PROCEDURE CHECK LIST

STEAM INHALATION AT HOME

SL STEPS DONE/NOT DONE

NO
01 Auscultated the chest

02 Switched off the fans to prevent draught

03 Explained the procedure

04 Asked the client to empty bladder

05 Placed the utensil of small mouth in utensil with wide

mouth and put small towel around it

06 Poured boiled water into the inner utensil

07 Added vicks or eucalyptus

08 Asked the client to sit comfortably, keep the utensil in

front and cover the client
09 Asked to inhale fumes for 15 to 20 mins

10 Recorded the observations

11 Washed the articles/ask the client to wash after

emptying the contents with warm soapy water

PROCEDURE CHECK LIST

 URINE ANALYSIS (FOR GLUCOSE)

SL STEPS DONE/NOT DONE

NO
01 Washed hands

02 Provided specimen container and explain the client

to collect midstream urine

03 Poured 5 ml of benedict’s solution & added 8

drops of urine through the sides

04 Heated the solution till it boils & watched for colour

change

05 Compared with standard colour code

06 Discarded /asked the client to discard the urine in toilet

07 Rinsed and dried the test tube, kidney tray & dropper

08 Washed the hands thoroughly

09 Interpreted the values and recorded the findings

PROCEDURE CHECK LIST

 URINE ANALYSIS (FOR ALBUMIN)

SL STEPS DONE/NOT DONE

NO
01 Washed hands

02 Provided specimen container and explained the

client to collect midstream urine

03 Filled 2/3 of the test tube with urine & boiled the
top portion of the test tube
04 added 2 drops of 5 % acetic acid and heated the
test tube again(applicable only if cloudiness is
present after heating)
05 Checked for cloudiness again
06 Discarded /asked the client to discard the urine in toilet

07 Rinsed and dried the test tube kidney tray & dropper

08 Washed the hands

09 Interpreted the values and recorded the findings

PROCEDURE CHECK LIST

 PEDICULOSIS TREATMENT
SL STEPS DONE/NOT DONE
NO
01 Washed hands
02 Explained the procedure
03 Wore apron, cap and gloves
04 Tied the bath towel over the clients head
05 Combed hair and divided the hair into several
sections and applied the medicine /camphor
coconut oil mixture using a guaze
06 Covered the hair
07 Asked the client to take head bath after 30 mins
08 Advised to apply weekly once for 06 weeks
09 Cleaned & disinfected the comb
10 Explained the client to discard the used newspaper
11 Collected the disposable apron , cap & gloves used
in separate bag and discarded it in PHC
10 Washed hands thoroughly

PROCEDURE CHECK LIST

 WOUND DRESSING
Sl No. STEPS DONE/NOT DONE
01
Follow steps 1-5 of the bag technique
02 Assess the wound and explain the procedure to
the client
03 Take the needed articles, like steel bowl,
dressing box, dressing pack, betadine solution,
spirit and cotton ball box from the upper
compartment and close the upper flap
04 To prepare normal saline, add about a
teaspoon/5 g of salt for each 200 ml of water
and boil it vigorously for 10 minutes
05
Remove the old soiled dressing
06
Scrub the hands for 2-3 minute
07 Clean the wound with cotton swab in cleansing
solution (normal saline) using artery forceps.
For surgical wounds, clean the incision from
center to periphery.
For infected wounds, clean it from periphery to
center and use one swab for one stroke.
08 While dressing, thumb forceps should be
confined with dressing box and should not touch
the infected site and artery forceps
09 After cleaning the wound, apply appropriate
medicine in the gauze and secure it with roller
bandage and plaster
10 Wash the used instruments and bowls with soap
and water
Clean the instruments and replace them
11 Explain the condition of the wound to the
beneficiary and document the care

NURSE'S RESPONSIBILITY
 Help the client to dress up and take a comfortable position in the bed, change the
garments if soiled.
 Discard the used dressing.
 Wash articles and instruments with soap and water, boil it for 20 minutes at home.
 Wash the hands thoroughly with soap and water.