Ante meridiem (A.M.) Care

Objective:

1. To refresh resident. 2. To provide cleanliness, comfort, and neatness. 3. To prepare resident for breakfast. 4. To assess resident condition. 5. To assess resident needs.

Policy: All residents shall receive A.M. care at a time deemed appropriate by the resident to assure objectives are met daily.

Procedure:

1. Observe all standard precautions, wash hands before and after all procedures. Wear gloves when appropriate. Dispose of soiled lines appropriately.

2. Gather equipment.

3. Follow specific procedures for:

== a. Partial bathing b. Toileting c. Care of teeth, dentures d. Care of hair e. Dressing ==

4. Encourage resident to do self-care. Assist resident after resident has accomplished as much of care as possible.

5. Inspect skin on entire body. Report unusual skin conditions to nurse.

6. Offer resident a choice of clothing seasonally appropriate.

7. Encourage resident to dress self when possible. Assist resident after resident has accomplished as much as possible.

8. Assist resident to set-up for breakfast at site of choice, including comfortably positioning in bed, chair or at a table.

9. Clean and replace utensils.

10. Remove soiled lines and place in appropriate line container.

11. Replace lines and complete making the bed.

12. Check resident for comfort, safety, bed at lowest position, call light within reach. Wheelchair locks secured if resident is in the wheelchair.

13. Pass out trays to residents on unit and begin to feed assigned residents.

14. Gather tray upon meal completion. Record food eaten and fluids consumed as needed.

15. Wipe residents face and hands and clothing.

16. Toilet residents as prescribed and/or offer verbal prompting to toilet as indicated for individual residents.

17. Check assignments and follow ADL guidelines for care through remainder of the day.