Clinical Skills Lab
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Hearing Aids
06/26/2017 | 02:17Hearing Aids
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to care for hearing aids.
00:08 To begin, put on a clean pair of gloves. Be sure you have assembled all of the equipment you will need.
00:22 Check that the battery is operating. Holding the hearing aid in your hand, turn up the volume.
00:35 Next, visually inspect the hearing aid. The plastic connecting tube behind the aid should not be cracked or broken.
00:42 The ear mold also should not be cracked or broken. The ear mold should be free of ear wax.
00:50 Remove the ear mold from the hearing aid. Wipe the outside of the hearing aid with a soft, dry, lint free cloth to remove ear wax and body oils.
01:11 To clean the ear mold, pour a mild cleaning solution over the toothbrush. Use this to gently scrub all sides of your ear mold.
01:35 If wax has entered the tube of the ear mold that cannot be reached with a tissue or cloth, pour warm water over the mold and inside of the tube.
01:44 In some facilities, a special pick is used to clean inside the tube.
01:51 Pour warm water over the ear mold to rinse.
01:58 Dry the ear mold with a soft, dry, lint free cloth.
02:08 Finally reattach the ear mold to the hearing aid and place it where the patient can find it.
02:17 (End of video) -
Modified Bed Bath
06/26/2017 | 04:47Modified Bed Bath
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to give a modified bed bath.
00:07 First wash your hands. Be sure to introduce yourself, identify the patient and explain the procedure.
00:15 First, knock before you enter the patients room and provide for privacy by closing the door behind you.
00:21 Before the procedure, you will want to have checked the physicians order for activity and any special positioning needs or contraindications.
00:29 First, you will prepare the patient to wash the front of her own body.
00:34 To begin, place the bed in a raised position, with the head of the bed up.
01:05 Assemble all necessary equipment on a bedside table within the patients reach. It is easiest to have the patient work from head to toe.
01:13 Also, washing the face first will promote patient comfort.
01:19 Once the patient seems comfortable in the task, leave the room with the call light close at hand.
01:32 When the patient is finished, return to the room. Remember to knock and close the door behind you.
01:38 When you return, change the water for the patient, and be sure you have a clean washcloth and towel.
02:10 To wash the patients back, first place the patient in a side lying position if in bed.
02:31 Place a towel lengthwise along the patients back and buttocks.
02:50 Wash, rinse and a dry the patients back and buttocks.
02:54 The perineal area should be completed last, as it is considered the dirtiest area of the body.
03:00 Washing it last prevents bacteria and microorganisms from being transferred to cleaner parts of the body.
03:50 A back massage with lotion may be done at this time.
04:21 When finished, you may change the patients linens, and help her don a clean gown.
04:25 When you leave, make sure the room is clean and uncluttered. Finally, document the procedure.
04:47 (End of video) -
Dentures
06/26/2017 | 02:48Dentures
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to clean dentures.
00:05 First, wash your hands. Normally you will clean the patients dentures at a sink. In this demonstration, the patient care technician is at the patients bedside.
00:15 Knock on the patients door before you enter the room. Be sure to introduce yourself, identify the patient and explain the procedure.
00:26 To begin, gather the necessary equipment. Put on a pair of gloves.
00:33 First, you will brush the dentures with a soft bristle toothbrush. Moisten the brush, then place a small amount of toothpaste on the brush.
00:49 Remove one of the dentures from the storage cup. Working over the emesis basin, gently brush all sides of the denture.
01:22 When you are finished brushing, rinse the denture with clean warm water.
01:33 Place the denture back in the storage cup and remove the other denture.
01:38 Repeat the brushing procedure on the second denture.
02:09 When finished, place the second denture in the storage cup. Pour a mouth rinse over the dentures.
02:27 Fill the storage cup with clean water.
02:32 Finally, place the cap securely on the storage cup.
02:36 Remember to clean up the work area and place the dentures where the patient can find them.
02:48 (End of video) -
Oral Care
06/23/2017 | 01:47Oral Care
Created: 06/23/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to provide mouth care.
00:05 First wash your hands. Be sure to introduce yourself, identify the patient and explain the procedure.
00:14 To begin, place a towel lengthwise on the patients chest, and tuck it up under her chin to prevent soiling the patients bedclothes and bed linens.
00:40 Moisten the toothbrush with water and apply the toothpaste.
00:54 Give the toothbrush to the patient for brushing. If the patient cannot brush her own teeth, you will need to brush her teeth for her.
01:02 Be sure to brush, or have the patient brush the gum line, the biting surfaces of the teeth and the patients tongue.
01:14 Have the patient rinse with water and expectorate into the emesis basin.
01:19 If desired, the patient may rinse with mouthwash too.
01:23 When finished, give the patient a towel to dry her mouth, remove all the remaining equipment and make the patient comfortable.
01:47 (End of video) -
Occupied Bed
06/26/2017 | 07:04Occupied Bed
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to make an occupied bed.
00:05 First, wash your hands. Be sure to introduce yourself, identify the patient and explain the procedure.
00:14 First, knock before you enter the patients room and provide for privacy by closing the door behind you.
00:20 If necessary, you may assist the patient with bathroom needs before changing the sheets. Before you begin, assemble all of your equipment.
00:28 To ensure proper body mechanics, raise the bed to a comfortable height.
00:53 To begin, loosen the top linens. Position the patient on her side, away from you. Move the bedspread if necessary.
01:01 You may lower the rail on the near side of the bed, but make sure the rail on the opposite side is up and locked.
01:07 This provides for the patients safety, as she rolls to the side of the bed and gives her something to hold onto, should she need additional support.
01:14 Loosen the bottom sheet. Make half the bed from top to bottom.
01:25 Fanfold the dirty bottom sheet and draw sheet and tuck them under the patients back and buttocks as tightly as possible.
01:45 Next, place the clean bottom sheet on the bed.
01:58 Tuck the end of the sheet under the mattress.
02:16 Fanfold the sheet to the middle of the bed making the roll of linens as flat as possible. The patient will need to roll over the linens.
02:24 Place a draw sheet on top of the bottom sheet.
02:27 The top edge of the draw sheet should be placed at the top of the patients shoulders, and should cover the bed from the shoulders to below the hips.
02:42 Place the centerfold along the center of the bed. Fanfold the top layer toward the patient. Tuck the excess under the mattress along with the bottom sheet.
03:00 Next place the top sheet in the same manner. If a waterproof pad is to be used, fanfold it and place it on top of the linens near the patients back.
03:50 Raise the side rail and move to the opposite side of the bed. Lower this side rail.
04:06 Now you will make the other half of the bed. First, assist the patient to turn onto the clean half of the bed.
04:18 Once the patient has been moved onto the fresh side of the bed, remove the dirty linens.
04:23 Holding them away from your body, place them in the laundry hamper.
04:42 Next, pull the clean linens over the side of the bed you are now standing on. Tuck in the bottom sheet.
04:48 Smooth and tuck in the draw sheet, starting at the middle and moving to the top and down to the bottom.
05:18 Once the sheets are tucked in, assist the patient in moving to the center of the bed; raise the side rail. Place the top sheet over the client.
05:26 The center crease should be at the center of the bed, so it covers the patient adequately on both sides of her body.
05:33 Pull the soiled top sheet out from under the clean sheet while the patient holds the clean sheet.
05:38 Place the top sheet in the laundry hamper. Tuck in the clean top sheet using mitered corners.
06:06 Place a clean blanket over the top sheet, again making sure that the center creases are at the center of the bed.
06:20 Fold over the top layers down to about the patients shoulder level.
06:30 Make mitered corners with the blanket at the foot of the bed.
06:49 When you are finished, confirm that the patient is comfortable. Remember to wash your hands and document the procedure.
07:04 (End of video) -
Measure Urinary Output
06/26/2017 | 02:11Measure Urinary Output
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to measure urinary output.
00:06 First, wash your hands. Be sure to introduce yourself, identify the patient and explain the procedure.
00:14 Before you enter the patients room, be sure to knock. Provide for privacy by closing the door behind you.
00:25 Place a paper towel on the floor under the measuring cup you are using to measure the urinary output.
00:33 Then put on your gloves.
00:43 Hold the tubing over the top of the measuring cup and open the drainage clamp.
00:50 Let the urine drain into the cup without touching the tubing to the cup.
01:07 When finished, close the clamp and return it to its proper position.
01:15 Take the measuring cup to the bathroom, and observe the amount.
01:32 Once you have recorded the amount on the intake and output sheet, discard the urine into the toilet and flush.
01:47 Rinse and dry the measuring cup, and put it away.
02:01 Discard your paper towel and gloves. When you are finished, do not forget to wash your hands and document the procedure.
02:11 (End of video) -
Catheter Care
06/26/2017 | 03:36Catheter Care
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to provide catheter care.
00:05 First, wash your hands. Be sure to introduce yourself, identify the patient and explain the procedure.
00:14 First, knock before you enter the patients room, and provide for privacy by closing the door behind you.
00:27 To begin, put on gloves. If necessary, raise the side rails on the bed. You may also adjust the height of the bed for proper body mechanics.
00:45 Use a bath blanket to cover the patient beneath the top linens before folding the linens down to the foot of the bed.
01:00 Adjust the bath blanket into a diamond position.
01:23 Next, fold back the bath blanket to expose the peri area.
01:28 Slide a waterproof pad under the patients buttocks. If possible, help the patient flex her knees.
01:49 Using sanitation wipes, clean the peri area.
01:54 On a female, separate the labia; on a male, retract the foreskin.
02:00 While you clean, check for drainage, secretions or skin irritations.
02:11 Next, hold the catheter near the meatus and wipe 4 inches down the catheter. Be careful not to pull on the catheter.
02:19 You may repeat as needed with fresh sanitation wipes.
02:25 Secure the catheter to the patients skin and inspect the tubing to make sure it is properly coiled and secured to the bed.
02:38 When finished, remove the waterproof pad and recover the patient with the bath blanket.
02:48 Draw the top linens back up and remove the bath blanket.
03:04 Handle soiled linens according to your facility policy and discard any contaminated disposable items.
03:18 Before you leave, do not forget to decontaminate your hands, and position the patient for comfort.
03:25 Finally, document the procedure.
03:36 (End of video) -
Bed Pan
06/26/2017 | 01:55Bed Pan
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to assist a patient with a bedpan.
00:05 First wash your hands. Be sure to introduce yourself, identify the patient and explain the procedure.
00:14 First, knock before you enter the patients room, and for privacy by closing the door behind you.
00:27 To begin, put on gloves and arrange the equipment you will need on the chair or bed.
00:32 Make sure the patient is supine and the head of the bed is slightly raised. Fold the linens and gown out of the way.
00:43 If the patient cannot raise her buttocks off the mattress to assist you, you will need to turn her on her side away from you.
00:50 When she is turned, place the bedpan against the buttocks while pushing firmly down and toward the patient.
00:55 While holding the bedpan securely, turn the patient again onto her back.
01:01 Be certain the bedpan is centered under her and cover her again.
01:05 Place the tissue and call light within her reach and ask her to push the button when done.
01:10 When the patient is set up, leave the room, closing the door behind you.
01:16 You may return when the patient signals. Remember to knock before entering.
01:23 Put on a clean pair of gloves.
01:33 Ask patient to raise her hips.
01:37 Remove the bedpan, or, if the patient needs assistance, while holding onto bedpan, assist the patient in turning on to side away from you.
01:47 Provide pericare as needed.
01:50 Cover the bedpan and take it to the bathroom for cleaning.
01:55 (End of video) -
Assist with Feeding
06/26/2017 | 02:12Assist with Feeding
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to assist a patient with feeding.
00:06 Be sure to wash your hands, introduce yourself, identify the patient and explain the procedure.
00:14 Before you begin, confirm the physicians order that the patient is allowed to eat.
00:22 When assisting the patient with feeding, make the patient feel comfortable.
00:27 Provide for privacy by closing the door or pulling the curtain closed around the bed.
00:32 Before the patient begins to eat, you may assist her with any bathroom needs. This will make her more comfortable.
00:38 Help her wash her hands and possibly complete her oral hygiene.
00:42 Oral hygiene can increase appetite by improving the taste in the patients mouth.
00:47 Assist the patient back to bed or to a chair at the side of the bed. Place the bed in a raised position with the head of the bed up.
00:55 If the patient cannot use a sitting position, place her in a lateral position to help with swallowing and decrease the risk of aspiration.
01:13 Check the tray for the patients name, diet and presence of correct dietary items and utensils.
01:22 Drape the person to avoid soiling clothing.
01:31 Stand to the side of the patient as setting up the tray and provide minimal assistance.
01:35 If you are feeding the patient, sit down beside her.
01:39 Encourage the patient to eat as independently as possible to enhance her self esteem.
01:44 Prepare food items by removing covers, cutting foods, pouring beverages, applying condiments and spices as necessary.
01:52 Chart the patients food and liquid intake, as well as their appetite and any adverse reactions.
01:58 Nausea would be an example of a bad reaction. Share your observations with your immediate supervisor if the patients appetite is poor.
02:07 When the patient is finished, remove the meal tray from the bedside area.
02:12 (End of video) -
Using a Walker
06/26/2017 | 02:32Using a Walker
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to assist patient with use of a walker.
00:06 Be sure to wash your hands, introduce yourself, identify the patient and explain the procedure.
00:15 First, knock as you enter the room. Provide privacy by closing the door or pulling the curtain closed around the bed.
00:23 If necessary, drape the patient to prevent exposing her.
00:27 When transferring a patient, place the bed in its lowest position.
00:33 If possible, raise the head of the bed. The patient can sit up easier if the head of the bed is raised.
00:40 If it is not possible to raise the head of the bed, using good body mechanics, help the patient to a full sitting position while simultaneously swinging her legs over the edge of the bed.
00:52 Try to do this in a single, smooth motion.
00:56 Once the patient is sitting upright with her feet dangling, confirm that she is not lightheaded or dizzy.
01:03 If she is lightheaded or dizzy, stay with her while supporting her back for a few minutes to see if it resolves.
01:10 If it does not resolve, assist her to sit back against the upright bed, lower the head and call for your immediate supervisor.
01:20 Place a gait belt around the patients waist. This belt allows you to guide the patient.
01:26 It also offers support during transfer to a standing position.
01:31 Place the walker between you and the patient, and instruct her to place both hands on the walker.
01:37 Confirm that the walker is at the right height. The hand bar should be at a height just below the patients waist, allowing the patients elbows to be slightly flexed.
01:45 Standing in front of the patient, grasp the belt on both sides toward her back.
01:49 When she is ready, assist her to a standing position by leaning slightly back and pulling upward on the belt until she is in a standing position.
01:58 Step behind the patient and grasp the gait belt.
02:02 Teach the patient to lift the walker and move it 1 to 2 feet forward, depending on her strength and comfort level.
02:08 Change to a roller walker at this time if you observe that their strength is insufficient.
02:13 After the patient has moved the walker forward, ask them to take 1 to 2 small steps and assess their balance.
02:20 Repeat this procedure while walking with her for several feet.
02:23 Keep your grasp on the gait belt until you feel that she is strong enough to walk independently.
02:28 When you are finished, document the procedure.
02:32 (End of video) -
Transfer Patient
06/26/2017 | 03:19Transfer Patient
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to transfer a patient from a bed to a wheelchair.
00:06 Be sure to wash your hands, introduce yourself, identify the patient and explain the procedure.
00:17 First, knock as you enter the room. Provide privacy by closing the door or pulling the curtain closed around the bed.
00:25 If necessary, drape the patient to prevent exposing her.
00:29 When transferring a patient, place the bed in its lowest position.
00:34 If possible, raise the head of the bed. The patient can sit up easier if the head of the bed is raised.
00:42 If it is not possible to raise the head of the bed, using good body mechanics, help the patient to a full sitting position while simultaneously swinging her legs over the edge of the bed.
00:54 Try to do this in a single, smooth motion.
00:58 Once the patient is sitting upright, with her feet dangling, confirm that she is not lightheaded or dizzy.
01:05 If she is lightheaded or dizzy, stay with her while supporting her back for a few minutes to see if it resolves.
01:12 If it does not resolve, assist her to sit back against the upright bed, lower the head and call for your immediate supervisor.
01:24 Place a gait belt around the patients waist.
01:29 You can have her place her hands on your shoulder for balance. This allows her leg muscles to push to a standing position.
01:47 Place the wheelchair at a 45 degree angle to the bed. Plan for her to get out of bed on her stronger side.
01:54 When you are ready to transfer the patient, stand so that your knees are in front of the patients knees, and reach under her arms and behind her to grab the gait belt.
02:03 Encourage her to lean forward, while you lean slightly back, which in a sense rocks them into a position where their knees are slightly in front of their ankles and they can push using their upper leg muscles.
02:14 Once the patient is standing, pivot with the patient toward the wheelchair. This prevents injury to your back.
02:19 Again, using good body mechanics, lower the patient into the wheelchair slowly. Have her reach for the armrests if possible.
02:27 Check that her body is properly aligned and that she is comfortable.
02:32 Next, remove the gait belt. If patient is to stay in that place, be sure that the wheels are locked.
02:39 Place call light, water, TV controls and telephone within her reach.
02:44 If patient is able to move herself in the wheelchair, instruct her how to unlock the wheels and move forward or backward by wheeling the outer wheels.
02:53 If she is unable to move herself in the wheelchair, check that her feet are up on footrests and her hands are in her lap or on armrests away from the wheels.
03:04 Unlock the wheels, and wheel the patient to where they prefer.
03:09 When you are finished, lock the wheels and again confirm that she is comfortable before leaving her side. Finally, document the procedure.
03:19 (End of video) -
Position Patient on Side
06/26/2017 | 02:08Position Patient on Side
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to position a patient on her side.
00:06 Be sure to wash your hands, introduce yourself, identify the patient and explain the procedure.
00:15 First, knock before you enter the room. Provide for privacy by closing the door or pulling the curtain closed around the bed.
00:23 Gather extra pillows or a bath blanket.
00:26 Place the bed in a position where the top of the mattress is about at the level of bottom of your hips.
00:32 If necessary, lower the head of the bed to a position that the patient can tolerate without getting short of breath.
00:40 Grasp the half sheet that is under the patient to be used for repositioning.
00:46 Hold the half sheet at the shoulder and buttocks level of the patient. Ask the patient to roll on their side away from you.
00:53 Use the half sheet to assist them in this movement.
00:58 Once on their side, have them lean slightly further forward or slightly further backward.
01:04 Their body should be between 30 and 45 degrees angle to the mattress, whichever they prefer.
01:11 This avoids placing the patients body weight directly on the trochanter and sacrum, therefore reducing pressure points.
01:20 Place a pillow behind the patients back.
01:34 Place another between the patients knees.
01:45 Also place a pillow under the arm for them to drape their arm over.
01:54 Cover the patient and confirm that they are comfortable.
02:01 When finished, document the procedure.
02:08 (End of video) -
Foot and Nail Care
06/26/2017 | 03:59Foot and Nail Care
Created: 06/26/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to provide foot and nail care.
00:05 First wash your hands. Be sure to introduce yourself, identify the patient and explain the procedure.
00:14 First, knock before you enter the patients room and provide for privacy by closing the door behind you.
00:27 If the patient is strong enough, you may move her to a chair at the bedside or bathroom.
00:32 If this is not possible, raise the head of the bed to an upright position.
00:39 Put on a clean pair of gloves.
00:46 Gently pull the linens back from one of the patients feet.
01:00 Place a basin half full with warm water on a dry towel on the bed and gently place the patients foot in the basin.
01:24 Wash the patients foot with soap and allow it to soak for about 10 minutes.
01:29 This softens the nails and skin, loosens dirt or debris under the nails and is very relaxing for the patient.
01:36 Rinse the foot or hand thoroughly with a washcloth.
02:04 When you remove the patients foot from the basin, place it on a towel. Dry the patients foot thoroughly but gently.
02:11 Slowly and carefully dry between each toe.
02:14 Harsh rubbing can damage skin tissue in elderly patients and moist skin between the fingers and toes can encourage further breakdown of the tissue in those spots.
02:42 If needed, clip the nails straight across. Trimming straight across will help prevent ingrown toenails.
02:49 After clipping, finish by filing and shaping each nail with an emery board or nail file.
02:55 Filing removes rough edges and will prevent accidental injuries.
03:00 After you finish the nail care, apply lotion to the clients feet, giving a nice massage.
03:35 When finished, clean up all of the equipment you used and make the patient comfortable. Finally, document the procedure.
03:59 (End of video) -
Remove Sutures
06/23/2017 | 03:07Remove Sutures
Created: 06/23/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to remove sutures.
00:05 We will be removing sutures from a banana.
00:11 When you remove sutures from a patient, be sure to introduce yourself, identify the patient and explain the procedure.
00:21 To begin, open the suture removal kit.
00:38 Next, put on sterile gloves.
01:32 Using thumb forceps, carefully pick up one knot of a suture. Pull gently upward toward the suture line.
01:38 Use scissors to cut one side of the suture as close as possible to the skin.
01:44 Repeat procedure with each suture, noting the number of sutures removed.
02:22 When finished, examine the suture line to be certain all sutures have been removed.
02:35 Apply Betadine solution to the area with sterile Qtip or gauze sponge.
02:52 To clean up, dispose of your gloves and all biohazardous materials.
03:07 (End of video) -
Setup a Minor Surgical Tray
06/23/2017 | 01:40Setup a Minor Surgical Tray
Created: 06/23/2017Timeline
00:00 (Beginning of video)00:00 In this lab, we are going to set up a minor surgical tray.
00:12 To begin, open the surgical kit. Be sure to keep your body away from the edges of the sterile field.
00:28 Next, put on sterile gloves.
00:34 Now you must keep your hands above waist level.
00:57 Unfold the sterile cloth on the surgical tray.
01:14 Arrange the instruments and supplies in the kit on the cloth in order of use.
01:19 Be careful that none of the instruments or supplies become contaminated.
01:40 (End of video)
-
Hearing Aids
06/26/2017 | 02:17Hearing Aids02:17 > -
Modified Bed Bath
06/26/2017 | 04:47Modified Bed Bath04:47 > -
Dentures
06/26/2017 | 02:48Dentures02:48 > -
Oral Care
06/23/2017 | 01:47Oral Care01:47 > -
Occupied Bed
06/26/2017 | 07:04Occupied Bed07:04 > -
Measure Urinary Output
06/26/2017 | 02:11Measure Urinary Output02:11 > -
Catheter Care
06/26/2017 | 03:36Catheter Care03:36 > -
Bed Pan
06/26/2017 | 01:55Bed Pan01:55 > -
Assist with Feeding
06/26/2017 | 02:12Assist with Feeding02:12 > -
Using a Walker
06/26/2017 | 02:32Using a Walker02:32 > -
Transfer Patient
06/26/2017 | 03:19Transfer Patient03:19 > -
Position Patient on Side
06/26/2017 | 02:08Position Patient on Side02:08 > -
Foot and Nail Care
06/26/2017 | 03:59Foot and Nail Care03:59 > -
Remove Sutures
06/23/2017 | 03:07Remove Sutures03:07 > -
Setup a Minor Surgical Tray
06/23/2017 | 01:40Setup a Minor Surgical Tray01:40 >
