Page 53 - CLINICAL PRACTICE II
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                                              PROCEDURE CHECKLIST 28
                                 Nursing Interventions in Meeting Patient’s Comfort
                                                         Oral Care


                NO.                              PROCEDURE                                  REMARKS


                       Establish rapport.

                 1.    -     Greet & maintain eye contact.
                       -     Introduce yourself.

                 2.    Explain purpose of procedure and provide privacy.

                 3.    Prepare equipment.

                 4.    Wash hands and wear disposable gloves
                       Assess for patient’s gag reflex by placing
                       tongue blade on back half of tongue.

                       -  Reveal whether patient is at risk for aspiration and the

                           need of suction machine.
                 5.    -  Turn on suction machine and connect tubing to suction
                           catheter. (if needed)



                 6.    Raise bed to its highest horizontal level: lower side rail.

                       Position patient close to side of bed; turn patient’s head
                 7.    toward mattress.

                       Place towel under patient’s head and
                 8.    kidney dish under chin.


                       Separate upper and lower teeth carefully with padded tongue
                 9.    blade by inserting blade and insert when client is relaxed.


                       Clean mouth with brush or sponge toot Hettes moistened with
                10.    peroxide and water.


                11.    Clean chewing and inner teeth surfaces.
                       Swab roof of mouth, gums and inside
                12.    cheeks.












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