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CEBU DOCTORS’ UNIVERSITY

COLLEGE OF NURSING
1 Dr. P.V. Larrazabal Avenue, North Reclamation 6014 Mandaue City, Cebu Philippines
Tel. No. +63 (32) 238-8746 local 191-192 Website: www.cebudoctorsuniversity.edu
E-mail add: cdu-cn@cebudoctorsuniversity.edu

PROCEDURE GUIDE MODULE

COMMUNITY HEALTH NURSING I

Individual and Family as Client

NCM 104
Prepared by: The Faculty, CDUCN

Copyright, 2019
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Cebu Doctors’ University

College of Nursing
Cebu, Philippines

Community Health Nursing I: Individual and Family as Client

Related Learning Experience, Skills Laboratory

First Aid

Definition and Rationale:

The provision of initial care for an illness or injury. It is usually performed by a

first responder, but trained personnel, to a sick or injured person until definitive medical
treatment can be accessed

Objectives: After 4.5 hours of various classroom and laboratory activities, the Level II
students will be able to:

1. define the following:

1.1 accidents. 1.12 injuries.

1.2 bandaging. 1.13 joints.
1.3 bites. 1.14 poisoning.
1.4 burns. 1.15 seizure.
1.5 dislocation. 1.16 shock.
1.6 emergency care. 1.17 splinting.
1.7 fainting. 1.18 sprain.
1.8 first aid. 1.19 strain.
1.9 hematoma. 1.20 tourniquet.
1.10 hemorrhage. 1.21 trauma.
1.11 infarction. 1.22 wound care.

2. state the importance of first aid.

3. identify aims of first aid.
4. cite the roles and characteristics of a first aider.
5. explain the different principles involved in first aid.
6. discuss the following interventions of the following:

6.1 epistaxis. 6.8. strains.

6.2 Bites. 6.9 sprains.
6.3 Wounds. 6.10 fractures.
6.4 Burns. 6.11 shock.
6.5 Poisoning. 6.12 fainting.
6.6 Choking. 6.13 seizure.
6.7 Dislocation. 6.14 splinting.

7. show materials needed for the first aid.

8. perform beginning skills in bandaging and splinting.

Criteria for Mastery:

1. 75% score on the quiz

2. Submission of Procedure Guide with rationales
3. Individual Return Demonstration
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Enrichment Activities:
A. Read from the following references:

National League of Philippine Government Nurses, Incorporated. (2007). Public Health

Nursing in the Philippines. Manila: National League of Philippine Government
Nurses, Incorporated.

National League of Philippine Government Nurses, Incorporated. (2000). Community

Health Nursing Services in the Philippines. Manila: National League of Philippine
Government Nurses, Incorporated

Famorca, Z. U., Nies, M. A., & McEwen, M. (2013). Nursing Care of the Community.
Singapore: Elsevier Inc.
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I. Bandaging – The application of a strip or roll of cloth or other material that may be
wound around a part of the body in a variety of ways to secure a dressing, maintain
pressure over a compress, or immobilize a limb or other part of the body

Materials needed for Bandaging: Cravats

Procedure Guide for Bandaging

PROCEDURE RATIONALE
Triangular Bandages
Making a broad-fold bandage

1. Open out a triangular bandage and lay it flat on a

clean surface. Fold the bandage in half horizontally,
so that the point of triangle touches the center of the
base
2. Fold the triangular bandage in half again, in the
same direction, so that the first folded edge touches
the base. The bandage should now form a broad
strip
Making a narrow fold bandage

1. Fold a triangular bandage to make a broad fold

bandage.
2. Fold the bandage horizontally in half again. It should
form a long, narrow, thick strip of material.

Scalp Bandage
1. Fold a hem along the base of the bandage. Place the
bandage on the casualty’s head with the hem underneath
and the center of the base just above his eyebrows.

2. Wrap the ends of the bandage securely around

the casualty’s head, tucking the hem just above his
ears.
Cross the two ends at the nape of the casualty’s neck,
over the point of the bandage.
3. Bring the crossed-ends to the front of the casualty’s
head. Tie ends in a reef knot (opposite) at the centre
of the forehead, positioning it over the hem of the
bandage. Tuck the free part of each end under the
knot.
4. Steady the casualty’s head with one hand and draw
the point down to tighten the bandage. Then fold
the point up over the ends and pin it at the crown
of his head. If you do not have a pin, tuck the point
over the ends
Arm Sling
1. Ensure that the injured arm is supported with its
hand slightly raised. Fold the base of the bandage
under to from a hem. Place the bandage with the
base parallel to casualty’s body and level with her
little finger nail. Pass the upper end under the injured
arm and pull it around the neck to the opposite
shoulder.
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PROCEDURE RATIONALE
2. Fold the lower end of the bandage up over the
forearm and bring it to meet the upper end at the
shoulder.
3. Tie a reef knot on the injured side, at the hollow
above the casualty’s collar bone. Tuck both free ends
of the bandage under the knot to pad it.

4. Fold the point forwards at the casualty’s elbow. Tuck any

loose fabric around the elbow, and secure the point
to the front with a safety pin. If you do not have a pin,
twist the point until the fabric fits the elbow snugly;
tuck it into the sling at the back of the arm.

5. As soon as you have finished, check the circulation

in the fingers. Recheck every 10 minutes. If
necessary, loosen and reapply the bandages and
sling.
Elevation sling

1. Ask the casualty to support his injured arm cross

his chest, with the fingers resting on the opposite
shoulder.
2. Place the bandage over his body, with one end
over the uninjured shoulder. Hold the point just
beyond his elbow.

3. Ask the casualty to let go of his injured arm. Tuck

the base of the bandage under his hand, forearm,
and elbow.

4. Bring the lower end of the bandage up diagonally

across his back, to meet the other end at his
shoulder.
5. Tie the ends in a reef knot at the hollow above the
casualty’s collar bone. Tuck the ends under the
knot to pad it.

6. Twist the point until the bandage fits closely

around the casualty’s elbow. Tuck the point in just
above his elbow to secure it. If you have safety
pin, fold the fabric over the elbow, and fasten the
point at the corner.

7. Regularly check the circulation in the thumb. If

necessary, loosen and reapply the bandage and
sling.
Revised June 2018
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II. Splinting – The process of immobilizing, restraining or supporting a body part;

stabilization, immobilization and/ or protection of an injured body part with a
supportive appliance

Material needed for Bandaging: Hard Splints

Procedure Guide for Splinting

PROCEDURE RATIONALE
Triangular

Bandages Arm

Sling and Binder

1. Support the arm

2. Position the arm on a rigid splint

3. Secure the splint

4. Check circulation

5. Position the triangular bandage.

6. Bring the lower end of the bandage to the opposite

side of the neck.

7. Tie the ends.

8. Secure the point of the bandage at the elbow.

9. Tie a binder bandage over the sling around the chest.

Splinting the leg

1. Gently slide 4 or 5 bandages or strips of cloth under

both legs.

2. Put padding between the legs.

3. Gently slide the uninjured leg next to the injured leg.

4. Tie the bandages.

Revised June 2018

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Cebu Doctors’ University

College of Nursing
Cebu, Philippines

Summary Performance Evaluation for Bandaging and Splinting Competency

Name of Student: Date Performed:

Competency 5 4 3 2 1

Knowing and Understanding the Theory

Answers relevant questions related to Bandaging and Splinting
Articulates the Nursing Responsibilities of the Nurse Before the
Procedure
Articulates the Nursing Responsibilities of the Nurse During the
Procedure
Articulates the Nursing Responsibilities of the Nurse After the
Procedure
Competence in Bandaging and Splinting
Identifies oneself as the rescuer and calls help as necessary
Prepares all materials for bandaging and splinting
Covers the injured site with appropriate dressing
Makes the correct bandage or splint according to the type of injury
Secures the bandage and splint in place
Positions the victim safely and comfortably
Does aftercare procedure
Provides a thorough reporting and documentation of the incident
Attitude and Professional Conduct
Courteous (Shows respect and is courteous to Teachers and peers)
Disciplined (Punctual and organized in doing the procedure)
Upright (Is trustworthy and honest in doing the procedure)
Competent and Committed (Performs the procedure with the client’s
welfare in mind at all times)
Neat (Presents oneself neatly before the start of the
procedure and maintains cleanliness throughout.)
Over-all Score

Additional Remarks:

Evaluator:

Signature above printed name of Clinical Teacher

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