Normal range
Pulse
60-100
Bed Bath
BRA- Bruises, redness abrasion
Walker
6-10 inches ahead, weak leg then strong leg
Lateral
Shoulder blade and buttock
Hyper
High
Systolic blood pressure
100-139
Nail care
CC SSS- Color, cuts, swelling, splits, sores PLUS extreme heat and cold
Bedpan
Lateral position
Side of bed
Gastro
Stomach
Respiration
12-20
Urinary drainage bag
COACH- Color, Odor, Amount, Character
Cane
Cane 4-6 inches ahead, weak leg even with cane, strong leg ahead
Walker
Center of walker
Itis
Inflammation
Diastolic blood pressure
60-89
Abdominal binder
ARROWS- Pain, irritation, redness, open areas, warmth, swelling PLUS incontinence
Moving resident through closed door
Check for traffic and transfer resident backwards through door
Transfer to Wheelchair
Both sides of resident
Ectomy
Removal
Oxygen Saturation COPD patient
88%-92%
Oral care for the unconscious
COLTS BD LT- Color, odor, lips, tongue, sores, bleeding, discoloration, loose teeth
Stretcher transfer
Min of 2 staff, wheels locked with stretcher same height as bed
Emergency 2 person transfer
Behind resident back and under residents knees
Megaly