Set Various Positions Patients

Set Various Positions Patients

      1.      Perform Patient Preparation
1. 1. Greetings therapeutic delivered to the client / family friendly upon meeting
1.2. Action plan described to the client / family understand
1.3. Plan validated program back
1.4. The need for tools and materials are identified
1.5. Readiness client be re-examined
2. Doing persippan tool
2. 1. prepared with a complete tool:
a. Supine position (supine)

    2.   Preparation tool

2.1 Prepared With A Complete Tool:

- Pillows
- Blankets
- The bed
- Bel if necessary
Leaning b.Posisi
- 4 pieces pillow
- The bed
c. position Fowler
- Backrest or seat backs
- The special tidttr (functional bed) - Pillow
d. Semi-Fowler position
- Backrest or seat backs
- Special Beds - Pillow
e. position orthopnce
- The bed
- Table Overbed / pillow 4-5 pieces
- Ball pimpong
f. position Lithotomi
- A special bed obstetric examination
- Blankets or fabric cover
b. Genu Pectoral position (Knes Chest)
- The bed
- Pillows
h. Dorsal Recumbent Position
- The bed or operating table or counter checks
- Blankets
i. position Sim
- In accordance with the measures to be taken, such as providing huknah
j. Trendelenberg Position
- Beams supporting foot of the bed - Pillow
- A special bed, when there
2.2. Tool neatly organized
2.3. The tool below to near patient

3. Regulatory Action Position

a. Supine position.
- Patients stretched carefully and trimming
- Blanket is installed to cover the limit of the patient's neck
- Tell the patient places and positions bell and how to use them
- Patients trimming
b. Position Tilt
- A pillow is placed normal or transverse
- A pillow slightly tilted to the right, if the patient is placed on the right side 

 - A support pillow placed dorsal
- Feet on ditekuk, placed somewhat to the front of the lower leg, supported on a pillow
- Hands on straightened out, placed on a pillow in the back butt
Note:
- Arm below lest depressed
- Dada should be able to expand / deflated by independent
- Leaves folded ears lest
c. Fowler position
- The patient is seated and trimmings, cushions arranged according to the needs
- In particular bed, the patient and his bed and arranged seating
- Both arms propped up with pillows
- Patients may be made up
d. Semi-Fowler position
- The patient is seated, backup backs or placed under the seat or on kasw head, arranged
until half sat and made ​​up. Pillows arranged according to the needs
- In specific patient bed and arranged directly tidurny half sitting, under the knee elevated as needed, both arms propped up with pillows
- Patients may be made up
e. position Orthopnoe
- The position remains the same bed
- * Overbed table taken transverse to the place of sleep and one or two pillows placed on it.
  * If using a pillow, pillows stacked neatly overlap and put in front of the patient
- The patient leans forward, arms on the table above or beside a pillow
- Organize patient to do inspiration and expiration affordably
- Tell the patient that done repeatedly
f. position Lithotomi
- The patient lying supine and the bottom of the dress is open
- Second leg ditekuk and assisted by a nurse to put on penahanlutut
g. Genu Pectoral position (Knes Chest)
- Pillow removed from the bed
- Patient must menungging
- Under clothes should be removed, if necessary
h. Recumbent dorsal position
- The patient lying supine and the clothes in open
- Bend knees, thigh Try leaving and stepping foot on bed

       i. position Sim
- The patient lies down, then tilted to the kid with half a face down position of the  
   body, while the left leg straight, bend the right knee and thigh and pulled toward the
  chest while the left hand above the  head
- Or behind his back and his right hand wrought diata.s sleep
- Patients trimming

       j. Trendelenburg position
- The bed with the foot elevated beam
- The patient was placed supine without a pillow and a pillow under the folds of the knee were
- Among the patient's head and foot of the bed were pillows as a buffer
- At a special bed, the leg can be instantly elevated as needed 

4.1. Documented patient response 

4.2. The timing of the action 

4.3. Documentation recorded with clear and readable 

alisar juni padang, AMK

4.4. Documentation signed and clearly named

 

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Perform Active And Passive (Rom) Exercises

1 Perform client needs assessment mobilization

1.5. Greetings therapeutic delivered to the client / family friendly upon meeting

1.2. Action plan described to the client / family understand

1.3. Plan validated program back

1.4. The need for tools and materials are identified

1.5. Readiness client be re-examined

2.    Preparation tool

2.1. prepared with a complete tool:

2.2. Tool neatly organized

2.3. Equipment was brought to a close patient

3.    Doing way of working

3.1. Perform range of motion exercises (passive)

3.2. Perform all actions beginning of the procedure

3.3. Wash your hands

3.4. Identify patient and give the patient privacy

3.5. Maintaining patient privacy

3.6. Prepare the necessary equipment: a blanket bath

3.7. Give the supine position in patients close to you

3.8. Set bath blankets that keep the patient covered as much as possible

3.9. Tilt the patient's head gently from side to side (rotation)

3.10. Bend the patient's head to the right shoulder and then to the left

3.11. Pull your chin to chest (flexion)

3.12. Put a pillow under your shoulder and gently hold his head up position (hyperextension back to
         the straight position I (extension). Arrange a pillow under your head and shoulders

3.13. Hold the elbow and wrist, shoulder joint nearest train: a. Raise your arms form a right angle
          with the body b. Return the arm to a position parallel to the body

3.14 a. The position of the arm parallel to the body, turn the arm to the body

        b. By maintaining the arm parallel to the body swivel arm away from the body

3.15. With the position of the shoulder abduction, fleksi elbow and lift your hands up over your head 3.16. With the arm parallel to the body, elbow flexion and ekstensi

3.17. Wrist flexion and ekstensi

 3.18. Movement finger - the finger away from the middle finger and the middle finger closer to

3.19. Touch the thumb to the base of the little finger and then to each fingertip

3.20. Touch the thumb to the base of the little finger and then to each fingertip

3.21. Cup your hands and palms tengadahkan

3.22. Grasp the patient's wrist with one hand and the palm of the hands of patients with your other
         hand.Pull the wrist toward the body and then away from the body

3.23. Navigate forearm looked up position, turn approached the thumb side and then to the side of the little  finger

3.24. Cover the upper limb and the patient's body. Open only the legs are trained, you are facing the
         foot of the bed

3:25. Hold-knee and ankle, move the leg away from the body and toward the center of the body

3.26. Turned to the bed. Hold the bent knee position, lift your pelvis toward your knees, straighten
         your knees as you lower your legs to the bed

3.27. a. hold the legs at the knee and ankle, move the feet in a circular motion away from the body 
         b.Continue to hold the foot, turn the leg with the same movement toward the body

3.28. Hold the fingers - fingers and hold the patient's leg at the ankle. Pull fingers - toes toward the
         knees.  Then point fingers - toes toward the foot of the bed
3.29. Turn the patient's leg inward and outward slowly

3.30. Put your finger - the finger over the fingers - fingers patient. Bend your fingers - toes and
         straightens the patient finger - the finger

3.31. Spread apart each toe away from the index finger and close each finger The index finger toward

3.32. Cover with a blanket foot bath, plug the barrier bed and moved to the side of the sleeping in the

         opposite

3.33. Scroll patients coming toward you repeat steps 8-29

3.34. If this procedure is part of the bath procedure proceed with making a bed

3:35. Perform all acts of settlement procedures

3.36. Wash your hands .

3.37. Report on the completion of tasks and document dates, times, range of motion exercises and
4.     documenting patient response actions

4.1. Documented in the patient's response

4.2. The timing of the action mode of administration, dosage

4.3. Documentation note with clear / easy to read

 4.4. Documentation signed and the full name and clearly

 

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implementing collaborative action in parenteral fluid administration (memasang infus)

 1. Preparing patients in general

1.1 Greetings therapeutic delivered to the patient / family friendly upon meeting

1.2 Plan of action described to the patient / family understand

1.3 Plan validated program back

1.4 Readiness patients be re-examined

2. Preparation tools and environments

2.1 Installing Infusion

- Appropriate IV solution

- Abocat (adjust number size)

- Set infusion (makro drip / mikro drip)

- tourniquet

- Handscoen sterile

- Sterile Gauze on tempamya

- Bethadine

- Plaster & scissors

- Bak instruments

- Shaver if necessary

- Standard infusion

- pengalas

- Cotton alcohol in place

- Nierbekken

- Spalk if necessary

3. Implement collaborative actions in parenteral fluid administration and blood (working procedure)3.1 Installing the infusion

a. Recheck therapy program

b. wash your hands

c. Check the therapy program using the "six rights" of drug delivery, check the solution to the color, clarity
    and expiration date

d. Prepare IV fluids and infusion sets

e. pen the sterile package using aseptic technique

f. When using an IV in a bottle remove the metal cover from the rubber plates. To remove the plastic IV solution bag plastic layer on top of the hose port IV

g. Open the infusion set, maintain sterility in both ends

h. Replace the roller clamp approximately 2-4 cm below the drip chamber and roller clamp move to "off"

i. Stick infusion set into a bag or bottle of liquid

j. Fill with IV fluids and avoid not to get the air / air bubbles left in the hose reel position "on"

k.Prepare a comfortable position, select where the vein used & plug pengalas

l. If there are a lot of hair in the area where the stabbing barber ± 2 inch

m.Attach torniquet 10-12 cm above

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