LEVEL I – GRANT
TRINITY VALLEY COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING
RNSG 1216
PROCEDURE GUIDE AND CHECK-OFF SHEET
BRUSHING TEETH – Conscious Patient
Oral hygiene maintains the integrity of the teeth and gums. Brushing of the teeth prevents tooth decay and infection and stimulates circulation of the gums.
Delegation: This procedure may be delegated to unlicensed assistive personnel. The nurse retains the responsibility of the assessment.
| Procedure | Scientific Rationale |
|1. The following equipment is needed for this skill: | |
|toothbrush | |
|toothpaste | |
|cup of water | |
|basin | |
|dental floss | |
|towel | |
|gloves | |
|mouth-wash. | |
|Assist patient to a sitting or side lying position. |These positions decrease the risk of possible choking or aspiration. |
|Place towel under patient’s chin. |Prevents soiling of gown and bed linens. |
|Ask patient to open mouth and inspect mouth, teeth and gums. |Assessment will provide information for any problems, such as tooth decay,|
| |gum inflammation, halitosis, etc. |
|Moisten toothbrush and apply small amount of toothpaste. |Use of toothpaste prevents tooth decay. A small amount of toothpaste |
| |prevents possible aspiration. |
|6. Brushing the teeth: | |
|Have patient hold basin under chin. If unable to hold, the nurse |a. Prevents soiling. |
|will hold for patient. | |
|Hold brush against teeth at a 45-degree angle to the gum line. | |
| |A 45-degree angle aids in removing plaque and food from gum line. |
|Direct bristles from the gum to crown of tooth. | |
|Move the bristles from gum line up and down to the crow of each | |
|tooth. |A back and forth motion removes food from gum line and provides |
|Repeat until all outer and inner surfaces are cleaned. |stimulation of gums. |
| | |
|f. Clean biting surfaces by moving brush back and forth in |f. Aids in proper cleaning. |
|short strokes. | |
|7. Brush tongue gently with toothbrush. |Brushing the tongue can remove coating which can lead to halitosis. |
| |Brushing gently helps prevent gagging. |
|8. Have patient rinse with water or mouthwash. |Rinsing loosens food particles and removes already loosened particles. |
|9. Flossing the teeth: | |
|Wrap the ends of floss around the third finger of each hand. |a. Flossing removes plaque and food particles that collect between teeth |
| |and gums which brushing doesn’t reach. |
|Using a sawing motion, start with back lower teeth and floss up | |
|and down. Move from one side of the mouth to the other. | |
|Repeat above procedure, flossing the upper teeth using a new | |
|piece of floss. | |
|Have patient rinse mouth. | |
| |d. Rinsing removes loosened food particles. |
|Offer the patient mouthwash. Instruct the patient to swish the |Mouthwash freshens breath; asking about preferences allow for patient |
|mouthwash inside the mouth, gargle (if desired), and spit into |control and facilitates cooperation. |
|emesis basin. | |
|Document assessment of teeth, gums, and oral mucosa. |All data must be entered in patient’s record. |
|Report any abnormal data to the appropriate personnel. |Any abnormal finding must have a corresponding nursing action. |
N:ADN/ADN Syllabus/CBC Curriculum/Level I/1216/Performance Checklist for Basic Skills - Brushing Teeth Reviewed 04/16
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- reading level grade level equivalent
- financial management level i certified
- i need a grant fast
- what grade level is reading level n
- i ready reading level conversion chart
- level t reading level grade
- lexile level grade level equivalent
- neck bilateral level i nodes icd 10
- pearson edexcel level 1 level 2 gcse 9 1 mathematics
- pearson edexcel level 1 level 2 gcse 9 1
- pearson edexcel level 1 level 2 gcse 9 1 mathematics markscheme
- pearson edexcel level 1 level 2 gcse 9 1 mathematics markscheme 2021