Hand and nail care

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1. Introduce yourself and greet the resident using their name.Checkpoint
2. Explain the planned care before starting and keep the resident informed as you work.Checkpoint
3. Check that the water for the hand soak is safely tempered.Checkpoint
4. Soak the fingers or whole hand before cleaning underneath the nails.Checkpoint
5. Use a wet washcloth on the hand and between fingers; if using soap, remove it with a clean wet soap-free cloth or rinse it away.Checkpoint
6. Clean beneath each nail tip with the flat edge of an orangewood stick, wiping debris off the stick before moving to another nail.Checkpoint
7. After the soak, support the hand on a dry towel or similar barrier during care.Checkpoint
8. Dry the hand before finishing.Checkpoint
9. Leave the nail edges smooth, without snags or sharp irregularities.Checkpoint
10. Apply lotion to the clean hand after finishing nail care.Checkpoint
11. Support the arm whenever it is raised away from the table.Checkpoint
12. Remove any visible lotion left in excess.Checkpoint
13. Rinse, dry and store the basin; hamper used linen, discard waste, store or discard the nail tools as appropriate and leave the table dry.Checkpoint
14. Ask which preferences the resident would like respected during care.Checkpoint
15. Apply Standard Precautions and the infection-control practices required for this care.Checkpoint
16. Check whether the resident is comfortable or needs anything while you work or before finishing.Checkpoint
17. Respect the resident’s rights throughout the task.Checkpoint
18. Maintain resident safety throughout the task.Checkpoint