Let the Adventure Begin!

Overnight Study Guide ·         CNA shift starts at 8 or 8:30 pm ·         When CNA is ready for transfer: o        Unplug Big Bertha (always hit the vent reset button twice) o        Assist with the nighttime transfer and follow into bedroom and plug the power cord in the power strip at the head of the bed ·         Once Don is in his room, turn off fan and main overhead light in living room o        Turn on light by the front door or desk to save electricity o        Turn off fish tank light ·         Assist with bed transfer: o        Pull up diaper until snug o        Make sure to pull down left side of diaper extra far at night during transfer from SC to bed o        When Don is seated in bed, take off his shoes, and quickly swing his legs onto the mattress by gripping his ankles (NOT HIS KNEES) o        Put both feet on box o        Turn on bed IMMEDIATELY! o        Make sure his toes and fingers don’t scrunch up while the bed is inflating o     

DRT  Water Management In Bed:   Get the blue wash cloth. Fold it to quarters.  Do the white tube first by pulling it apart at the peep valve. Be careful not to twist the peep value, it will change my peep!  Grab the tube close to my belly and with the other end point it down off the bed with all your might while keeping your eye on my trach so you don’t move it.  Hold the blue wash cloth against the open end of the tube to catch the water. Pull hard twice.  Attach the peep valve quickly because I can’t breathe without the peep valve attached.  Next is the blue tube. Tap the water down.   Continue to shake all the way to the humidity bowl.  The goal is to empty the water into the bowl.  If you took the vent cardboard off, attach the cardboard again and it has an UP ARROW written on it.  After water management: Put your hand between the tubes and my belly to see if the tubes are touching my hands or belly. Raise the arm if necessary. Move the white tube as

DRT  How to put the vest on in the morning:  I prefer that you don't lower the vent arm.  Put my feet on the box.  Pull the vest machine out of the closet.  Take the finger foam and vest out. Don't put them on yet.  Take off my peg tube, metal clip and rice pad.   Important , put the paper towel on my right shoulder on the roll pillow so it doesn't get lost behind my back.  Put my feet on box because when you pull vest down, I always shimmy down.  Important, the next few steps can be done on either side of the bed depending on how strong your upper arms - if you can pull down the vest.  Put the vest behind my neck. Do not lift my head!  Pickup my right hand first to put white tubes under my arm pit. Do the same with my left hand from the window side of bed (if you choose to do all from that side of the bed).   Grab the bottom of both sides of the vest. Not the top for a better grip!  Shimmy both sides down until the bottom of the vest just slightly past m

DRT  I recommend that you not use gloves during this procedure. The sticky glue gets stuck to the gloves making it impossible to roll condom on.  Get a baby wipe from bathroom. Get a tissue.  Wipe my shaft by pulling up my head of penis.  Dry shaft with tissue.  Open the condom package by the middle down the perforation line not at the top.  Check the condom to make sure it is rolled properly.  Here's a picture:  Bend my left knee into the butterfly position.  Get a (Allkare) sticky wipe and apply it to me while pulling up, but only to the shaft.  Wipe your fingers to get rid of sticky stuff.  Pull penis and wave with hand on the glue for a few seconds to dry.   Take the condom out and start rolling it down on me.  And stop when you get past the head.  The next step is critical if you get it wrong, my condom will definitely come off. If you didn't follow the next step, my condom will fall off either during a transfer or you forgot to take the bag off my whee

DRT  A Must Read For New People  Very important, when I ring the bell immediately stop what you are doing and get the spell board because you could be hurting me or you are doing something wrong. Also you only get 3 chances guessing what I want after that get the spell board. It's easier than guessing all night. Lastly if you come in my room and I am coughing immediately clamp my burp tube! FEEDING- Always put a towel on my chest before feeding me. Hold both the feeding tube and the peg tube otherwise the feeding tube could pop off and make a mess.  Before taking off burp tube clamp it first and then turn dirty burp tube up side down before taking it completely off. That way the paper towel cork can catch any liquids.  Never put breakfast in the refrigerator after feeding me. Always use a clean tube in the morning before breakfast  Don’t forget my drop of hydroxo 12 before medicine in the morning. Don't clamp burp after you give me only medicine. Always clamp burp a