Advanced Nurse Aide Unit 4 Special Procedures Enemas

Advanced Nurse Aide Unit 4 Special Procedures

Enemas Ch. 22; pg. 385 -391 Purpose Types Precautions

Purpose of Enemas Pre-op preparation Constipation or gas relief Bowel re-training Administration of medications

Types of Enemas Cleaning Saline Soap suds Pre-packaged Retention Pre-packaged

Precautions/Procedures Preparation of equipment Positioning – left Sims’ Lubrication of tube Slow deep breaths – helps relieve cramps Withhold if complaints prior to administration

Collection of Specimen Purpose Types Urine Sputum Stool Precautions – General Follow facility procedures Accuracy

Rights of Specimen Collection Right Patient Right Specimen Right Time Right Amount Right Container Right Label Right Requisition Right Method Right Asepsis Right Attitude

Urine Specimens Routine Mid-Stream / Clean Catch 24 Hour Double Voiding Age specific / individual adaptations

Sputum Specimen Avoid mixing with saliva Best time to collect – first thing in the a. m.

Stool Specimen Special Considerations If warm specimen ordered – take to lab STAT Instruct patient to avoid contamination Use gloves, tongue depressor Reagent Strip (Hemoccult) Tests for blood Wear gloves Collect small amount on tongue blade Apply smear to card and apply solution

Heat and Cold Applications Chapter 33 Purpose Types Patient Safety

Purpose of Hot/Cold Applications Heat Vasodilation Increase circulation Decreases pain caused by inflammation Cold Vasoconstriction Decrease swelling (post-op, injury) Slows flow of fluid

Types Heat Warm compress Commercial heat Heat lamp K-pad Sitz bath Cold Soaks Compresses Ice bag, cap, collar Commercial cold

Patient Safety Check application site frequently Keep wet applications away from electricity Check skin under application Heat – watch for too much redness Cold – watch for cyanosis Do not apply directly to wounds Aways check for leaks Place in cover – follow facility procedures

Skills Checklist 11 – Routine Urine Analysis 12 – Collecting a Mid-Stream Specimen 13 – Collecting a 24 Hour Urine Specimen 14 – Collecting a Sputum Specimen 15 –Collecting a Stool Specimen 16 – Heat and Cold Applications 17 – Apical Pulse 18 – Dorsalis Pedis Pulse 19 – SCD (Sequential Compression Device 20 – Simple Dressing Change 21 – Staple Removal 22 – Removal of Urinary Catheter