Sanitizing the patient

The equipment required to perform this skill:

• non-sterile gloves
• mask
• skin antiseptic solution
• replacement OPP kit for health worker
• manicure scissors
• individual soap, washcloth, razor (in single-use packages)
• anti-pediculosis paving:
• Bags for collecting patient's belongings (cloth, lined)
• Waterproof apron
• Rubber gloves
• Respiratory PPE.
• Headwear (shower cap)
• Scissors.
• Hair trimmer.
• A single-use razor.
• Frequent crest.
• Cotton
• Table vinegar.
• Pediculocidal insecticides.
• A container for room disinfestation, labeled.
• Sprayer for irrigation with pediculocide solution.
• Magnifying glass.
• Container with working solution of chemical disinfection agent: "Disinfection of dressing material, PPE".

Level of care:

•  Hospital health care organization

Description of the clinical situation:

You are an emergency room nurse. You need to sanitize a patient who is admitted to a health care organization for inpatient treatment

The order in which the skill is performed:

• Determine the type (full or partial) of patient sanitization (physician determines)
• Provide the patient with information about the upcoming manipulation and obtain their consent
• Ask the patient to remove outer clothing and shoes, which are returned to relatives (or stored until discharge in a designated area of the hospital health care organization)
• Perform hygienic antisepsis on the skin of your hands
• Wear gloves
• Examine the patient for pediculosis and scabies
• If it is detected, perform disinfestation treatment using an anti-pediculosis styling treatment
• Have patient trim nails, women remove nail polish from nails
• Give the patient a personalized soap and washcloth (individually wrapped)
• Offer the patient a hygienic bath or shower (complete sanitization) by nursing staff under the supervision of a nurse.
• When it is necessary to prepare the patient for surgical intervention:
•  shave the hair in the area of surgical intervention with a single-use razor, using shaving gel (liquid soap), low-traumatic methods of hair removal - depilatories in the form of creams and gels are recommended.

• After sanitization, give the patient a clean towel, a set of clean underwear (pajamas), a robe, and a change of shoes (slippers) to be disinfected (the patient's personal clean underwear and personal hygiene items can be used in the hospital).
• If complete sanitization is not possible (depending on the severity of the patient), perform partial sanitization (skin wiping):
• Put the oilcloth and diaper on the couch
• Assist the patient to undress and assume the required supine position
• Wear non-sterile gloves and a kleenex apron
• Using a personalized sponge moistened with water, wipe the patient's neck, chest, and arms
• Dry these parts of the body with a towel
• In the same way, wipe your abdomen, then your back and lower extremities.
• On the cover page of the case history, make a note of the sanitization of the patient with the date and signature of the person who performed the sanitization.