Equipment: Basin with water (105 degrees), orangewood stick, emery board, towel, paper towel, lotion, gloves, bed protector if done in bed
Procedure:
1.)Knock on door and listen for residents response.
2.) Wash hands before contact with resident.
3.) Address the resident by name and introduce self.
4.) Explain procedure to resident, speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.
5.) Provide for residents privacy (if desired) during procedure before immersing residents fingers in water, and adjust if necessary.
6.) Test water temperature and ensure it is safe and comfortable before immersing residents fingers in water, and adjust if necessary.
7.) Immerse residents fingers in basin of water which is placed at a comfortable level (3-5 mins)
8.) Dry residents hand, including between fingers.
9.) Put on clean gloves before cleaning under fingernails.
10.) Clean under fingernails with orangewood stick.
11.) Wipe orangewood stick on paper towel after each nail.
12.) Groom nails with file or emery board.
13.) Finish with nails smooth and free of rough edges.
14.) Apply lotion from fingetips to wrist.
15.) Place signaling device within residents reach.
16.) Empty, rinse, and wipe basin, and return to proper storage.
17.) Dispose of soiled linens in soiled linen container, paper towel, orange stick, and file in trash.
18.) Remove and dispose of gloves in trash.
19.) Wash hands.
20.) Report any changes in resident to nurse. Document procedure according to facility guidelines.
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