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Terms in this set (59)

To maintain medical asepsis, the nursing assistant should:
• Wash hands thoroughly and regularly or use an alcohol-based hand cleaner.
• Treat breaks in the skin by washing, cleaning with an antiseptic, and covering. Report breaks in the skin to your supervisor.
• Use gloves when required.
• Bathe, shower, and wear clean clothing daily. Keep your hair clean and away from your face and shoulders. Avoid artificial nails and acrylic overlays. Keep natural nails short and clean. Do not wear jewelry or rings, other than a plain wedding band.
• Assist patients with their personal hygiene.
• Never use one patient's personal items for another patient.
• Keep patient personal care items in the proper areas. Always separate clean and soiled (dirty) items.
• Place personal hygiene (clean) items, such as the toothbrush, in the top drawer of the bedside stand. Keep clean utensils, such as the wash basin, in the second drawer or top shelf of a cupboard-type bedside stand. Store dirty items, such as the bedpan and urinal, in the bottom drawer or on the bottom shelf.
• Disinfect equipment that is used by more than one patient before and after each use.
• Avoid contaminating environmental surfaces by touching them with used gloves.
• Use the overbed table for cleaning items, such as food trays and the water pitcher.
• Keep the water pitcher covered.
• Keep food trays covered in the hallways. Do not return used trays to the food cart until all clean trays have been delivered to the patients.
• Monitor food in patient rooms. Be sure food is wrapped and does not require refrigeration.
• Carry clean and soiled supplies by holding them away from your uniform.
• Do not use anything that has touched the floor without cleaning the item.
• Do not shake linens, this scatters contaminated dust and lint. Fold used linens inward with the dirtiest area toward the center. Keep soiled linen hampers covered. Keep linens (even if soiled) off the floor.
In the hallway, separate the soiled linen hamper and housekeeping cart from the clean linen cart and food cart by at least one rooms width.
• Soiled linen and laundry hampers or barrels must be marked with a biohazard emblem, and stored in the designated area when not in use.
• Clean from least-soiled areas towards the most soiled.
• Keep work areas such as utility rooms clean. Return clean equipment to the proper (clean) storage areas after washing.
• Wash hands or use an alcohol-based cleanser in the situations listed under "Handwashing."
• Wear gloves for any contact with blood, body fluids, mucous membranes, or non-intact skin, such as when:
-- Hands are cut, scratched, chapped, or have a rash.
-- Cleaning up body fluid spills.
-- Cleaning potentially contaminated equipment.
• Gloves are provided in patient rooms, or in wall-mounted dispensers. Carry some in your pocket so they will be available when you need them.
• If you have a sensitivity to latex gloves, follow your physician's advice.
• Change gloves and wash hands:
-- After contacting each patient.
-- Before touching non-contaminated articles or environmental surfaces.
-- Between tasks with the same patient if there has been contact with infectious materials.
• Discard gloves according to facility policy.
• Wear a waterproof gown for procedures that are likely to produce splashes of blood or other body fluids.
• Wear a mask and protective eyewear or face shield for procedures that are likely to produce splashes of blood or other body fluids.
• Wear utility gloves for cleaning soiled utensils and equipment.
• When using PPE, you should:
-- Know where to obtain these items in your work area.
-- Always remove the items before leaving the work area, whether it is the patient's room, an isolation unit, or the utility room.
-- Place used PPE items in the proper container for laundering, decontamination, or disposal, according to your facility policy.
-- Replace supplies that you have used. Never leave gloves or other containers for PPE empty. The next person may need them in a hurry, so they must be readily available.