Bedtime CNA visit

READ REPORTS AND WHITE BOARD

In bedroom preparation:

• Get mouth supplies
• New diaper
• 5 paper towels
• Trach solution

In living-room: 

Take blue roll and rice off of belly
Water Management
Lung Suction

• Disconnect Urine Bag, hang in bathroom
• Plug condom
• Tissues in Shower Chair
• Remove burp tube
• Trach roll on hospital table

Transfer to Shower Chair

• Unplug Big Bertha
• Remove diaper, shorts, and shoes 
• Move to bedroom
• Lock Shower Chair
• Feet on Step stool
• New Diaper at ankles 
• Paper towel between legs
• Diaper at knees 

Mouth Care

• Remove Brace- life chin and hold head
• Wipe lips
• Put hands on knees- space for bucket
• Rinse mouth- twice
• Brush teeth with pink sponge
• Wipe mouth with paper towel
• New bib
• Replace Brace

PEG Care

• Roll shirt up and under
• Remover gauze, fold old gauze opposite way and wipe off pink stuff
• 2 wash cloths- one with soap, one without soap
• Wash belly- use Q-tip
• Rinse belly
• Colloidal Silver- 2 drops
• New gauze- 1 tape across bottom

Rub Belly- Colon Massage

• Start at Don's right, massage up, then down on left
• Lean forward- Batman pillow, chair forward, fold hands- ring on top
• Butt spread
• Paper towel on knees for spit
• Feet straight on stool
• Clips not stabbing arms
• Condom in bucket- unplugged

WHILE GOING

• Clean up mouth/teeth stuff
• Clean suction machine in Livingroom
• Drain and rinse urine bag- put in bedroom
• 3 baby wipes, scissors, Prep H

When done using commode

• Remove Batman pillow, wipe mouth, sit back
• Wipe bottom, Duoderm, Prep H
• Push condom on all the way
• Pull up scrotum, tuck diaper, hands in diaper

Water Management/Mouth Suction

Transfer to Bed

• Unlock Shower Chair
• Put shoes on
• Smooth shirt
• Lift up in Bed- make sure pillow is under head
• Lift tubes, make sure to LEFT of PEG tube
• Remove Brace
• Place Trach Roll with clips

Eye drops, tissue
Remove socks (need washed?)
Place foot foam, get wedgie, flatten diaper

LEG ROM

• Butterflys- 3x
• Get wedgie
• PeriCare- wipe out groin area, lower feet alittle
• Legs up, then bend,- 3x
• Pull feet back- 3x
•  Pull toes

Connect Urine tube to Right leg
Wrap short side
Blue roll under knees
Sheet sideways across legs and bed
Wet trach with water syringe

LEFT ARM ROM

• Fist, backwards fingers- 3x
• Arm up, sideways, bend elbow- 3x

Clean Trach

• 3 Q-tips in solution
• 1 Q-tip in Colloidal Silver
• A&D or Neosporin
• Clean up hospital table at foot of bed

RIGHT ARM ROM

Clean Nose

1. Sucky Machine
2. 2 wet Q-tips
3. Tissue

Wash Face and Ears
Corellas Beeswax Cream on Knuckles and Nose
Put gauze on Trach

Bed rails up

• Hang Catheter Bag on PUSH button

Place purple pillows and flower pillows, hand towels on bed
Ask PA for snack and meds

Smooth shirt under back and chuck and sheets

• Place arm pillows, flower pillow and hand towel, yellow finger thing
• Put head roll on bed (don't clip) 

Mouth Suction

Bedtime Snack- RED DROP, meds, food- clean up

Lung Suction with bullet ALWAYS:

• Feet on box

Flip pillow, put small foam pillow under pillow, clips on roll

• 3 tissues around neck collar, adjust pillows right arm
• Connect Burp Tube to roll
• Adjust foot foam

RIGHT Butt Spread

• Connect condom (push condom on), washcloth horseshoe over urine tube, close to Don

LEFT Butt Spread

• Fix Left arm pillows

Rice Pack (1 1/2 min)
Test Door Bell (lower head, move legs/feet)
Hair Management, place pillow behind head, tuck chin
Water Management, hoses up with cardboard
"Did we forget anything/"
Suction, Chapstick, Echinacia?
Lights Out, Goodnight