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Nursing Skills Laboratory Procedure


Performing Oral Care on an Unconscious Patient

Achievement of SATISFACTORY in all categories is necessary

Student's Name: ____________________

Grade (circle one):

P = achieved 3 or above in all categories

F = achieved 2 or below in one or more categories

The following scale is utilized:

1 = Failing 2 = Unsatisfactory 3 = Satisfactory 4 = Good 5 = Superior

ACTION
S
G
SA
U
F
  • Gather the supplies
5 4 3 2 1
  • Explain the procedure to the patient
5 4 3 2 1
  • Wash and dry hands carefully
5 4 3 2 1
  • Place the supplies on the patient's overbed table
5 4 3 2 1
  • Move the patient's overbed table to the head of one side of the bed
5 4 3 2 1
  • Draw the curtain around the bed for privacy
5 4 3 2 1
  • Go to and stand near one side of the bed, in line with the patient's waistline
5 4 3 2 1
  • Lock the wheels of the bed
5 4 3 2 1
  • Raise the bed to waist level
5 4 3 2 1
  • Lower the siderail nearest you and the overbed table with the supplies and lower the head of the bed to the lowest level the patient can tolerate
5 4 3 2 1
  • Position the patient on his/her side with his/her head turned to the side
5 4 3 2 1
  • Place a towel across the patient's chest
5 4 3 2 1
  • Turn the suction machine to "on"
5 4 3 2 1
  • Assure that the suction machine is on low intermediate suction
5 4 3 2 1
  • Connect the suction catheter to the tubing
5 4 3 2 1
  • Place the suction catheter in a convenient location
5 4 3 2 1
  • Don disposable gloves
5 4 3 2 1
  • Gently insert a padded tongue blade between the patient's back molars as necessary
5 4 3 2 1
  • Moisten and apply toothpaste to the bristles of the patient's toothbrush
5 4 3 2 1
  • Brush the inner surface of the patient's teeth, by: 1) placing the patient's toothbrush at a 45-degree angle to his/her inner gum line, 2) brushing the inner surface of each of his/her teeth from the inner gum line down to the crown of each of his/her teeth, and 3) suctioning excess secretions as necessary
5 4 3 2 1
  • Brush the outer surface of the patient's teeth, by: 1) placing the patient's toothbrush at a 45-degree angle to the outer gum line of each of his/her teeth, 2) brushing the outer surface of each of his/her teeth from the outer gum line down to the crown of each of his/her teeth, and 3) suctioning excess secretions as necessary
5 4 3 2 1
  • Brush the biting surface of the patient's teeth, by: 1) placing the patient's toothbrush on the biting surface of each of his/her teeth, 2) brushing back and forth across the biting surface of each of his/her teeth, and 3) suctioning excess secretions as necessary
5 4 3 2 1
  • Brush the patient's tongue with his/her toothbrush, suctioning excess secretions as necessary
5 4 3 2 1
  • Floss the patient's teeth, by: 1) wrapping the floss between the index fingers, 2) stretching about 1-1 1/2 inches of floss taut between the index fingers and thumbs, 3) inserting the floss between each of the teeth down to, but not into, the gum, 4) moving the floss up and down between each of the teeth, down to, but not into, the gum, 5) advancing the floss between the index fingers to bring up a fresh section of floss when it has become frayed or soiled, and 6) continuing this process until the spaces between each of the upper and lower teeth have been flossed
5 4 3 2 1
  • Rinse the patient's oral cavity by, 1) wiping it with a guaze-padded tongue blade dipped in water, or 2) gently inserting the tip of a bulb syringe into the patient's mouth, gently squeezing the bulb to insill in a small amount of water into his/her oral cavity, and allowing the water to drain from his/her oral cavity into an emesis basin, or 3) gently inserting the tip of an irrigating syringe into the patient's mouth, gently pushing on the plunger of the syringe to instill a a small amount of water into his/her oral cavity, and gently suctioning the water from his/her oral cavity with the suction catheter
5 4 3 2 1
  • Moisten a toothette with mouthwash and gently cleanse the patient's gums, mucous membranes, and tongue, suctioning excess secretions as necessary
5 4 3 2 1
  • Gently remove the padded tongue blade from between the back molars if present
5 4 3 2 1
  • Apply lip balm to the patient's lips
5 4 3 2 1
  • Remove the towel and discard in a linen hamper
5 4 3 2 1
  • Lower the bed to the lowest position
5 4 3 2 1
  • Raise the siderail nearest you
5 4 3 2 1
  • Assure that the patient's call light is readily available
5 4 3 2 1
  • Remove gloves and discard in an appropriate receptacle
5 4 3 2 1
  • Wash and dry hands carefully
5 4 3 2 1
Comments:

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This page was last modified on 6/1/01