Turning a Client to the Lateral or Prone Position in Bed

Assessment:

Determine assistive devices that will be required and encumbrances to movement, such as an IV or a heavy cast on one leg. Medications the client is receiving, as certain medications may hamper movement or alertness of the client. Assistance required from other health care personnel.

Planning/Implementation:

Explain to the client what you are going to do, why it is necessary, and how she can cooperate. Wash hands and observe other appropriate infection control procedures. Provide for client privacy. Position yourself and the client appropriately before performing the move. Pull or roll the client toward you to the lateral position. Instead of abducting the far arm, keep the client’s arm alongside the body for the client to roll over. Roll the client completely onto the abdomen. Never pull a client across the bed while he is in the prone position.

Evaluation:

           

            Document all relevant information. Record the tine and change of position moved from and position moved to, any signs of pressure areas, use of support devices, ability of client to assist in moving and turning and response of client to moving and turning.

Cord Dressing

Planning/Implementation:

Gather all necessary equipments, as follows: Bottle of alcohol 70%,containers with applicators, baby binder and waste receptacle. Wash hands thoroughly, remove baby’s binder. Inspect the cord. Apply alcohol 70% with the used of sterile applicators. One three times. Expose cord after 24 hours, if cord is dry, remove cord pin. Apply baby’s binder. Return baby to crib. Return equipments to proper place.

Heat and Acetic Acid Test

Planning/Implementation:

Gather equipment needed, as follows: test tube, 5% acetic acid, Fill a test tube ¾ full of clean urine and gently heat the upper portion to boil, boil for 1-2 minutes. A turbidity is either due to phosphates, carbonates or albumin. Add 3 drops of 5% acetic acid drop by drop, doiling between each drop. A white-cloud now appearing is due to early phosphate or carbonates, a faint trace of albumin may appear only  upon the addition of the acid. The addition of too much acid may dissolve faint traces of albumin and give a faculty negative reaction. In order to detest slight traces, the tube must be held against a black background. Record results as:

Negative -       no closeness is perceptible

Trace -             no cloudiness is perceptible against a black background

+          -           cloudiness is distinct but not gramular against a black background and can barely be seen when held up to the light.

+ + +   -           cloud is distinct and gramular light (0.2 – 0.5 Gm. %)

+ + + + + -       cloud is dense with large flocculi, any solidity ( 0.5 Gm. %) albumin becomes solid and boiling.