Skill: Applying Antiemboli Stockings
Performed Preparation 1. Assess both lower extremities for: Rates, volumes, and rhythms of posterior tibial and dorsalis pedis pulses. Skin color. Skin temperature. Presence of distended veins or edema. Skin condition. Homans sign. Determine: Any potential or present circulatory problems. The surgeons orders involving the lower extremities. Assemble equipment: Tape measure Clean antiemboli stockings of the appropriate size and of the type ordered Take measurements as needed to obtain the appropriate-size stockings: Measure the length of both legs from the heel to the gluteal fold (for thigh-length stockings) or from the heel to the popliteal space (for knee-length stockings). Measure the circumference of each calf and each thigh at the widest point. Compare the measurements to the size chart to obtain stockings of correct size. Obtain two sizes if there is a significant difference. Procedure 1. Introduce yourself and verify the clients identity. Explain to the client what you are going to do, why it is necessary, and how the client can cooperate. Perform hand hygiene and observe other appropriate infection control procedures. Provide for client privacy. Yes No Mastered Comments
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Select an appropriate time to apply the stockings. Apply the stockings in the morning, if possible, before the client arises. Assist the client who has been ambulating to lie down and elevate the legs for 1530 minutes before applying the stockings. Prepare the client. Assist the client to a lying position in bed. Wash and dry legs as needed. Apply the stockings. Reach inside the stocking from the top, and, grasping the heel, turn the upper portion of the stocking inside out so the foot portion is inside the stocking leg. Ask the client to point toes, then position the stocking on the clients foot. With the heel of the stocking down, and stretching each side of the stocking, ease the stocking over the toes, taking care to place the toe and heel portions of the stocking appropriately. Grasp the loose portion of the stocking at the ankle, and gently pull the stocking over the leg, turning it right-side out in the process. Inspect the clients leg and stocking, smoothing any folds or creases. Ensure that the stocking is not rolled down or bunched at the top or ankle. Remove the stockings for 30 minutes every 8 hours, inspecting the legs and skin while the stockings are off. Soiled stockings may be laundered by hand with warm water and mild soap. Hang to dry. Document: The procedure. Assessment data. When the stockings are removed and reapplied.