RCP #42 (Fingernail Care)
What is the first step of RCP #42?
Initial Steps
What is the second required step of this RCP?
Assist resident to choose clothing.
What do you do if the resident complains of pain?
Stop and report it to the nurse.
What position is the bed in when doing fingernail care?
Fowlers/Semifowlers.
What position does the resident have to start in when getting dressed?
On their back.
Where do you support the limbs?
Above and Below the joints.
What 4 things do you check fingers and nails for?
Color, Swelling, Cuts, or Splits.
Step 5: Guide feet through leg openings of underwear and pants, unaffected leg first, pull garments up legs to hips. True or False?
False.
What do you observe the joints for?
Redness, swelling, or warmth.
Why do you cut the nails straight first?
To prevent damage to the skin.
Why should you dress the affected side first?
Dressing the affected side first requires less movement and reduces stress to joints.
What parts for the body do you access Range of Motion on?
Shoulders, elbows, wrists, thumbs, fingers, hips, knees, ankles, and toes.
Provide all the steps in ORDER of RCP #42: FINGERNAIL CARE, 1-10.
1. Do initial steps.
2. Check fingers and nails for color, swelling, cuts, or splits. Check hands for extreme heat or cold. Report any unusual findings to the nurse before continuing the procedure.
3. Raise head of bed so resident is sitting up.
4. Fill bath basin halfway with warm water and have resident check water temperature for comfort.
5. Soak resident's hands and pat dry.
6. Put on gloves.
7. Clean under nails with orange stick.
8. Clip fingernails straight across, then file in a curve.
9. Remove gloves.
10. Do final steps.
Provide all the steps in ORDER of RCP #45: DRESSING A DEPENDENT RESIDENT, 1-10.
1. Do initial steps.
2. Assist resident to choose clothing.
3. Move resident onto back.
4. Provide privacy.
5. Guide feet through leg openings of underwear and pants, affected leg first. Pull garments up legs to buttocks.
6. Slide arm into shirt sleeve, affected side first.
7. Turn resident onto unaffected side. Pull lower garments over buttocks and hip. Tuck shirt under resident.
8. Turn resident onto affected side. Pull lower garments over buttocks and hip and straighten shirt.
9. Turn resident onto back and slide arm into shirt sleeve, align and fasten garments.
10. Do final steps.
Provide all the steps in ORDER of RCP #63: PASSIVE RANGE OF MOTION, 1-10.
1. Do initial steps.
2. Position resident in good body alignment.
3. Observe joints. If swelling, redness or warmth is present, or if resident complains of pain, notify nurse. Continue procedure only if instructed.
4. Support limb above and below joint.
5. Begin range of motion at shoulders and include the shoulders, elbows, wrists, thumbs, fingers, hips, knees, ankles, and toes.
6. Slowly move joint in all directions it normally moves.
7. Repeat movement at least five times.
8. Encourage resident to participate as much as possible.
9. Stop procedure at any sign of pain and report to nurse immediately.
10. Do final steps.