PROCEDURE SHAMPOOING

Work Phase
1. Maintaining privacy
2. Wearing gloves and aprons
3. Replacing the covers clients with a blanket bath
4. Adjust the position of the patient's sleep with the head edge of the bed
5. Put a towel under your head
6. Replacing the bucket covered with a mop
7. Installing gutters with the tip being in the bucket
8. Closed chest with a towel to the neck
9. Comb the hair
10. Closing the ear canal with cotton and eyes with gauze pads / handkerchief
patients
11. Flush with warm water, rubbing (massaging) the scalp and hair with shampoo
12. Rinsing your hair with warm water to clean
13. Removing the manhole cover ear cotton and gauze pads blindfold
14. Lifting gutters, dry your hair with a towel, then with dryer
15. Comb the hair
16. Put your head on the pillow that had been covered with a dry towel
17. Tidy up the patient, replace the bath with a blanket bed blankets

PROCEDURE INJECTION

Procedures for intramuscular injection:

1. Clean the skin where injected with an alcohol swab
2. Hold the skin and muscle area to be injected and then stick a syringe in
position 90 or perpendicular, actions must be precise and fast
3. Once the needle is fully inserted, release the grip of your hand
4. Pull the syringe plunger slowly and do aspiration to check if the syringe
needle is inserted into the blood vessel or not. If blood appears, the needle
immediately withdrawn and the puncture marks pressed area with an alcohol
swab. Then do injection at another location by using a new needle.

Procedure intra dermal:

1. Clean the injection site with an alcohol swab
 2. Stretch the skin area to be injected, and then stick the tip of the syringe in
position 10 , the position of the pinhole leads to the upper surface.
3. Then position the needle until the needle penetrates the skin to be aligned
between the stratum corneum layer. Long needles that were not needed
completely stuck but tailored to the needs.
4. If you are sure that the needle was in between the layers of the skin, the
solution in the syringe should be injected.
5. If the injection position is correct, then the surface of the skin will look
bloated, like a sign of fluctuation.
6. After all the solution is injected, the needle is removed slowly and the area of
skin puncture marks removed by using an alcohol swab.

Procedure subkutan:
1. Clean the skin where the injection will be carried out with an alcohol swab
2. Hold the skin area to be injected, and then insert the tip of the syringe in a
tilted position 45
3. If the needle has entered all, release the grip of your hand
4. If you believe that the needle has entered in subcutaneus space, the solution in
the syringe should be injected.
5. After all solution has been injected, the needle is removed slowly and the area
of skin puncture marks suppressed by using an alcohol swab.

Procedure intravenous:
1. Palpation of the arm or cubital fossa to determine the location and choose the
vein.
2. Replace the tourniquet cuff around the upper arm.
3. Clean the skin where injected with an alcohol swab.
4. Injection site injector arrested with his thumb, then begin to stick a
hypodermic needle syringe carefully.
5. Insert the syringe needle while obliquely along the vein to be punctured.
6. Pull the syringe plunger slowly and do aspiration to check if we stick a needle
syringe that has been fully inserted into a vein or not. If blood appears, it
means that the needle has penetrated the vein. If you are not yet apparent
blood, trace to succeed.
 7. If you've looked blood, remove the tourniquet and then inject the liquid in the
syringe by pressing the syringe plunger slowly.
8. Once the liquid in the syringe is up, remove the needle slowly after skin
puncture marks press carefully with an alcohol swab, then be covered with
plaster.

PROCEDURE ENEMA

LOW Enema
1. Door closed / pair curtain
2. Wash hands
3. Nurses standing to the right clients and pairs of gloves
4. Pairs placemat
5. Replace blanket bath while clothing detachable bottom clients
6. Adjust the position of the left sim clients
7. Connect hoses and clamps (enclosed) with irigator
8. Fill irigator with a liquid that has been provided
9. Hanging irigator with a height of 40-50 cm from the butt clients
10. Remove the air from the hose to drain fluid into the crooked
11. Install kanule rectus and spread with jelly
12. Enter kanule to the anus, the clamp is opened, enter the liquid slowly
13. If the fluid runs out, hose clamps and remove the cannula and enter it into the
crooked
14. Rearrange the position of the client and ask the client hold briefly
15. Help clients to the toilet if it is capable, if not fixed in the tilted position post a
potty in the buttocks client.
16. Clients trimming
17. Tool trimmed back
18. Washing hands
19. Noted the results of action taken

HIGH Enema
1. Door closed / pair Curtain
2. Wash hands
3. Nurses standing to the right clients and pairs of gloves
4. Pairs placemat
 5. Replace blanket bath while clothing detachable bottom clients
6. Adjust the position of the left sim clients
7. Connect hoses and clamps (enclosed) with irigator
8. Fill irigator with a liquid that has been provided
9. Hanging irigator with a height of 40-50 cm from the butt clients
10. Remove the air from the hose to drain fluid into crooked
11. Install kanule rectus and spread with jelly
12. Enter kanule to the anus, the clamp is opened, insert fluid slow
13. If the fluid runs out, hose clamps and remove the cannula and enter into
crooked
14. Rearrange the position of the client and ask the client hold briefly
15. Help clients to the toilet if it is capable, if not fixed in the tilted position post a
potty in the buttocks client.
16. Client trimming
17. Tool trimmed back
18. Washing hands
19. Record the results of action taken

PROCEDURE ORAL CARE

Procedure conscious clients:

1. Provide privacy for clients: closed curtain
2. Position the client sitting or sleeping
3. Replace the pads on the thighs client
4. Put the client's bent on a pedestal
5. Replace the towel in the chest clients
6. Effective hand washing
7. wear handscoon
8. Apply toothpaste to taste then wet your toothbrush and toothpaste again
9. Encourage clients to rinse with clean water
10. Brush your teeth gently with a client in the direction of circular movement
11. Encourage clients to rinse until clean
12. Clear passage and dry lips with a tissue client
13. Offer the client to gargle with mouthwash
14. Offer to clients lipsalve
15. Trim tool and return it to its place
16. Trim client
17. Remove handscoon
18. Open curtain
19. Effective hand washing
 Procedure unconscious client:
1. Provide privacy for clients: closed curtain
2. Effective hand washing
3. wear handscoon
4. Position the client: head tilted to the right
5. Put a towel under the head and neck
6. Put bent close to the cheeks, below the mouth and neck clients
7. Open the mouth of the client: the nurse left hand pressing the tongue with a
tongue spatula clients
8. Pinch deppers with artery clamps, dip into antiseptic (Betadine gargle + warm
water, wring it out a bit)
9. Clean the oral cavity, teeth, tongue and lips entirely until clean
10. Deppers former to dispose of the crooked
11. Repeat steps 8-10 but teeth cleaned by using Betadine gargle, then wipe and
rinse with warm water
12. Clean and dry lips with a tissue client
13. Apply a lip moisturizer
14. Trim tool and return it to its place
15. Trim client
16. Remove handscoon
17. Open curtain
18. Effective hand washing