rosco rathbone
1. f3e5 2. g4??
- Joined
- Aug 30, 2002
- Posts
- 42,431
1. Check assignment sheet.
2. Knock before entering. Address the resident by name.
3.Introduce yourself by name and title. Explain procedure to the resident.
4. Protect the resident’s rights during the procedure: close privacy screens.
5. Practice hand hygiene.
6. Check resident ID bracelet against assignment sheet.
7. Gloves are optional for procedure unless otherwise indicated by charge nurse or on assignment sheet. Standard infection control/bloodborne pathogen procedures may be necessary for some residents.
8. Assemble equipment: knee protector or pillow (follow agency policy), alcohol swab, I/O data recording sheet, pen, graduated container.
9. Lower bed to lowest position. Lock manual cranks in down/safe position. Lock bed wheels. Lower safety rail.
10. Raise head of bed to semi-Fowler’s position. Assist resident to sit. Fanfold sheets to foot of bed.
11. Place hands under resident’s thighs and calves. Using proper body mechanics, swivel resident to sitting position at edge of bed.
12. Ask resident if they are experiencing orthostatic hypotension (dizziness, spots before eyes).
13. Place knee protector or pillow (follow agency policy) on floor directly in front of resident. Separate resident's knees. Be careful to maintain proper abducted hip alignment for hip-replacement patients.
14. Lift front of gown while keeping resident as completely covered as possible. Protect the resident’s privacy and comfort by ensuring warmth.
15. Using proper body mechanics, kneel on protector. Let the resident place his hands on your shoulders for stability.
*INAPPROPRIATE SEXUAL BEHAVIOR: Some residents may be suffering from disease, confusion , dementia, drug side effects, restlessness or built up stress. They may attempt to grab or hold your head during procedure. You cannot avoid the person or lose control. Speak in a calm voice. If inappropriate behavior continues, you may need to notify the charge nurse.
16. Retract the foreskin if patient is uncircumcised.
17. Grasp the penis firmly at the base with one hand. With the other hand, lightly cup the scrotum. Ask the patient to notify you when he is about to orgasm.
18. Place your mouth over the penis, forming a tight seal. Slowly move head up and down, stimulating the penis along its length using firm strokes. Count to yourself “1…2…3” on each upstroke and “1...2” on each downstroke.
19. When patient notifies you of orgasm, remove penis from mouth and drain into graduated container, being careful not to touch the sides of container. Assist the patient in elimination of semen with brisk, firm strokes.
20. Monitor patient closely for signs of hypotension, faintness or myocardial infarction during orgasm
* INAPPROPRIATE SEXUAL BEHAVIOR: During orgasm, some patients may vocalize in an inappropriate manner. OBRA requires that nursing center employees refrain from verbal abuse of residents under all conditions. Smile at the resident, practicing good communication skills and speak in a calm, reassuring tone. Some residents may become disoriented or incontinent during procedure.
21. Clean scrotum and penis thoroughly with alcohol swab, using a clean part of the swab for every stroke and cleaning away from the meatus. Discard swab.
22. Return resident to semi-Fowler’s position and cover. Resident may be sleepy or drowsy. Lower bed to horizontal position if resident desires.
23. Complete a safety check of the room. Bed should be in lowest position, wheels locked, rails up. The signal light should be plugged in. Assist devices (cane, walker, wheelchair) should be within reach. Cleaning products and drugs should be properly stored.
24. Place graduated container on level surface using a barrier. Read fluid volume to nearest 5 ccs.
25. Clean, rinse and dry container and return to storage. Remove gloves and practice hand hygiene.
26. Record semen output on chart. If required by nurse, add your own observations. You may be asked to record semen color and consistency, duration and intensity of orgasm, time to orgasm, discomfort or pain experienced by resident or verbal statements or vocalizations by resident. Record proper (24-hour) time and sign chart.
27. Ask the resident if there is anything more you can do for him.
2. Knock before entering. Address the resident by name.
3.Introduce yourself by name and title. Explain procedure to the resident.
4. Protect the resident’s rights during the procedure: close privacy screens.
5. Practice hand hygiene.
6. Check resident ID bracelet against assignment sheet.
7. Gloves are optional for procedure unless otherwise indicated by charge nurse or on assignment sheet. Standard infection control/bloodborne pathogen procedures may be necessary for some residents.
8. Assemble equipment: knee protector or pillow (follow agency policy), alcohol swab, I/O data recording sheet, pen, graduated container.
9. Lower bed to lowest position. Lock manual cranks in down/safe position. Lock bed wheels. Lower safety rail.
10. Raise head of bed to semi-Fowler’s position. Assist resident to sit. Fanfold sheets to foot of bed.
11. Place hands under resident’s thighs and calves. Using proper body mechanics, swivel resident to sitting position at edge of bed.
12. Ask resident if they are experiencing orthostatic hypotension (dizziness, spots before eyes).
13. Place knee protector or pillow (follow agency policy) on floor directly in front of resident. Separate resident's knees. Be careful to maintain proper abducted hip alignment for hip-replacement patients.
14. Lift front of gown while keeping resident as completely covered as possible. Protect the resident’s privacy and comfort by ensuring warmth.
15. Using proper body mechanics, kneel on protector. Let the resident place his hands on your shoulders for stability.
*INAPPROPRIATE SEXUAL BEHAVIOR: Some residents may be suffering from disease, confusion , dementia, drug side effects, restlessness or built up stress. They may attempt to grab or hold your head during procedure. You cannot avoid the person or lose control. Speak in a calm voice. If inappropriate behavior continues, you may need to notify the charge nurse.
16. Retract the foreskin if patient is uncircumcised.
17. Grasp the penis firmly at the base with one hand. With the other hand, lightly cup the scrotum. Ask the patient to notify you when he is about to orgasm.
18. Place your mouth over the penis, forming a tight seal. Slowly move head up and down, stimulating the penis along its length using firm strokes. Count to yourself “1…2…3” on each upstroke and “1...2” on each downstroke.
19. When patient notifies you of orgasm, remove penis from mouth and drain into graduated container, being careful not to touch the sides of container. Assist the patient in elimination of semen with brisk, firm strokes.
20. Monitor patient closely for signs of hypotension, faintness or myocardial infarction during orgasm
* INAPPROPRIATE SEXUAL BEHAVIOR: During orgasm, some patients may vocalize in an inappropriate manner. OBRA requires that nursing center employees refrain from verbal abuse of residents under all conditions. Smile at the resident, practicing good communication skills and speak in a calm, reassuring tone. Some residents may become disoriented or incontinent during procedure.
21. Clean scrotum and penis thoroughly with alcohol swab, using a clean part of the swab for every stroke and cleaning away from the meatus. Discard swab.
22. Return resident to semi-Fowler’s position and cover. Resident may be sleepy or drowsy. Lower bed to horizontal position if resident desires.
23. Complete a safety check of the room. Bed should be in lowest position, wheels locked, rails up. The signal light should be plugged in. Assist devices (cane, walker, wheelchair) should be within reach. Cleaning products and drugs should be properly stored.
24. Place graduated container on level surface using a barrier. Read fluid volume to nearest 5 ccs.
25. Clean, rinse and dry container and return to storage. Remove gloves and practice hand hygiene.
26. Record semen output on chart. If required by nurse, add your own observations. You may be asked to record semen color and consistency, duration and intensity of orgasm, time to orgasm, discomfort or pain experienced by resident or verbal statements or vocalizations by resident. Record proper (24-hour) time and sign chart.
27. Ask the resident if there is anything more you can do for him.
