UNIT 3:FUNDAMENTALS OF NURSING CLINICAL SKILLS SENIOUR FIVE
3.1. Procedure: Wound Dressing
3.1.1. Technique: Aseptic Dry Wound Dressing
Aims of aseptic wound dressing
• To keep the wound clean
• To prevent the wound from injury and contamination
• To keep in position, the drugs applied locally
• To keep the edges of the wound together• To apply pressure
Learning outcomes:
• Maintain a sterile field
• Hand hygiene
• Glove use and other PPE
• Maintain aseptic field (sterile field) and non-touch technique
• Environmental controls• Logical sequencing of the procedure.
ASSOCIATE NURSE STUDENT / PREPARATION
• Should appear professional (in full and clean uniform) with student ID Card
• Hair tied back
• Remove watch, jewels, and Rings
• Wear closed shoes
• Hand washing
Identification of the client
• Self-presentation to the client
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the client
• Location, area, state of the wound.
• Type of dressing to carry out.• Type of product to use.
Materials
• Cleaned and disinfected trolley.
• On the upper shelf of the trolley.
• Sterile dressing set : for the sterile scissors and forceps(1 anatomic and 1
Kocher), Gauze dressings, Sterile drape, Sterile kidney dish
• Serving forceps
• Specific and Additional Material: in drums, boxes, individual packing.
• Sterile cleaning solution as ordered (commonly 0.9% normal saline
solution)
• Tape or bandage
• Sanitizer for hand rub
• Kidney basin with a pair of scissors for cutting the adhesive plaster..
• On the lower shelf of the trolley.
• Kidney dish
• Protective gloves.
• Waterproof pad
• Container or Recipient for used material.
• Additional personal protective Equipment (PPE), as indicated• Dust bin.
Steps
3.1.2. Technique: Wet Dressing Technique
AIMS
• To optimize timely and cosmetically appropriate healing
• Maintain a moist environment
• Control or absorb excess exudate, and aid debridement of necrotic or
slough tissue
• To prevent or combat infection non adherent to the wound surface, not to
shed fibres or cause trauma to the wound or surrounding tissue on removal
• Maintain a sterile field
• Hand hygiene
• Glove use and other PPE
• Maintain aseptic field (sterile field) and non-touch technique
• Environmental controls
• Logical sequencing of the procedure.
Should appear professional (in full and clean uniform) with student ID Card
• Hair tied back
• Remove watch, jewels, and Rings
• Wear closed shoes• Hand washing
Client preparation
• Identification of the client
• Self-presentation to the client
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the client
• Location, area, state of the wound.
• Type of dressing to carry out.• Type of product to use.,
Materials
• Cleaned and disinfected trolley.
On the upper shelf of the trolley.
• Sterile dressing set : for the sterile scissors and forceps(1 anatomic and 1
Kocher), Gauze dressings, Sterile drape, Sterile kidney dish
• Serving forceps
• Specific and Additional Material: in drums, boxes, individual packing.
• Sterile cleaning solution as ordered (commonly 0.9% normal salinesolution)
• Tape or bandage
• Sanitizer for hand rub
• Kidney basin with a pair of scissors for cutting the adhesive plaster…On the lower shelf of the trolley.
• Kidney dish
• Protective gloves.
• Waterproof pad
• Container or Recipient for used material.
• Additional personal protective Equipment (PPE), as indicated
• Dust bin.
3.2. Procedure: Bandaging
3.2.1. Technique: Spiral Bandage
Aims of spiral bandage procedure is to:
• To minimize swelling in the initial management of injury
• To stop bleeding
• To immobilize the injured part of the body
• To Provide additional support to an injured structureof the wound together• To apply pressure
Learning outcomes:
• Know the role of a nurse during Spiral bandaging;
• Substantiate compliance with the general principles of Spiral bandaging;
• Know the methodology of Spiral technique
• Know the necessary aids used in Spiral bandaging
• Apply Spiral bandaging• Know the aid care procedure after Spiral bandaging;
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
EQUIPMENTS
• A clean tray
• 2 or many bandages of appropriate size.
• Gloves
• Adhesive plaster or safety pin.• Scissors (if adhesive plaster is used).
3.2.2. Technique : Spica Bandage
Aims of spica bandage procedure is to:
• To minimize swelling in the initial management of injury
• To stop bleeding
• To immobilize the injured part of the body• To Provide additional support to an injured structure
Learning outcomes:
• Know the role of a nurse during Spica bandaging;
• Substantiate compliance with the general principles of Spica bandaging;
• Know the methodology of Spica technique
• Know the necessary aids used in Spica bandaging
• Apply Spica bandaging• Know the aid care procedure after Spica bandaging;
ASSOCIATE NURSE STUDENT / PREPARATION
• Should appear professional (in full and clean uniform) with student ID card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
EQUIPMENTS
• A clean tray
• 2 or many bandages of appropriate size.
• Gloves
• Adhesive plaster or safety pin.• Scissors (if adhesive plaster is used).
Spiral bandage’s steps
3.2.3. Technique: Earlobe Bandage
Aims of spica bandage procedure is to:
• To minimize swelling in the initial management of injury
• To stop bleeding• To support a dressing to the ear
Learning outcomes:
• Know the role of a nurse during Earlobe bandaging;
• Substantiate compliance with the general principles of Earlobe bandaging;
• Know the methodology of Earlobe technique
• Know the necessary aids used in Earlobe bandaging• Apply Earlobe bandaging
ASSOCIATE NURSE STUDENT / PREPARATION
• Should appear professional (in full and clean uniform) with student ID card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
EQUIPMENTS
• A clean tray
• 2 or many bandages of appropriate size.
• Gloves
• Adhesive plaster or safety pin• Scissors (if adhesive plaster is used)
Spiral bandage’s steps
3.2.4. Technique: Cranial Bandage
Aims of monocular bandage procedure is to:
• To minimize swelling in the initial management of injury
• To stop bleeding• To support a dressing to the ear
Learning outcomes:
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
EQUIPMENTS
• A clean tray
• 2 or many bandages of appropriate size (Usually 1.5 to 2width).
• Gloves
• Adhesive plaster or safety pin.• Scissors (if adhesive plaster is used
Cranial bandage’s steps
3.2.5. Technique: Monocular Bandage (Right Or Left)
Aims of monocular bandage procedure is to:
• To minimize swelling in the initial management of injury
• To stop bleeding• To support a dressing to the eye
Learning outcomes:
• Know the role of a nurse during monocular bandaging;
• Substantiate compliance with the general principles of monocular
bandaging;
• Know the methodology of monocular bandage technique
• Know the necessary aids used in monocular bandaging• Apply monocular bandaging
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
EQUIPMENTS
• A clean tray
• 2 or many bandages of appropriate size (Usually 1.5 to 2width).
• Gloves
• Adhesive plaster or safety pin.• Scissors (if adhesive plaster is used
Monocular bandage’s steps
3.2.6. Technique: Binocular Bandage
Aims of binocular bandage procedure is to:
• To minimize swelling in the initial management of injury
• To stop bleeding• To support a dressing to the eyes
Learning outcomes:
• Know the role of a nurse during binocular bandaging;
• Substantiate compliance with the general principles of binocular bandaging;
• Know the methodology of binocular bandage technique
• Know the necessary aids used in binocular bandaging• Apply binocular bandaging
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
EQUIPMENTS
• A clean tray
• 2 or many bandages of appropriate size (Usually 1.5 to 2width).
• Gloves
• Adhesive plaster or safety pin.• Scissors (if adhesive plaster is used).
Binocular bandage’s steps
3.2.7. Technique: Hand Gloved Bandage
Aims of hand gloved bandage procedure is to:
• To minimize swelling in the initial management of injury
• To stop bleeding• To support a dressing to the fingers
Learning outcomes:
• Know the role of a nurse during hand gloved bandaging;
• Substantiate compliance with the general principles of hand gloved
bandaging;
• Know the methodology of hand gloved bandage technique
• Know the necessary aids used in hand gloved bandaging• Apply hand gloved bandaging
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
EQUIPMENTS
• A clean tray
• 2 or many bandages of appropriate size (Usually 1.5 to 2width).
• Gloves
• Adhesive plaster or safety pin.• Scissors (if adhesive plaster is used).
Hand gloved bandage’s steps
3.2.8. Technique: Triangular Bandage
Aims of triangular bandage procedure is to:
• To minimize swelling in the initial management of injury
• To support and immobilize fractured forearm• To support and immobilize shoulder luxation
Learning outcomes:
• Know the role of a nurse during triangular bandaging;
• Substantiate compliance with the general principles of hand gloved
bandaging;
• Know the methodology of triangular bandage technique
• Know the necessary aids used in triangular bandaging• Apply triangular bandaging
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
EQUIPMENTS
• A clean tray
• 2 or many bandages of appropriate size (Usually 1.5 to 2width).
• Gloves
• Safety pins.• Scissors (if adhesive plaster is used).
Triangular bandage’s steps
3.2.9. Technique: Stump Bandage
Aims of stump bandage procedure is to:
• To minimize swelling in the initial management of injury
• To stop bleeding• To support a dressing
Learning outcomes:
• Know the role of a nurse during Stump bandaging;
• Substantiate compliance with the general principles of Stump bandaging;
• Know the methodology of Stump bandage technique
• Know the necessary aids used in Stump bandaging• Apply Stump bandaging
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
EQUIPMENTS
• A clean tray
• 2 or many bandages of appropriate size (Usually 1.5 to 2width).
• Gloves
• Safety pins.• Scissors (if adhesive plaster is used).
Stump bandage’s steps
3.3. Procedure: Basic Laboratory Tests
AIMS
• Diagnosis of malaria by detecting evidence of malaria parasites (antigens)in human blood.
Learning Outcomes
• Able to explain the steps of rapid test of malaria
• Perform the procedure with respect of procedure sequence• Able to interpret results of rapid test of malaria
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rationale of technique
• Position the client in a comfortable position
Materials preparation
• Gloves
• Rapid Diagnostic Test (RDT) kit
• Safety box
• Dustbin• Timer
Steps of rapid test for malaria
3.3.2. Technique: Performing urine test (albumin, glucose)
AIMS
• Introduce urinalysis testing procedures,• Apply clinical correlation of the results with the diseases.
Learning Outcomes
• Able to collect urine specimen adequately and follow routine urinalysis
procedures
• Perform urinalysis respecting steps, report findings according to laboratory
protocol
• Recognize normal and abnormal urinalysis test results and correlate withthe diseases.
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• dentification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
Materials preparation
• Dipstick bottle
• Strips
• Specimen container
• Glovers• Timer
Steps
3.3.3. Technique: Performing glycemia test
AIMS
• Monitor the effect of diabetes medications on blood sugar levels
• Identify blood sugar levels that are high or low
• Track progress in reaching overall treatment goals• Learn how diet and exercise affect blood sugar levels
Learning Outcomes
• Perform glycemia test by respecting steps, report findings according to
laboratory protocol
• Recognize normal and abnormal glycemia test results and correlatewith the diseases.
Preparation
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
Materials preparation
• Blood glucose monitor (Glucometer)
• Test strips (check that they are in date and have not been exposed to the
air)
• Alcohol swab
• Single-use safety lancets or lancing device,
• Gloves,
• Cotton wool/gauze,• Sharps box or safety box,
3.5.First Aid
3.4.1. Technique: Putting the victim into the recovery position
AIMS
• Prevent suffocation through obstruction of the airway
Learning Outcomes
• Able to understand and describe how the technique of putting the victim
into the recovery position is done
• Maintain comfort and safety during the procedure• Perform the procedure by respecting the steps
Preparation
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with
student ID Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes
• Wash hands if applicable• Client preparation
Client preparation
• dentification of the patient
• Ensure client privacy if applicable
• Self-presentation to the patient if applicable
• Physical and psychological client preparation if applicable
• Assess levels of comprehension and collaboration of the patient if
applicable
• Explain to the patient/ family the rational of technique if applicable• Position the client in a comfortable position if applicable
Materials preparation
• Materials
• A clean tray if applicable• Gloves if available
Steps for putting the victim into the recovery position
3.4.2. Technique: First aid interventions in case of burn
AIMS
• Protect the burned person from further harm
Learning Outcomes
• Able to understand and describe how the technique of first aid in case
of burn
• Maintain comfort and safety during the procedure• Perform the procedure by respecting the steps
Preparation
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with
student ID Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes
• Wash hands
Client preparation
• Identification of the patient if applicable
• Ensure client privacy if applicable
• Self-presentation to the patient if applicable
• Physical and psychological client preparation if applicable
• Assess levels of comprehension and collaboration of the
patient if applicable
• Explain to the patient/ family the rational of technique if
applicable• Position the client in a comfortable position if applicable
Materials
• A clean tray if applicable
• Gloves if applicable
• Tape water
• personal protective equipment if applicable
• Antibiotic / burn cream if available• Bandages if available
First aid steps interventions in case of burn
3.4.3. Technique: First aid in case of Drowning
AIMS
• Treat the victim for hypothermia
• To help the victim to regain the normal breathing
Learning Outcomes
• Able to understand and describe how the technique of helping drowned
person is done
• Maintain comfort and safety during the procedure• Perform the procedure by respecting the steps
Preparation
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes
• Wash hands
Client preparation
• Identification of the patient if applicable
• Ensure client privacy if applicable
• Self-presentation to the patient if applicable
• Physical and psychological client preparation if applicable
• Assess levels of comprehension and collaboration of the patient if applicable
• Explain to the patient/ family the rational of technique if applicable• Position the client in a comfortable position if applicable
3.6.Technique: Choking relief in a responsive adult or child
AIMS
• To remove the foreign object lodged in the throat in order to clear
airways
• To provide first aid as quickly as possible.
Learning Outcomes
• Able to perform abdominal thrusts (Heimlich maneuver)
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient if applicable
• Ensure client privacy if applicable
• Self-presentation to the patient if applicable
• Physical and psychological client preparation if applicable
• Assess levels of comprehension and collaboration of the patient if applicable
• Explain to the patient/ family the rational of technique if applicable• Position the client in a comfortable position if applicable
Materials
• Gloves if available
3.4.5. Technique: Choking relief in an unresponsive adult or child
AIMS
• To remove the foreign object lodged in the throat in order to clear airways
• To provide first aid as quickly as possible.
Learning Outcomes• Able to perform abdominal thrusts (Heimlich maneuver).
Preparation
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient if applicable
• Ensure client privacy if applicable
• Self-presentation to the patient if applicable
• Physical and psychological client preparation if applicable
• Assess levels of comprehension and collaboration of the patient if applicable
• Explain to the patient/ family the rational of technique if applicable• Position the client in a comfortable position if applicable
Materials
• Gloves if available
3.7.Choking relief in infants (Back slaps and chest thrusts)
AIMS
• To remove the foreign object lodged in the throat in order to clear airways• To provide first aid as quickly as possible.
Learning Outcomes• Able to perform abdominal thrusts (Heimlich maneuver).
Preparation
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient if applicable.
• Ensure client privacy if applicable.
• Self-presentation to the patient or family if applicable.
• Physical client preparation if applicable.
• Explain to the patient/ family the rational of technique if applicable.
• Position the client in a required positionMaterials
Gloves if available
3.4.7. Choking Relief in an Unresponsive Infant
AIMS
• o remove the foreign object lodged in the throat in order to clear airways• To provide first aid as quickly as possible.
Learning Outcomes• Able to perform abdominal thrusts (Heimlich maneuver).
Preparation
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient if applicable.
• Ensure client privacy if applicable.
• Self-presentation to the patient or family if applicable.
• Physical client preparation if applicable.
• Explain to the patient/ family the rational of technique if applicable.• Position the client in a required position
3.8.Technique: Cardiorespiratory Resuscitation: CPR
AIMS
• To restore partial flow of oxygenated blood to the brain and heart• To delay tissue death including permanent brain damage.
Learning Outcomes• The student will be able to provide CPR effectively.
Preparation
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with
student ID Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient if applicable.
• Ensure client privacy if applicable.
• Self-presentation to the patient or family if applicable.
• Physical client preparation if applicable.
• Explain to the patient/ family the rational of technique if applicable.• Position the client in a required position
Materials
• Gloves if available• AED if available
3.4.9. First aid care for broken bones
AIMS
• To rescue the patient’s life,
• To protect the affected limb
• To transport it safely and quickly in a simple and effective way in order toget proper treatment
Learning Outcomes
• TTo Stop any bleeding.
• To Immobilize the injured area.• To limit swelling and help relieve pain
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
Preparation
Materials
Gloves
• Gauze
• Wood
• Splint material
• Tape• Triangular arm sling
3.9.First aid in case of Epileptic seizure
AIMS• keeping the person safe until the seizure stops
Learning Outcomes
• To Stay calm,
• To Loosen anything around the person’s neck,
• To Clear the area around• To Stay with patient after the seizure stops
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID
Card
• Hair tied back
• Remove watch, jewelries, and Rings
• Wear short and closed shoes• Wash hands
Client preparation
• Identification of the patient
• Ensure client privacy
• Self-presentation to the patient
• Physical and psychological client preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rational of technique• Position the client in a comfortable position
Materials
• Gloves
1.10.Technique: Immediate Post Natal Care Of The
AIMS
• To have the general picture of the mother’s well being
• To find out the level of consciousness
• To find out if the woman’s condition gives rise to concern• To find out the woman’s urgent need of care
Learning Outcomes• Monitor a mother during postnatal period
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID Card
• Hair tied back and put bonnet
• Assemble equipment and arrange on bedside chair in the order the items
will be used
• Remove watch, jewels, and Rings
• Respect dignity and privacy of the client
• Wear closed and short shoes• Hand washing
Client preparation
• Identification of the patient
• Self-presentation to the patient
• Physical and psychological patient preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rationale
• Position the patient in a comfortable position• Ensure privacy
Equipment
• Vital signs materials
• Examination gloves
• Gauze
• Kit for vulva disinfection
• Dustbin, and
• Examination table and folding/curtain screen if necessary• Sanitary pad
3.11.4.2. Technique: Pre HIV Testing Counselling For Pregnant Woman
(PMTCT)
AIMS
• To ensure primary prevention of HIV among women of childbearing age
• To integrate PMTCT interventions into routine maternal and child’s healthservices
Learning Outcomes
• To promote voluntary testing in the context of PMTCT when offering
antenatal care.
• To provide appropriate regimens to prevent mother-to-child transmission
• To Provide psychosocial support to HIV positive pregnant women.• Improving follow-up care for HIV positive women and their infants.
Associate Nurse/student preparation
• Should appear professional (in full and clean uniform) with student ID Card
• Hair tied back and put bonnet
• Assemble equipment and arrange on bedside chair in the order the items
will be used
• Remove watch, jewels, and Rings
• Respect dignity and privacy of the client
• Wear closed and short shoes• Hand washing
Patient preparation
• Identification of the patient
• Self-presentation to the patient
• Physical and psychological patient preparation
• Assess levels of comprehension and collaboration of the patient
• Explain to the patient/ family the rationale
• Position the patient in a comfortable position• Ensure privacy
