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Application of Hot Water Bag

The document outlines the steps for applying a hot water bag, including: explaining the procedure to the patient, filling the bag 2/3 full with water under 43.3°C, checking for leaks, applying the bag to the indicated area, assessing every 5-10 minutes, and removing before rebound phenomena occurs around 20-30 minutes. The document also provides the steps for total parenteral nutrition (TPN) via hyperalimentation, which includes: verifying the prescription, observing medication rights, explaining to the patient, preparing materials aseptically, regulating the infusion rate, monitoring the patient, weighing daily, and documenting. Finally, the document lists applying an ice bag, including: assisting

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Doj Deej Mendoza Gamble
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2K views9 pages

Application of Hot Water Bag

The document outlines the steps for applying a hot water bag, including: explaining the procedure to the patient, filling the bag 2/3 full with water under 43.3°C, checking for leaks, applying the bag to the indicated area, assessing every 5-10 minutes, and removing before rebound phenomena occurs around 20-30 minutes. The document also provides the steps for total parenteral nutrition (TPN) via hyperalimentation, which includes: verifying the prescription, observing medication rights, explaining to the patient, preparing materials aseptically, regulating the infusion rate, monitoring the patient, weighing daily, and documenting. Finally, the document lists applying an ice bag, including: assisting

Uploaded by

Doj Deej Mendoza Gamble
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Application of hot water bag

1. Explain procedure to the patient and watchers


2. Fill hot water bag two-third full using water temperature of no more than 43.3 C
3. Secure the stopper or sealer tightly.
4. Hold the water bag upside down to check for leaks.
5. Dry the hot water bag.
6. Wrap the hot water bag on the indicated area.
7. Apply the hot water bag on the indicated area.
8. Every 5-10 minutes, assess the condition of the skin and for any complaints of the client
discomfort ex: pain, burning and skin reaction.
9. Document the following:
Purpose
Tine and site
Method used
Any nursing assessment
10. Remove the heat before the rebound phenomenon (excessive redness, swelling, discomfort)
begins ex after 20-30 minutes.
11. After removal record the time and all the nursing assessment.
12. Reposition patient for comfort
13. Drain water sand return hot water bag to appropriate storage area.
Hyperlimentation: Total Parentheral Nutrition (TPN)

Procedures:

1. Verify written prescription.


2. Observe 10 Rights in medication administration
3. Explain the procedure to the patient
4. Do hand hygiene before and after procedure.
5. Prepare materials
6. Prepare the parenteral solution and other devices
7. Compare contents in the bag with that of your medicine card.
8. Check for the integrity of the solution by Observing for cloudiness, turbidity, and particles in the
container. If any are present, send the solution back to the pharmacy.
9. Using aseptic technique, connect the tubing to the prepared parenteral solution and regulate to
flow rate as prescribed.
10. Secure the tubing utilizing appropriate taping technique.
11. Check infusion rate every so often.
12. Observe patient for any untoward signs and symptoms
13. Weigh the patient daily.
14. Record the intake and output.
15. Watch out for elevated blood glucose.
16. When discontinuing TPN, decrease the rate slowly.
17. Discard materials accordingly
18. Document procedure.
Application of Ice bag

1. Assist the patient to a comfortable position


2. Prepare needed materials:
a. Ice bag
b. Ice bag cover
c. Crushed ice or ice cubes
3. Fill the bag ½ to 2/3 full of crushed ice/ ice cubes.
4. Compress empty portion to expel air.
5. Hold the ice bag upside down.
6. Cover the ice bag wih a soft cloth cover.
7. Apply to designated area.
8. Apply ice bag for the time specified or as ordered.
9. Remove the cold application at the designated time.
10. Drain bag content
11. Assess patient and monitor any untoward signs and symptoms. Observe area of application.
12. Document procedure.
Irragation of the Bladder (cystoclysis)

Procedure

1. Explain the procedure to the patient


2. Do hand hygiene before and after procedure
3.
Post Con 1

Topics:

Hygiene

Am Care

Backrub

Bedbath

Bed Making

Hair and Shampoo

Oral Care
Post Con 2:

Tracheostomy care

Care of T-Tube drainage

Suctioning via Tracheostomy or Endotracheal tube

Administering Oxygen Via Endotrachial and Tracheostomy


Post Con 3

Medication Administration

Adding Medication to An IV solution Container

Blood Transfusion

IV therapy Adult

IV therapy Pediatric
Invasive Procedures

Abdominal paracenthesis

Bone marrow Aspiration


Liver Biopsy
Lumbar puncture/Spiral tap
Thoracenthesis
Admitting, Transfer, Discharge

Admission of Patient Emergency Room

Admission of Patient CCU

Admission of patient –pediatric Ward

Transfer patient to other Units


Discharge of Chart
Discharge of unit

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