Ibrahim Ayasreh RN, PhD, 2021 - Using Clean Gown PPE Tutorial

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Questions and Answers

What factors can impact body temperature?

Favorite food, favorite color, and favorite movie

Hair color, eye color, and height

Education level, occupation, and marital status

Age, gender, and physical activity (correct)

When is body temperature typically lowest during the day?

Late afternoon

Midnight

Early morning (correct)

Noon

How is body temperature defined in terms of heat production and loss?

Difference between skin color and environmental temperature

Difference between skin temperature and core temperature

Difference between heat lost and sweat produced

Difference between heat produced and heat lost to the environment (correct)

Why are vital signs assessed before and after invasive procedures?

To monitor changes in health status Signup and view all the answers

In which scenario would measuring vital signs be unnecessary?

When a patient is unconscious Signup and view all the answers

What are appropriate times to measure vital signs?

Before and after invasive procedures Signup and view all the answers

What should you do after sliding the arms and hands through the sleeves of a clean gown?

Fasten the ties at the neck Signup and view all the answers

Where should you locate the top edge of a face mask when applying it?

Over the bridge of the nose Signup and view all the answers

What is one important instruction regarding wearing a face mask?

Wear it only once Signup and view all the answers

What should you do if glasses are worn while applying a face mask?

Fit the upper edge of the mask under the glasses Signup and view all the answers

Why should you not leave a used face mask hanging around your neck?

To avoid contamination Signup and view all the answers

What should be done with a face mask once it becomes wet?

Dispose of it Signup and view all the answers

What is the purpose of a non-rebreathing mask?

To provide a high concentration of oxygen to the patient Signup and view all the answers

What differentiates a partial rebreather mask from a non-rebreathing mask?

The presence of one-way valves Signup and view all the answers

What is a function of inserting a nasogastric (NG) tube?

Draining unwanted fluid from the stomach Signup and view all the answers

What is the primary function of a NG tube in post-bowel surgery patients?

To promote healing by allowing the intestinal tract to rest Signup and view all the answers

Which type of NG tube is specifically mentioned in the text?

Levin NG tube Signup and view all the answers

At what flow rate does a partial rebreather mask operate?

$8-12$ L/min Signup and view all the answers

What is the normal breathing rate range for healthy adults per minute?

12-20 times per minute Signup and view all the answers

When assessing the apical pulse, where should the stethoscope diaphragm be placed?

Over the apex of the heart Signup and view all the answers

How should a healthcare professional assess the space for auscultating the apical pulse?

Fifth intercostal space at the left midclavicular line Signup and view all the answers

What is the significance of counting heart sounds 'lub-dub' when assessing the apical pulse?

Each sound confirms a heartbeat Signup and view all the answers

How can a healthcare professional ensure proper hygiene during apical pulse assessment?

Clean the stethoscope diaphragm and earpieces with an alcohol swab Signup and view all the answers

What should a healthcare professional do after completing an apical pulse assessment?

Help the patient to a comfortable position and cover them Signup and view all the answers

What is the purpose of assessing the patency of the patient's nares before inserting an NG tube?

To determine the ease of air passage through each nostril Signup and view all the answers

Why is it important to gather equipment and select the appropriate NG tube before inserting it into a patient?

To prevent delays and ensure a smooth insertion process Signup and view all the answers

What is the significance of measuring the insertion distance for an NG tube from the patient's nostril to the tip of the xiphoid process?

To ensure the correct placement of the NG tube in the stomach Signup and view all the answers

Why should a caregiver assist a patient to a high Fowler's position before inserting an NG tube?

To maintain an upright position for easier tube insertion Signup and view all the answers

What is the rationale behind draping the patient's chest with a bath towel or disposable pad during NG tube insertion?

To prevent spillage or contamination of clothing during the procedure Signup and view all the answers

Why should a healthcare professional mark the NG tube with an indelible marker before insertion?

To ensure correct placement depth during insertion Signup and view all the answers

Study Notes

Factors Affecting Body Temperature

Body temperature can be influenced by metabolism, environment, time of day, age, exercise, and hormonal changes.
Typically, body temperature is lowest in the early morning, around 4 AM to 6 AM.

Definition of Body Temperature

Body temperature is defined in relation to heat production (via metabolic processes) and heat loss (through radiation, conduction, convection, and evaporation).

Vital Signs Assessment

Assessing vital signs before and after invasive procedures helps establish a baseline for the patient's condition and monitors any changes post-procedure.
Measuring vital signs may be unnecessary in patients who are terminally ill or in a very stable condition where no changes are anticipated.

Appropriate Times for Vital Signs Measurement

Vital signs should be measured during routine medical assessments, before and after surgery, and whenever a significant change in patient condition is observed.

Gown Application Procedure

After sliding arms and hands through the sleeves of a clean gown, ensure that the gown is properly tied to maintain hygiene and patient privacy.

Face Mask Application

The top edge of a face mask should be located at the bridge of the nose for an effective fit.
An important instruction while wearing a face mask is to ensure it covers the mouth and nose completely for optimal effectiveness.

Handling Glasses and Used Masks

If glasses are worn, they should be placed over the mask to avoid fogging and ensure clear vision.
Used face masks must not be left hanging around the neck due to the risk of contamination.

Face Mask Disposal and Functionality

A wet face mask should be disposed of immediately as moisture reduces its effectiveness.
The purpose of a non-rebreathing mask is to deliver high concentrations of oxygen to the patient, minimizing the mixing of exhaled air.

Differences Between Mask Types

A partial rebreather mask allows for some exhaled air to be re-breathed, while a non-rebreathing mask prevents re-breathing of exhaled air.

Nasogastric (NG) Tube Function

The NG tube serves multiple functions, including gastric decompression and nutrition delivery post-surgery.
Specific mention is made of the Levin tube as a type of NG tube.

Flow Rates and Respiratory Rates

A partial rebreather mask operates at a flow rate of 8 to 11 liters per minute.
The normal breathing rate for healthy adults ranges from 12 to 20 breaths per minute.

Apical Pulse Assessment

When assessing the apical pulse, the stethoscope diaphragm should be placed at the fifth intercostal space, midclavicular line.
Assessing heart sounds ‘lub-dub’ indicates the closure of heart valves and is crucial for determining heart health.

Hygiene and Post-Assessment Protocol

Ensuring proper hygiene during apical pulse assessment involves hand washing and using clean equipment.
After completing the assessment, document findings and ensure patient comfort.

NG Tube Insertion Considerations

Assessing nares patency is critical prior to NG tube insertion to ensure successful placement.
Gathering equipment and selecting the appropriate NG tube in advance minimizes complications.

Insertion Distance Measurement

The insertion distance from the nostril to the tip of the xiphoid process ensures correct placement depth of the NG tube.

Patient Position and Draping

Positioning the patient in a high Fowler's position during NG tube insertion facilitates easier placement and reduces aspiration risk.
Draping with a bath towel or disposable pad protects the patient’s clothing and enhances cleanliness during the procedure.

Marking and Preparation

Marking the NG tube with an indelible marker before insertion helps track placement and prevents complications associated with incorrect positioning.

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Description

Learn the correct procedure for using clean gown Personal Protective Equipment (PPE) in a healthcare setting, as demonstrated by Ibrahim Ayasreh RN, PhD in 2021. The tutorial includes step-by-step instructions on how to apply and secure the gown properly.