1. gloves
2. kidney basin (marked for oral use)
3. toothbrush
4. toothpaste
5. water glass w/ water and straw if needed
6. washcloth for wiping patientÎéÎ÷s mouth
7. shirt protector
8. hand towel (to cover table top)

Procedure:

1. Knock, greet resident by name and introduce self and title. Explain intended procedure and ask permission.
2. Excuse self to wash hands and gather supplies. Give call button.
3. Simulate hand wash and gather supplies
4. Knock, greet resident by name
5. Set up table, cover with towel and lay supplies down
6. CLOSE CURTAIN FOR PRIVACY
7. Raise the head of the bed to 45 degree, adjusting the bed height as needed
8. place shirt protector on patient
9. Moisten toothbrush w/ water, apply tooth paste
10. Offer water to drink before beginning.
11. Gently brush teeth - offering patient opportunity to rinse and spit in kidney basin as needed
12. wipe patient's mouth - leave clean and dry.
13. remove shirt protector
14. reposition pt. to sitting or lying as desired
15. pretty beds, lower beds, call bell, check comfort, open curtain
16. dispose of dirty linens
17. clean and return disinfected kidney basin, toothbrush and toothpaste to bedside
18. remove gloves and wash hands

Testing Checklist:

• Did candidate protect patient clothing?
• Moisten toothbrush w/ water and apply paste before brushing?
• Brush all surfaces gently?
• Offer water to rinse and spit?
• Leave patient mouth/face clean and dry?
• Clean and store equipment, leaving patient room tidy?
• Wash hands before and after?

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