Serenity Individualised Support Services

02/09/2026

🌿 Serenity Individualised Support Services — Welcome September

WELCOME SEPTEMBER 🌿
A New Season of Choice, Connection & Possibility

Spring is here, bringing a beautiful reminder that every new season can bring new opportunities.

At Serenity Individualised Support Services, September is another month to celebrate individuality, encourage independence and create meaningful opportunities for people to connect, participate and thrive.

May this month bring our participants, families, carers and community happiness, confidence, inclusion and new experiences.

💜 Your choices matter. Your goals matter. You matter.

Welcome September — from Serenity Individualised Support Services.

24/07/2026

Donning (Putting On) Personal Protective Equipment (PPE):

**Perform hand hygiene
Wash hands with soap and water or use an alcohol-based hand rub.
1.Put on the gown
Fully cover the torso from neck to knees and arms to wrists.
Fasten securely at the neck and waist.
2.Put on the mask or respirator
Surgical mask: Secure ties or ear loops and mold the nose piece.
P2/N95 respirator: Perform a seal check after fitting.
3.Put on eye protection
Wear goggles or a face shield to protect your eyes.
4.Put on gloves
Extend the gloves over the gown cuffs so no skin is exposed.

Doffing (Removing) Personal Protective Equipment (PPE):

1.Remove gloves
Grasp the outside of one glove at the wrist.
Peel it off inside out.
Hold the removed glove in the gloved hand.
Slide fingers under the remaining glove and peel it off over the first glove.
Dispose of appropriately.
2.Perform hand hygiene
3.Remove the gown
Unfasten the ties.
Pull the gown away from the body without touching the outside.
Turn it inside out while removing.
Roll it into a bundle and dispose of it safely.
4.Perform hand hygiene
5.Remove eye protection
Handle only by the headband or earpieces.
Clean reusable eye protection according to workplace policy or dispose of single-use items.
6.Remove the mask or respirator
Remove by the straps or ear loops only.
Do not touch the front of the mask.
Dispose of it appropriately.
6.Perform hand hygiene
This is the final and essential step after all PPE has been removed.

www.sissndis.com

17/07/2026

https://youtu.be/LrGpYau_FPs

Stage 1
Appearance: Intact skin with persistent redness (or discoloration in darker skin tones). The area may be warm, painful, firm, or soft.
Treatment:
Relieve pressure immediately.
Reposition at least every 2 hours.
Keep skin clean and dry.
Use pressure-relieving cushions or mattresses.
Maintain good nutrition and hydration.
Stage 2
Appearance: Partial-thickness skin loss. Looks like a shallow open ulcer, blister, or abrasion with a pink or red wound bed.
Treatment:
Clean with normal saline.
Apply appropriate moist wound dressings (e.g., foam or hydrocolloid dressings).
Protect surrounding skin.
Continue pressure relief and repositioning.
Monitor for signs of infection.
Stage 3
Appearance: Full-thickness skin loss extending into the fatty tissue. Muscle, tendon, and bone are not visible.
Treatment:
Thorough wound assessment.
Remove dead tissue (debridement) if indicated.
Use appropriate dressings to manage wound moisture.
Treat infection if present.
Provide high-protein nutrition and adequate fluids.
Pressure-relieving mattress and specialist wound care.
Stage 4
Appearance: Full-thickness tissue loss with exposed muscle, tendon, ligament, cartilage, or bone. High risk of serious infection.
Treatment:
Urgent specialist wound care.
Surgical debridement may be required.
Advanced wound dressings or negative pressure wound therapy (VAC).
Antibiotics if infection is present.
Nutritional support.
Surgery (such as flap reconstruction) may be needed for severe wounds.
Prevention
Reposition regularly (every 2 hours in bed, more frequently if needed in a chair).
Inspect skin daily.
Keep skin clean and moisturized.
Use pressure-relieving mattresses and cushions.
Ensure adequate protein, calories, fluids, vitamins, and minerals.
Encourage mobility whenever possible.

Seek urgent medical review if there is fever, increasing redness, pus, foul odor, rapidly worsening tissue damage, or exposed bone, as these may indicate a serious infection such as osteomyelitis or sepsis.

Stage 1Appearance: Intact skin with persistent redness (or discolo...

17/07/2026

https://youtu.be/ZqwVoDhshe0
Step-by-Step Procedure
Step 1: Ensure Scene Safety
Ensure the area is safe.
Wear appropriate PPE if available.
Step 2: Assess the Bleeding
Identify life-threatening limb bleeding.
If possible, apply firm direct pressure while preparing the tourniquet.
Step 3: Position the Tourniquet
Place the tourniquet 5–7 cm (2–3 inches) above the bleeding site.
Do not place it directly over a joint (elbow or knee).
If the exact wound cannot be identified or there are multiple injuries, place it high on the affected limb.
Step 4: Tighten the Tourniquet
Pull the strap firmly and secure it.
Twist the windlass (or tightening mechanism) until:
Bleeding stops.
The pulse below the tourniquet is no longer detectable (if it can be assessed).
Step 5: Secure the Windlass
Lock the windlass into its retaining clip or holder.
Secure it according to the manufacturer's instructions.
Step 6: Record the Time
Clearly record the time of application on the tourniquet or on the patient's skin if local protocols recommend.
Step 7: Monitor the Patient

Observe:

Whether bleeding remains controlled.
Signs of shock.
Level of consciousness.
Skin colour and temperature.
Vital signs.

Arrange urgent transport to definitive medical care.

Step-by-Step ProcedureStep 1: Ensure Scene SafetyEnsure the area ...

16/07/2026

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You are also free to ask questions privately or otherwise.

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15/07/2026

Deliver Ventilations:
-Squeeze the bag smoothly until visible chest rise is achieved.
-Allow the chest to fall completely before the next breath.
-Avoid excessive force or rapid ventilation.
-For adults with a pulse who require assisted ventilation, many resuscitation guidelines recommend approximately 1 breath every 6 seconds (about 10 breaths per minute). -During CPR, ventilation rates depend on the airway in place and current resuscitation guidelines.
Apply the Nasal Prongs:
-Place the curved prongs into the nostrils with the tips directed downward.
-Loop the tubing over the ears.
-Adjust the slider under the chin so it is secure but comfortable.

www.sissndis.com

10/07/2026

Suprapubic Catheter Insertion (Medical Procedure)
-Confirm patient identity and obtain informed consent.
-Perform hand hygiene and apply sterile PPE.
-Position the patient supine.
-Prepare the lower abdomen using an appropriate antiseptic solution.
-Drape the area using sterile technique.
-Confirm bladder filling (palpation and/or ultrasound where appropriate).
-Administer local anaesthetic if required.
-Make a small skin incision if indicated.
-Insert the catheter into the bladder using the approved technique.
-Confirm urine flow.
-Inflate the catheter balloon with the manufacturer's recommended volume of sterile water (if using a balloon catheter).
-Gently withdraw until the balloon rests against the bladder wall.
-Connect the catheter to a sterile drainage system.
-Secure the catheter to minimise traction.
-Apply a sterile dressing if required.

Routine Suprapubic Catheter Care
-Wash hands before and after handling the catheter.
-Clean the insertion site daily with water (or according to local policy).
-Keep the area clean and dry.
-Secure the catheter to prevent pulling.
-Ensure the drainage bag remains below bladder level.
-Encourage adequate fluid intake unless contraindicated.
-Check for kinks or obstruction in the tubing.
-Monitor urine output and characteristics.

Drainage Bag Change Procedure:
Equipment:
-New sterile leg bag or overnight drainage bag
-Non-sterile gloves
-Alcohol or antiseptic wipe (if required by local policy)
-Disposable protective pad
-Waste bag

www.sissndis.com

09/07/2026

Oral Suctioning Procedure
-Turn on the suction unit and set the prescribed pressure.
-Attach the Yankauer suction catheter.
-Encourage the patient to open their mouth if able.
-Insert the Yankauer gently without applying suction.
-Apply suction only while withdrawing the catheter.

Suction around:
-Cheeks
-Tongue
-Gums

Reassess airway patency and respiratory status.

Nasal Suctioning Procedure:
-Select the appropriate flexible suction catheter.
-Measure the approximate insertion depth (nostril to the angle of the jaw or according to local policy).
-Lubricate the catheter with water-soluble lubricant if required.
-Insert the catheter gently into the nostril without suction.
-Advance slowly until resistance is met or the measured depth is reached.
-Apply suction while withdrawing the catheter using a gentle rotating motion.

After Suctioning:
-Reassess breathing and airway patency.
-Check oxygen saturation (SpO₂).
-Assess respiratory rate and effort.
-Provide oral or nasal care if needed.
-Clean and dispose of equipment according to infection control procedures.
-Perform hand hygiene.
-Document the procedure and patient response.

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