Procedures

PICC Line Teaching 1879

Instructed patient watch for signs of problems. Pay attention to how much of the catheter sticks out from your skin. If this changes at all, let your health care provider know. Also watch for cracks, leaks, or other damage. And if the dressing becomes dirty, loose, or wet, change it or call your health care team right away.

PICC Line Teaching 1880

Instructed patient The arm with the PICC is at risk for developing blood clots (thrombosis). This is a serious complication. To help prevent it: As much as possible, use the arm with the PICC in it for normal daily activities. Lack of movement can lead to blood clots, so it’s important to move your arm as you normally would. Your health care team may suggest light arm exercises.

PICC Line Teaching 1881

Instructed patient the arm with the PICC is at risk for developing blood clots (thrombosis). This is a serious complication. To help prevent it avoid any activities that cause discomfort in your arm. Talk to your health care team if you have concerns about pain or range of motion.Don’t lift anything heavier than 10 pounds with the affected arm. Drink plenty of water. Staying hydrated helps keep clots from forming.

PICC Line Teaching 1882

Instructed patient how prevent infections: To wash your hands with soap and water: Wet your hands with warm water, avoid hot water, which can cause skin irritation when you wash your hands often. Apply enough soap to cover the entire surface of your hands, including your fingers.

JP drain Teaching 1998

SN instructed patient to contact your primary healthcare provider if: you drain less than 30 milliliters ( 2 tablespoons ) in 24 hours. This may mean your drain can be removed. You suddenly stop draining fluid or think your JP drain is blocked. You have a fever higher than 101.5°f ( 38.6°c ). You have increased pain, redness, or swelling around the drain site. You have questions about your JP drain care.

Tracheotomy Teaching 2037

SN instructed patient about tracheotomy care dressing changes promote skin integrity and help prevent infection at the stoma site and
 in the respiratory system. The patient should be instructed at least once per shift, apply a new dressing to the stoma site to absorb secretions and insulate the skin
. After applying a skin barrier, apply either a split - drain or a foam dressing. Change a wet dressing immediately.

Tracheotomy Teaching 2036

SN instructed patient about tracheotomy care suctioning always involves: assessment , oxygenation management, use of correct suction pressure,
 liquefying secretions, using the proper-size , suction catheter and insertion distance appropriate patient positioning, 
evaluation, using the proper - size suction catheter and insertion distance appropriate patient positioning evaluation.

Fall precautions Teaching 2009

RN performed supervision with HHA present and reviewed that the HHA Care Plan is followed as ordered. Patient is satisfied with rendered services. RN instructed patient and caregiver on strategies that can significantly help decrease the risk of a fall such as: skid - proof mats or strips in the shower and bathtub, removal of furniture that can slip away if grabbed accidentally for support, supportive non - slip footwear and not walking in stocking feet. RN also explained that side effects of most medications taking can cause dizziness and advised to immediately report the occurrence of dizziness so that it can be addressed by physician. Patient and caregiver voiced understanding of all instructions given.

Jackson Pratt care Teaching 2050

SN instructed patient about Jackson Pratt care. The JP drain removes fluids by creating suction in the tube. The bulb is squeezed
 flat and connected to the tube that sticks out of your body. The bulb expands as it fills with fluid. SN instructed patient use soap and water or saline ( saltwater ) solution to clean your JP drain site. Dip a cotton swab or 
gauze pad in the solution and gently clean your skin.

JP drain Teaching 1997

The patient was instructed to return to the emergency department if: your JP drain breaks or comes out. You have cloudy yellow or brown drainage from your JP drain site, or the drainage smells bad.