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View Full Version : Ultimate RMC #2 - Nursing/Invalid Care



Reasonable Rascal
09-15-02, 17:48
Once again, what items would you include in The Chest that address this specific area of concern. For the Rulz of the game please refer to to original thread.

Remember, you do not have the option of relocating your patient. They may require care for 48 hours or the next 2 years. They may have a case of flu, or they may have suffered a stroke and are pretty much bedfast as a result.

We need to provide nursing care. How do you bathe them, provide for bodily elimination, protect the skin from breakdown, feed them, etc?

We'll address chemical agents in another thread later, so as far as addressing skin integrity the Tincture of Green Soap will go there, but how about these as far as basic nursing care:

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1. Reusable underpad

Absorbant on the patient side with a fluid barrier on the bottom to protect the bed and linens. Can be laundered by whatever means. Might need several per day to allow for changes and laundry time.

2. Sheepskin pad

Used to help prevent pressure sores in bedfast patients. Wooly side goes next to the patient's skin. An old tried and effective remedy.

3. Trapeze bar/frame

Huh??? you say.

Okay, an overhead bar or triangle fastened securely to the bed frame or floor or wall that the patient can grasp to lift themselves with to aid in movement, turning, etc. Can be knocked together from materials at hand if you have any basic handyman skills. If the patient can move themselves at will (assuming they have at least one good arm) they are less likely to suffer skin breakdown or require two people to place a bedpan, for instance. Can also allow for one person to change the sheets much more efficiently.

RR

RESQDOC
09-18-02, 12:33
Nursing/Invalid Care:

1. Bed pan – obvious uses, plus can use as utility bucket, plant flowers in it, etc.

2. Sheepskin (lots) – can cut for all sorts of pressure relief pads, etc.

3. Washable peri-pads/underpads/towels, etc. (lots) – for waste collection, patient movement aids, etc.

Reasonable Rascal
10-31-02, 17:07
1. Pillows - lots of them. For setting patients up with orthopnea, positioning, propping, and general comfort. Ideally these are worthy of the same and not just disposables hardly larger than an airline pillow.

2. Wash basin - bedbaths, hair washing, soaking hands and feet (as with epsom salts). Also make great large-volume emesis basins.

3. Toothbrushes - cheap single patient use (but not single use) toothbrushes for performing oral hygeine.

Next player!

RR

themadmedic
11-14-02, 16:57
Foley caths....