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Name __________________________________________________________ Date ____________________________________
Course _________________________________________________________ Year ____________________________________
Instructor/examiner _ ____________________________________________ Position _ _______________________________
Copyright © 2014 by Wolters Kluwer Health | Lippincott Williams & Wilkins.
Checklists for Clinical Nursing Skills by Louise Sparkes, Jennifer Bassett and Elisabeth Jacob.
1. Identify the patient.
2. Check the medical order or clinical pathway/care plan.
Review the chart for any limitations in physical activity or
contraindications to the procedure.
3. Introduce yourself, explain the rationale for the
procedure to the patient and family, and obtain consent.
4. Gather the necessary equipment.
Equipment:
toothbrush, toothpaste, kidney dish or emesis
basin, glass with cool water, towel, mouthwash, dental floss,
washcloth or paper towel, lip balm.
5. Undertake a risk assessment, if indicated.
6. Perform hand hygiene.
7. Put on personal protective equipment (PPE), if indicated.
8. Ensure that patient privacy is maintained.
9. Place the bed at an appropriate and comfortable working
height.
10. Lower the bed side rail and assist the patient to a sitting
position, if permitted, or turn the patient onto their side.
Place a towel across the patient’s chest.
11. Encourage the patient to brush their own teeth, or assist if
necessary.
(a) Moisten the toothbrush and apply toothpaste to the
bristles.
(b) Place the brush at a 45-degree angle to the gum line
and brush from the gum line to the crown of each
tooth. Brush the outer and inner surfaces. Brush back
and forth across the biting surface of each tooth.
(c) Brush the tongue gently with the toothbrush.
(d) Have the patient rinse vigorously with water and spit
into the emesis basin. Repeat until clear. Suction may
be used as an alternative for removal of fluid and
secretions from the patient’s mouth.
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Goal:
The patient has a clean mouth and clean teeth, and
exhibits a positive body image.
Refer to Dempsey, Hillege and Hill, Fundamentals of Nursing and Midwifery:
A Person-Centred Approach to Care 2e
,
Chapter 37, Hygiene
SKILL 7-2
Assisting the patient with oral care
