FUNDAMENTAL OF NURSING
PROCEDURE MANUAL
for PCL course
Nursing Department,
Khwopa Poly-Technic Institute ＆
Japan International Cooperation Agency (JICA)
, Fundamental of Nursing Procedure Manual
Published by:
Japan International Cooperation Agency (JICA) Nepal Office
Block B, Karmachari Sanshaya Kosh Building
Hariharbhavan, Lalitpur, NEPAL
(P.O. Box 450, Kathmandu, NEPAL)
Tel:(977-1) 5010310
Fax:(977-1) 5010284
All copyright reserved by JICA
First Edition: March, 2008
Re - print: November, 2008
2
, Fundamental of Nursing Procedure Manual
✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽
Contributor: Sanjita Khadka
Durgeshori Kisi
Padma Raya
Saphalta Shrestha
Edited by Kei Miyamoto( Nursing Education, Senior Volunteer, JICA)
✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽
Khwopa polytechnic institute, Nursing department
Principle: Dr. Rajan Suwal
Faculty members of Nursing Department
Head of Department : Sharmila Shrestha
Lecturer: Sanjita Khadka(1st year coordinator)
Chitra Kala Sharma(2nd year coordinator)
Merina Giri(3rd year coordinator)
Bishnu Uprety
Assistant lecturer: Durgeshori Kisi
Padma Raya
Sushila Chaudhari
Sunita Batas
Instructor: Saphalta Shrestha
Sumitra Budhathoki
Sabitra Khadka
Thank for contributing your professional knowledge and experience. We would like to appreciate
to all our teachers and the former teachers, Ms. Junely Koju, Ms.Uttam Tara, and Ms. Rashmi
Joshi.
3
, Fundamental of Nursing Procedure Manual
Table of Contents
I. Basic Nursing Care/ Skill 7
1. Bed making
a. Making an Un-occupied bed 9
b. Changing an Occupied bed 13
c. Making a Post-operative bed 16
2. Performing oral care 19
a. Assisting the client with oral care 21
b. Providing oral care for dependent client 23
3. Performing bed bath 26
4. Performing back care 30
5. Performing hair washing 32
6. Care for fingernails/ toenails 35
7. Performing perineal care 37
8. Taking vital signs 39
a. Taking axillary temperature by glass thermometer 41
b. Measuring radial pulse 43
c. Counting respiration 45
d. Measuring blood pressure 46
9. Performing physical examination 49
10. Care for Nasal-gastric Tube 98
a. Inserting a Nasal-Gastric Tube 98
b. Removal a Nasal-Gastric Tube 101
11. Administering Nasal-Gastric tube feeding 102
12. Cleaning a wound and Applying a sterile dressing 106
13. Supplying oxygen inhalation 109
a. Nasal Cannula Method 111
b. Mask Method: Simple face mask 113
II. Administration of Medications 115
1. Administering oral medications 117
2. Administering oral medications through a Nasal-Gastric Tube 120
3. Removing medications from an ampoule 123
4. Removing medications from a vial 126
5. Prevention of the needle-stick injuries 129
6. Giving an Intra-muscular injection 130
7. Starting an Intra-venous infusion 135
8. Maintenance of I.V. system 140
9. Administering medications by Heparin Lock 144
10. Performing Nebulizer Therapy 147
a. Inhaler 148
b. Ultrasonic nebulizer 149
4
PROCEDURE MANUAL
for PCL course
Nursing Department,
Khwopa Poly-Technic Institute ＆
Japan International Cooperation Agency (JICA)
, Fundamental of Nursing Procedure Manual
Published by:
Japan International Cooperation Agency (JICA) Nepal Office
Block B, Karmachari Sanshaya Kosh Building
Hariharbhavan, Lalitpur, NEPAL
(P.O. Box 450, Kathmandu, NEPAL)
Tel:(977-1) 5010310
Fax:(977-1) 5010284
All copyright reserved by JICA
First Edition: March, 2008
Re - print: November, 2008
2
, Fundamental of Nursing Procedure Manual
✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽
Contributor: Sanjita Khadka
Durgeshori Kisi
Padma Raya
Saphalta Shrestha
Edited by Kei Miyamoto( Nursing Education, Senior Volunteer, JICA)
✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽✽
Khwopa polytechnic institute, Nursing department
Principle: Dr. Rajan Suwal
Faculty members of Nursing Department
Head of Department : Sharmila Shrestha
Lecturer: Sanjita Khadka(1st year coordinator)
Chitra Kala Sharma(2nd year coordinator)
Merina Giri(3rd year coordinator)
Bishnu Uprety
Assistant lecturer: Durgeshori Kisi
Padma Raya
Sushila Chaudhari
Sunita Batas
Instructor: Saphalta Shrestha
Sumitra Budhathoki
Sabitra Khadka
Thank for contributing your professional knowledge and experience. We would like to appreciate
to all our teachers and the former teachers, Ms. Junely Koju, Ms.Uttam Tara, and Ms. Rashmi
Joshi.
3
, Fundamental of Nursing Procedure Manual
Table of Contents
I. Basic Nursing Care/ Skill 7
1. Bed making
a. Making an Un-occupied bed 9
b. Changing an Occupied bed 13
c. Making a Post-operative bed 16
2. Performing oral care 19
a. Assisting the client with oral care 21
b. Providing oral care for dependent client 23
3. Performing bed bath 26
4. Performing back care 30
5. Performing hair washing 32
6. Care for fingernails/ toenails 35
7. Performing perineal care 37
8. Taking vital signs 39
a. Taking axillary temperature by glass thermometer 41
b. Measuring radial pulse 43
c. Counting respiration 45
d. Measuring blood pressure 46
9. Performing physical examination 49
10. Care for Nasal-gastric Tube 98
a. Inserting a Nasal-Gastric Tube 98
b. Removal a Nasal-Gastric Tube 101
11. Administering Nasal-Gastric tube feeding 102
12. Cleaning a wound and Applying a sterile dressing 106
13. Supplying oxygen inhalation 109
a. Nasal Cannula Method 111
b. Mask Method: Simple face mask 113
II. Administration of Medications 115
1. Administering oral medications 117
2. Administering oral medications through a Nasal-Gastric Tube 120
3. Removing medications from an ampoule 123
4. Removing medications from a vial 126
5. Prevention of the needle-stick injuries 129
6. Giving an Intra-muscular injection 130
7. Starting an Intra-venous infusion 135
8. Maintenance of I.V. system 140
9. Administering medications by Heparin Lock 144
10. Performing Nebulizer Therapy 147
a. Inhaler 148
b. Ultrasonic nebulizer 149
4
