am/Sir Assessor am already done with my
Good morning Ma’am/Sir Assessor , I am hand washing procedures. Thank you!
________________ a Health Care Services NC2 trainee,
I am not ready to perform handwashing. G. Gloving or wearing of working gloves (1
pair)
F. Hand-washing: 1. Prepare gloves.
1. Purpose: The most effective way to 2. Wear one glove (either left or right)
minimize the number of 3. Wear the other one; hold the glove on
microorganisms and prevent the spread its sterile side with the sterile side.
of infection, 4. Arrange both gloves properly.
2. Materials: tissue or towelette , soap, H. UC1 Procedures:UNOCCUPIED
soap dish nailbrush, water BED/CLOSED/OPEN BED
Bottoms up! Observe always body
So I am now ready to perform handwashing…. mechanics
 1. Spread half of the bottom sheet on the
foam then iron with hands.
2. Miter the top portion of the bottom
sheet under the top portion of the
foam.
3. Envelop the top-hanging portion of the
bottom sheet under the top-side
portion of the foam then iron the
bottom sheet with hands.
4. Spread half of the rubber sheet on top
of the bottom sheet near the hip-
portion of the bed.
5. Spread half of the draw sheet on top of
the rubber sheet then seal the rubber
sheet with the draw sheet.
6. Mitter the bottom, rubber and draw
sheet under the side portion of the
foam.
7. Wear the pillowcase to the pillow and
seal the opening of the pillowcase.
8. Place the pillow on the head-side of the
bed; make sure that the opening if the
pillowcase is facing away from the door
to avoid accumulation of dust from
outside the room.
9. Spread half of the top sheet on top of
all the other spread sheets, covering
the pillow then iron it with hands.
10. Miter the bottom portion of the top
sheet under the bottom portion of the
foam them iron it with hands.
11. Spread half of the blanket on top of the
top sheet and iron it with hands.
12. Miter the bottom portion of the blanket
under the bottom portion of the foam.
13. Envelop both blanket and the top sheet
under the bottom-side portion of the
foam then arrange/iron the sheets
before proceeding to the other side of
the bed.
14. Spread the half portion of all the sheets
covering the other half of the foam.
15. Repeat the same procedures in
spreading the and mitering the sheets
following the same order: bottom sheet
- rubber sheet - draw sheet – pillow -
top sheet – blanket
16. Make a footer on the blanket.
I. UC1 Procedures: Open Unoccupied Bed
1. Fold the upper portion of the blanket.
2. Fold the upper portion of the top sheet
covering the folded portion of the
blanket.
3. Make an art with the top sheet and
blanket if necessary.
J. UC1 Procedures: Changing the Linens with
Patient or OCCUPIED BED, THERE SHOULD
BE 4 PAIRS OF GLOVES HERE!
1. Knock first before entering the room to
maintain patient’s privacy.
2. do house-keeping, following the
procedure on point “D” but without
cleaning the ceiling.
3. Ask for the patient’s permission before
performing the task to maintain
patient’s comfort.
4. WEAR working GLOVES HERE (FIRST
GLOVE)
5. With information on the patient’s weak
side given, start the task on the
patient’s strong side then change
gloves.
6. Put up the side rails to ensure patient’s
safety while doing the task.
7. Change the patient’s position to side
lying on his/her strong side. Perform
the task with care and not
compromising the patient’s safety and
comfort.
8. Proceed to the other side of the bed
and roll the soiled linens uncovering the
half portion of the bed. Change gloves
then follow the same procedure in
point “G 1-13”.
Note: Do not let the new linen touch
the soiled linen to keep the
microorganism from spreading to the
new linen.
9. Put up the side railing then transfer the
patient with care to the side of the bed
covered with new linen in a side lying
position on his/her weak side. Don’t
forget to ask the patient’s condition
while doing so and make sure that the
patient’s privacy is uncompromised.
10. Proceed to the other side of the bed.
Put down the side railing then remove
first the rubber sheet.
11. Make a hamper with the soiled
pillowcase then roll all the other linens
 together and put it inside the hamper.
Tie-seal the hamper. Put all the soiled
materials on a trolley.
12. Change gloves then spread the clean
sheets the same as how it is done in
point “G 14-15”.
13. Change the patient’s position to supine
position before arranging the top sheet
and blanket.
Note: ALWAYS ASK THE PATIENT’S
CONDITION IN DOING THIS TASK.
II. UC3: Assist in Patient Position & UC4:
Assist in Transporting Patient
A. Introduction:
1. Name
2. School
3. Task
B. Purpose: To assist and transport patient
according to the Doctor’s order.
C. Equipment:
1. Wheelchair
2. Transport belt
3. Footstool
D. Procedures:
1. Get the equipment needed for the
transport.
2. Check the availability and condition of
the equipment.
3. For the wheelchair, check the break,
wheels and the transport belt.
4. Knock first before entering the room to
maintain patient’s privacy.
5. Position the wheelchair 45˚ parallel to
the top portion of the bed on the
patient’s weak side and don’t forget to
lock the breaks of the wheelchair.
6. Inform the patient about the order for
the transport.
7. From supine position, assist the patient
in changing position to high fowlers or
sitting position with both of his/her
hands placed on his/her abdomen.
8. Flex the patient’s leg and cross his/her
weak side leg over the stronger leg.
9. Pivot the patient over to make him/her
sit on the edge of the bed.
10. Put the transport belt on the patient’s
waist with his/her weak hand inside
the gown’s pocket.
11. While holding on to the transport belt,
assist the patient in scooting with
his/her strong side to be moved first.
12. Let the patient set his/her strong side
foot on the footstool.
13. Have the patient’s weak side knee and
toes against your knee and toes for
him/her to have a strong support in
stepping out of the bed.
14. With your hands on the transport belt
walk the patient to the wheelchair and
have him/her sit on it.
15. Offer slippers
16. In exiting from the room patient on the
wheelchair must be the last one to
leave to protect him/her from any
accident. Same procedure in returning
into the room.
17. In returning the patient back to the
bed, wheelchair must be place 45˚
parallel to the bottom portion of the
bed facing the bed then lock the
brakes.
18. Same procedure as in point “II-D 13” in
stepping out of the wheelchair.
19. With your hands holding the transport
belt walk the patient to the bed and
assist him/her in sitting back on the
edge of the bed.
20. Pivot the patient back on the center of
the bed in a high fowlers position.
21. Assist the patient in changing back to
supine position.
22. Cover the patient with the top sheet
and blanket.
Note: ALWAYS ASK THE PATIENT’S
CONDITION IN DOING THIS TASK.
III. UC6: Handle Waste in a Health Care
Environment
A. Introduction:
1. Name
2. School
3. Task
B. Purpose: To avoid cross contamination and
mixing of waste in a health care
environment.
C. Materials and Equipment:
1. Bonnet/Hairnet
2. Goggles
3. Mask
 4. Gloves
5. Gown/Working Gown
6. Boots
D. Procedures:
1. Wear PPE.
2. Wear first the working gown (bec. this
protect me from infection and
contamination), bonnet, goggles, mask,
boots and gloves in order.
3. Start segregating the waste according
to their types.
a. Sharps – (can cause
laceration,wound
puncture)needles, broken
glassware, scalpel blades, lancets
b. Clinical – (materials usually found in
the emergency room/clinics used
for treatment and other
procedures)plaster, bandage,
plaster, swab, surgical gloves, urine
bag, dressing materials.
c. Biodegradable –(can be
decomposed) peeling of fruits,
leftover fruits, tissue, leftover food
d. Non-biodegradable (cant be
decomposed)– plastic wares,
cellophane
e. Radioactive – (too much exposure
can caused mutation of cells)spent
radio nuclide, generators, cobalt
contrast, residues used in radio
immune assay & contaminated
pump oil
f. Pharmaceutical – expired syrup,
expired tablets, cough syrup,
methotrexate, typing sera
g. Chemical (can caused burn)–
disinfectant and household
disinfectsnts )
h. Cytotoxic (can cause toxins /
poison)– materials proven to be
visibly contaminated by cytotoxic,
cytotoxic pharmaceuticals
i. Infectious –(can cause infection and
contamination) feces from patient
infected with typhoid fever, used
syringe, blood from patient
contaminated with HIV, cotton with
blood, needle with blood, used folly
catheter, tissue with blood, gauze
with pus, body fluids
4. Types of waste:
 Sharps – these are materials
that can cause wounds,
laceration, and puncture.
 Clinical – these are materials
that are used in treating
patients in clinics and hospitals.
 Biodegradable – these are
decomposing materials.
 Non-biodegradable – these are
non-decomposing materials.
 Pharmaceutical – these are
medicines, drugs, and syrups.
 Chemical – these are materials
that can cause burn.
 Cytotoxic – these are poisonous
materials.
 Radioactive – these are
materials that can cause cancer
due to overexposure.
 Infectious – these are materials
that can contaminate and can
cause diseases due to the body
fluids in it.
5. Put the waste in their respective
receptacles and tie the plastic bags and
label them.
6. Throw the sealed and labeled plastic
bags in a waste bin then bring them to
the nearest waste area.
Note: PUT THE SHARP MATERIALS
INSIDE THE WASTE BIN LAST.
E. House-keeping:
1. Purpose: To maintain the cleanliness
inside the waste room.
2. Material: ceiling broom, soft broom,
dustpan, mop, new garbage bags,
disinfectant
3. Procedure:
a. Clean the ceiling.
b. Make a mitten with a towel.
c. Wipe the waste receptacles.
d. Put new garbage bags in it.
e. Sweep the floor and collect dust
using dustpan.
f. Mop the floor.
g. Spray disinfectant inside the room
from the back of the room going to
the door.
h. Close the door.
4. Remove PPE
 a. Remove first the gloves because it is
the most contaminated.
b. Remove the working gown.
c. Remove the bonnet.
d. Remove the goggles.
e. Remove the mask.
f. Lastly, remove the boots.
F. Hand-washing:
1. Follow procedures in point “I-E 3a-3m”

NOTE: DON’T FORGET TO THANK THE

ASSESSOR.

DON’T FORGeT TO PRAY FOR OUR

COMING ASSESSMENT

MAY GOD BLESS US ALL!